Primary health care in a changing world

Maeseneer, Jan De; Moosa, Shabir; Pongsupap, Yongyuth; Kaufman, Arthur

doi:10.3399/bjgp08x342697

Cited by 28 publications

(26 citation statements)

References 16 publications

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“…Its basic principles were in keeping with recently promoted principles of health care 1 : care based on the prevailing science, universal coverage, equity in access, and cost effectiveness. Ever since, people are listed with a family physician (FP) who provides them health care and coordinates access to specialized care.…”

Section: The Health Care Systemmentioning

confidence: 99%

Health Care in The Netherlands

Weel¹,

Schers²,

Timmermans³

2012

The Journal of the American Board of Family Medicine

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This article analyzes Dutch experiences of health care reform-in particular in primary care-with emphasis on lessons for current United States health care reforms. Recent major innovations were the introduction of private insurance based on the principles of primary care-led health care and including all citizens irrespective of their financial, employment, or health status; introduction of primary care collaboratives for out-of-hour services and chronic disease management; and primary care team building, including practice nurses. These innovations were introduced on top of a strong primary care tradition of family practices with defined populations based on patient panels, practice-based research, evidence-based medicine, large-scale computerization, and strong primary care health informatics. Dutch health reform redirected payment to support introduction of innovative health plans and strengthening of primary care to respond to public health objectives.Five recommendations for US primary care follow from this Dutch experience: (1) a private insurance model is compatible with thriving primary care, but it must include all people, especially the most vulnerable in society, and espouse a primary care-led health care system; (2) patient panels or practice lists strengthen continuity of care and community orientation to focus on and respond to local needs; (3) reward collaboration within primary care and between primary care, hospital care, and public health; (4) stimulate primary care professionals to exert their passion and expertise through participation in primary care research and development; and (5) health informatics should be primary care based, preferably adopting the International Classification of Primary Care. With these recommendations, it will be possible for the United States to obtain better population health for its population. (J Am Board Fam Med 2012;25:S12-17.)

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Section: The Health Care Systemmentioning

confidence: 99%

Health Care in The Netherlands

Weel¹,

Schers²,

Timmermans³

2012

The Journal of the American Board of Family Medicine

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“…In the current resource-limited environment, a shift to a fully operating primary care system is an essential component of any future, sustainable healthcare system. 1 In this context, Greece should explore lessons from other countries, such as the UK, to ensure that more than the most basic care is provided during the crisis. As well as full primary care coverage, service quality control, professional revalidation, and the linking of research with practice are priorities.…”

mentioning

confidence: 99%

What Greece can learn from UK primary care experience and empirical research

Kousoulis

Symvoulakis²,

Lionis³

2012

Br J Gen Pract

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“…The ambitions of the IAPT programme to improve access to talking therapies to a wider population, including vulnerable groups, is bold and potentially of great importance to patients and their GPs; however, this poses some challenges too, not least that of horizontally integrating into primary care an essentially vertically organised programme of care focused on depression and anxiety. 6 We suggest that the IAPT programme is best seen as a critical component of the wider project to improve primary care mental health. 7 This vision needs to include services that break down the body-mind divide, locate specialist mental health workers in primary care settings, and enhance primarybased care for patients with complex conditions, such as psychosis, dementia, medically unexplained symptoms, personality disorder, and drug and alcohol problems -most of whom have significant comorbidity.…”

Section: Improving Access To Psychological Therapiesmentioning

confidence: 99%