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Stronger Primary Care…

HSWP Meeting – 20-21 November 2008, Luxembourg

WWW.PHAMEU.EU

Health outcomes

Cost-control

ResponsivenessResponsiveness

HSWP Meeting – 20-21 November 2008, Luxembourg

Dionne Sofia Kringos, MScWienke Boerma, PhD; Prof. Peter Groenewegen

NIVEL-Netherlands Institute for Health Services Research

WWW.PHAMEU.EU

HSWP Meeting – 20-21 November 2008, Luxembourg

WWW.PHAMEU.EU

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

General objectives

HSWP Meeting – 20-21 November 2008, Luxembourg

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• Establish information and knowledgesystem on the state and development of PC in Europe

• Create an infrastructure for repeatedapplication

• Support exchange of PC informationand good practice

Specific objectives

HSWP Meeting – 20-21 November 2008, Luxembourg

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• Instrument development

• Data collection in 31 countries

HSWP Meeting – 20-21 November 2008, Luxembourg

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PrimaryPrimaryCareCare

serves asserves as

First contact care and follow-up treatment

Primary Care (I)

General care for all patients

Point of referral if necessary

Provision of wide range of Cure & Care

Primary Care (II)

HSWP Meeting – 20-21 November 2008, Luxembourg

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GPs / FDsGPs / FDs

Directly accessible amb. spec.’sDirectly accessible amb. spec.’s

Nursing careNursing care

Primary Caredisciplines

Primary CaredisciplinesPhysiotherapistsPhysiotherapists

Ambulatory mental HC workersAmbulatory mental HC workers

PharmacistsPharmacists

HSWP Meeting – 20-21 November 2008, Luxembourg

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Monitoring Framework

Deliveryof

Primary Care

Primary care policy development& priorities

Primary care Financing & Incentives

Resource Generation

Professional development

HSWP Meeting – 20-21 November 2008, Luxembourg

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Features of Care Delivery

Delivery of PCAccessibility

Continuity Accountability

Scope of servicesContext-

orientation

Coordination

HSWP Meeting – 20-21 November 2008, Luxembourg

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Literature review Instrumentdevelopment

International statistical databases

Data collection in 31 countries

Primary Care Country

databases

Data Sources

(partial)country information

country information

Summary of Syst. Literature ReviewStudies identified (n = 6537)

MEDLINE, Embase, Cochrane Library, CINAHL, King’s Fund Db., IDEAS Db., EconLit

6060 pot. relevant titles

2457 pot. relevant titles / abstracts

472 pot. relevant papers

83 papers meeting inclusion

DATA ABSTRACTION

477 duplicates excl.

3603 titles excl.

1985 abstracts excl.

389 full text papers excl.

HSWP Meeting – 20-21 November 2008, Luxembourg

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Data collection in 31 PHAMEU countries

HSWP Meeting – 20-21 November 2008, Luxembourg

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• NIVEL (NL)

• UTAR (EE)

• IRDES (FR)

• HHU (DE)

• CERGAS (IT)

• UJCM (PL)

• ULMF (SV)

• FJGiG (ES)

• USFD (UK)

• TROMSØ (N)

Data collection in 31 PHAMEU countries

HSWP Meeting – 20-21 November 2008, Luxembourg

WWW.PHAMEU.EU

• 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

Data collection in 31 PHAMEU countries

HSWP Meeting – 20-21 November 2008, Luxembourg

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2 Data Collection Rounds

A first update of the data

Fine tuning of instrument

Fine tuning of data collection strategy

Purpose

HSWP Meeting – 20-21 November 2008, Luxembourg

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Expected Outcome

Benchmark informationBenchmark information

Models of good practiceModels of good practice

PolicyPolicy recommendationsrecommendations

• PC activity database• 31 country reports• Fact sheets

• Book on the state of PC in Europe

• Policy briefs

HSWP Meeting – 20-21 November 2008, Luxembourg

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Time Schedule

Literature review

Instrument development

Prep. data collection

1st round data collection

2nd round data collection

Dissemination products

Jan - July2008

Aug - Dec2008

Jan - July2009

Aug - Dec2009

Jan - July2010

Aug - Nov2010

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Dionne Sofia Kringosd.kringos@nivel.nl

Thank You

This paper was produced for a meeting organized by Health & Consumer Protection DG and represents the views of its author on thesubject. 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 dataincluded in this paper, nor does it accept responsibility for any use made thereof.