The Challenge

Educate patients in the responsible use of resources


Patient empowerment includes the awareness that use and access to public health has a cost that needs to be optimized for better use.

Since every patient is different and there are no defined patterns (the Public Health system is not a factory) one should ask the patient if he is aware that with his involvement he could make the system more efficient and economically sustainable.

Tools must be designed to inform and educate the patient about this reality and its role.


The Solution

Beyond the structural funding deficit, there is a part of the lack of resources where healthcare professionals and patients can contribute.

- It is up to the professionals to minimize the expense, adapting each one of the interventions to the optimal service, avoiding superfluous expenses.

- The patient must be aware that all health services, which revolve around him, have a cost for which he must be co-responsible. Convince the patient that greater empowerment, which must come from good health education, must allow for a saving of resources that, if done collectively, must end up reverting to the user.

The proposal:

- Inform patients of the cost of the various services they receive with the aim of valuing them and eventually being able to make better use of them.

- The system allows the user to be recognized, to "remember" their use of health services and the expenditure they make.

- The system must allow to build elements of motivation for the behaviors considered positive from the point of view of the optimization of the expense.


- Professionals responsible for managing information about the patient's expenses, sending them and eventually explaining them.

- Patients who receive the information.

- The creators who maintain the system:

- The professionals responsible for studying the impact of the action on users and for adapting and guiding the design of the system.

- The professionals who facilitate the technical design of the solution.

Barriers and difficulties:

- The need to adapt the system to each patient, from the hyper-educated to the uneducated.

- Difficulty generating the information the system needs.

- Do not value the information, in particular the type of user who is a big consumer.

- Understand the meaning of information and how it is expected to impact user behavior

- The provision of possible claims by users.

- Lack of resources to implement innovations.


The Team

Valentin Aragunde. Metge de família.

Silvia Arolas. Admistració.

Bibiana Contreras. Metge de família.

Mª Àngels Erdozain. Infermera.

Marisa Finestres. Cap d’equip administratiu

Laura Gonzalez. Infermera.

Lidia París. Cap d’atenció a la ciutadania.

Miquel Prats. Cap d’equip administratiu.

Esther Tur. Infermera.

Sonia Villegas. Atenció a l’usuari.

Josep Mª Monguet. Enginyer UPC

Alex Trejo. Enginyer CEO Onsanity



Delphi consensus on the COST project.

The organization agrees that patients generally do not value free health care.

- The use of resources by patients can be improved.

- The patient does not know the real cost of the health and social resources he uses.

- It would be advisable to take some action to make patients aware of their expense.

- Giving an informative document to patients with the cost of their spending can be a good tool.


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