PHAMEU for HSWP Luxemburg 20-21 Nov...
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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
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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
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Features of Care Delivery
Delivery of PCAccessibility
Continuity Accountability
Scope of servicesContext-
orientation
Coordination
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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
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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
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• 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
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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
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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
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.
