Stronger Primary Care

Transcription

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2 Stronger Primary Care Health outcomes Costcontrol Responsiveness

3 Dionne Sofia Kringos, MSc Wienke Boerma, PhD; Prof. Peter Groenewegen NIVEL-Netherlands Institute for Health Services Research

4 Consortium - NIVEL (consortium leader) - University of Tartu -IRDES - Heinrich Heine University - University Witten/Herdecke - CERGAS - University of Tromso - Jagiellonian University - University of Ljubljana - IDIAP Jordi Gol - ScHARR - University of Leicester -WHO Europe - European Forum for PC - EUPHA -EGPRN - European Commission

5 General objectives Establish information and knowledge system on the state and development of PC in Europe Create an infrastructure for repeated application Support exchange of PC information and good practice

6 Specific objectives Instrument development Data collection in 31 countries

7 Primary Care (I) First contact care and follow-up treatment General care for all patients Primary Care serves as Provision of wide range of Cure & Care Point of referral if necessary

8 Primary Care (II) GPs GPs // FDs FDs Directly accessible amb. amb. spec. s Nursing care care Physiotherapists Primary Care disciplines Ambulatory mental mental HC HC workers Pharmacists

9 Monitoring Framework Primary care policy development & priorities Delivery of Primary Care Primary care Financing & Incentives Resource Generation Professional development

10 Features of Care Delivery Continuity Accountability Accessibility Delivery of PC Coordination Contextorientation Scope of services

11 Data Sources Literature review Instrument development Primary Care Country databases International statistical databases (partial) country information Data collection in 31 countries country information

12 Summary of Syst. Literature Review Studies identified (n = 6537) MEDLINE, Embase, Cochrane Library, CINAHL, King s Fund Db., IDEAS Db., EconLit 477 duplicates excl pot. relevant titles 3603 titles excl pot. relevant titles / abstracts 1985 abstracts excl. 472 pot. relevant papers 83 papers meeting inclusion 389 full text papers excl. DATA ABSTRACTION

13 Data collection in 31 PHAMEU countries

14 Data collection in 31 PHAMEU countries NIVEL (NL) UTAR (EE) IRDES (FR) HHU (DE) CERGAS (IT) UJCM (PL) ULMF (SV) FJGiG (ES) USFD (UK) TROMSØ (N)

15 Data collection in 31 PHAMEU countries NIVEL (NL): NL, LU, BG, TR UTAR (EE): EE, LV, LT IRDES (FR): FR, BE, CH HHU (DE): DE, AT, HU CERGAS (IT): IT, GR, CY UJCM (PL): PL, CZ, SK ULMF (SV): SL, RO, MT FJGiG (ES): ES, POR, FL USFD (UK): UK, IE, ICEL TROMSØ (N): N, SE, DK

16 2 Data Collection Rounds Purpose A first update of the data Fine tuning of instrument Fine tuning of data collection strategy

17 Expected Outcome PC activity database 31 country reports Fact sheets Benchmark information Book on the state of PC in Europe Models of good practice Policy briefs Policy recommendations

18 Time Schedule Jan - July 2008 Aug - Dec 2008 Jan - July 2009 Aug - Dec 2009 Jan - July 2010 Aug - Nov 2010 Literature review Instrument development Prep. data collection 1st round data collection 2nd round data collection Dissemination products

19 Thank You Dionne Sofia Kringos

20 This paper was produced for a meeting organized by Health & Consumer Protection DG and represents the views of its author on the subject. These views have not been adopted or in any way approved by the Commission and should not be relied upon as a statement of the Commission's or Health & Consumer Protection DG's views. The European Commission does not guarantee the accuracy of the data included in this paper, nor does it accept responsibility for any use made thereof.