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The Strength of Dr Espriu's Healthcare Model

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The Strength of Dr Espriu's Healthcare Model ISSUE 111 2018 JULY ESPRIU FOUNDATION THE MAGAZINE OF HEALTHCARE CO-OPERATIVISM . HEALTH Childhood obesity CO-OPERATIVISM Interview with Bruno Roelants, Managing Director of the International Co-operative Alliance CULTURE Lou Andreas-Salomé THE STRENGTH OF DR ESPRIU’S HEALTHCARE MODEL 171226 AF PG COMPARTIR A4 INGLES.pdf 1 29/12/17 12:55 SALUD DENTAL VIDA ACCIDENTES DECESOS Caring for people means much more than just caring for your health At Asisa we have been caring for people's health for more than 40 years now, and this has encouraged us to care for you even more and better. This is why now, in addition to health, we also offer dental insurance, life insurance, accident insurance and funeral expenses insurance. Because caring for people means much more than just caring for your health 900 10 10 21 asisa.es C M Y CM MY CY CMY K Collaborator Enterprise: 171226 AF PG COMPARTIR A4 INGLES.pdf 1 29/12/17 12:55 SALUD DENTAL VIDA ACCIDENTES DECESOS Caring for people means much more than just caring for your health summary. health. 6 Child obesity. Dr. Adolf Cassan At Asisa we have been caring for people's health for more than 40 years 6 now, and this has encouraged us to care for you even more and better. July, August and September 2018 8 Internal Medicine Department at Barcelona Hospital. Daniel Romaní This is why now, in addition to health, we also offer dental insurance, 10 life insurance, accident insurance and funeral expenses insurance. Blood circulation and cardiovascular health. Dolors Borau Because caring for people means much A global role model 12 Varicose veins: more than an aesthetic more than just caring for your health 5 issue. Dolors Borau 900 10 10 21 asisa.es health co-operativism. 16 16 Interview with Bruno Roelants, Managing Director of the International Co-operative Alliance (ICA): “Co-operatives are making an increasing contribution to economic, social and environmental sustainability” 18 Lavinia commits to digital transformation to underpin its growtht C 21 ASISA signs agreement with UNESCO Chair in Bioethics network M Y 23 Barcelona Hospital refurbishes its Paediatrics Area CM 25 Professional Excellence Award for Assistència Sanitària Head of Oncology MY 27 Espriu Foundation cooperates with ILO to apply co-operative health model in Africa CY CMY 28 Agreement with CEPES to promote the social economy model in the field of health K monograph. 33 The contribution of co-operatives to worldwide health 34 Realising the dream of a tenacious visionary. Paz Hernández 38 Interview with Dr Ignacio Orce, President of Assistència Sanitària and Trustee of the Espriu Foundation: “We are the proof: doctors and citizens can organise themselves to provide good health systems”. Carles Torner 42 The international contribution of the healthcare model created by Dr Josep Espriu. Jose Pérez, Deputy Director of the Espriu Foundation 46 A new development and a great opportunity for the co-operative movement. Excerpts from the book “Co-operative Healthcare” published by Dr Espriu in 1985 culture. 49 Pause 49 50 Film criticism: Lou Andreas-Salomé 52 The World Turns: The pathway of forgetfulness Collaborator Enterprise: 56 Remembering Salvador Espriu Founded in 1989, the Espriu Foundation is made up of organisations that follow the co-operative healthcare model created by Dr Josep Espriu. These organisations are: Autogestió Sanitària, Scias, Lavinia and Asisa, which together form Grup Assistència and Grup ASISA 01 PortadaCAST111.indd 2 23/7/18 16:37 Quarterly magazine. Third stage. Issue 111 july, august and september 2018 Health co-operatives magazine @ [email protected] Executive Board: president of Espriu Foundation & SCIAS Dr. Ignacio Orce, president of Autogestió Sanitària & Assistència Sanitària Dr Enrique de Porres, CEO of Asisa-Lavinia Dr Oriol Gras, Trustee of the Espriu Foundation Dr Carlos Zarco, CEO and Trustee of the Espriu Foundation readers’ letters. Executive Editor: Carles Torner Pifarré Editor-in-Chief: Paz Hernández Design and page layout:: ec.lluch Coordinator of the “Around the World” section Dr. Manuel Viola Health co-operatives and Editorial Team: ILUNION Comunicación Social public health systems Proofreading and translation: Núria Sàbat (catalan and castilian) Jason Garner (english) I read with interest the information about the contribution Printing: ILUNION Retail y Comercialización made by co-operatives to worldwide health included in the Contributors to this edition: Dr. Diego Lorenzo last issue of the magazine. I was particularly surprised at Sáez, Dr. Adolf Cassan, Daniel Romaní, Dolors the huge number of health co-operative users in countries Borau, Núria Jané, Dra. Montserrat Montraveta, that, far from belonging to the Developing World, are at José Pérez, David Fernández, Oriol Conesa, the forefront of development such as France, Belgium and Enric Sòria, Jaume Creus, Jordi Virallonga, Sam Abrams, Carles Torner and Paz Hernández Sweden, where one would also assume there to be a fi rst-rate Photography and illustration: Keith Adams, public healthcare system since they are leading countries Raimundo de Gaztañondo Coll, Nuria Murillo of the so-called Welfare State. The truth is that the fi gures Lara, Jordi Negret, Pep Herrero, Joma and made me stop and think and above all aroused my curiosity Jordi Sàbat. as I would like to know more about how health co-operatives function in these countries and their co-existence with the Registered publication: B-33773-2005 public system. Fundació Espriu Kind regards, Av. de Josep Tarradellas, 123-127, 4a planta 08029 Barcelona. Juan Ignacio Luca de Tena, 12, 3ª. Arturo Gómez Llaneza. 28027 Madrid Alcalá de Henares (Madrid) NIF: G-59117887 Tel.: 93 495 44 90 [email protected] www.fundacionespriu.coop july 2018 05 editorial. A global role model I always enjoy presenting a new issue of our magazine compartir. This time, howe- ver, it is with particular pleasure that I introduce the pages of the monograph sec- tion which we are dedicating to the memory of the fi rst steps taken towards the healthcare model created by Dr Josep Espriu. Today, this healthcare model exists within in a strong network of social economy businesses that are committed to providing top quality health services. The historical context within which Spain existed in the middle of the last century caused Dr Esprio to have a vision of healthcare that led him to look for ways of allowing doctors to practise their profession independently, while at the same time, improving access to health services Unlike the main trend in Europe, where insurance companies directly reimbursed Dr. Diego Lorenzo Sáez medical costs without being involved in the provision of care, the model that Dr Trustee of the Espriu Espriu designed turned doctors into insurance partners as well as service providers, Foundation and Vice-President free of intermediaries following the “medical mutual” tradition. of Lavinia-ASISA The co-operative movement offered an ideal legal structure that was perfectly in line with the values that he felt were essential for the development of his initial model, thus facilitating the development of health co-operatives as a system of providing social medicine. Over the years, Dr Espriu’s ideas evolved into a highly socially advanced healthcare structure, which has become a model replicated throughout the world. This is borne out in the words of the International Co-operative Alliance President, Ariel Guar- co, who in this issue of compartir. says that “The Espriu Foundation’s co-operative The ideas of healthcare model which consists of users and health providers, has had a profound Dr Espriu took impact on the world and its philosophy has led to the creation of the International shape as a highly Health Co-operative Organisation (IHCO).” Other international institutions, such socially advanced as the International Labour Organization (ILO) also recognised the potential of co-operatives to develop health projects in different countries due to their fl exibility healthcare in adapting to differing economic and political contexts. structure, which I cannot bring this editorial to a close without mentioning Dr Espriu himself. “We has become a are talking abour the dignity of medicine that cures people and the dignity that a model replicated sick person always deserves and that cannot be sullied by any pursuit of profi t”. That was the philosophy to which he dedicated his whole life without ever weakening throughout the his commitment: “If I were born again,” he wrote, “I would do the same: work for world. medicine and for co-operative healthcare”. health. prevent and cure Childhood obesity is seen as the “21st century epidemic” and represents a very serious problem that, if it is not properly addressed, will have profound consequences in the future. Childhood obesity Dr. Adolf Cassan The percentage of obese children in industrialised coun- However, obesity is not simply a “build-up of fat” tries has shown an alarming increase over recent dec- which represents an aesthetic problem, but is also in ades to reach situation it is now in: it is estimated that reality a pathological process that facilitates the devel- the prevalence of obesity among the child population opment of a series of illnesses and metabolic alterations. in Spain stands at around 18%. This is a very worrying These can give rise to serious complications, which over- problem because obesity brings with it numerous neg- all reduce quality of life and in many cases are even a ative consequences and we therefore need to address cause of early death. the issue with all the weapons available to us, one of the Obesity can give rise to a wide range of disorders: most important of which could be information. it is associated with arterial hypertension, is typically Relating to this, for example, it is essential to root accompanied by alterations in the levels of fat in the out a number of false ideas such as the belief that over- blood, is considered a risk factor for coronary disease weight in younger children is a positive thing and that (heart attacks) and also the onset of diabetes.
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