The future of primary healthcare in Europe III, Pisa 2010.

Le résumé fourni par la source

The third biennial conference of the European Forum for Primary Care (EFPC) in Pisa, August 2010, aimed at enabling participants to identify, define and appreciate topics – ranging from policy to organisation, management and clinical care – which are likely to determine the future of primary care (PC) in Europe. As one of the participants in the discussions that led to the 2009 World Health Assembly resolution on PC (WHA 62.12), the EFPC wants to take this resolution as the guideline for further development of policy advice to all the countries in the European region that signed the resolution. Crucial for the success of the primary healthcare response is to ensure that PC professionals continue to work in and with communities. To make health care more effective, disease-specific vertical programmes should be implemented in the context of integrated primary health care (see: www.15by2015.org). Good practice in the integration of responsive PC and providing a wide range of services can be found everywhere in Europe. At the Pisa conference a number of these good practices from various countries including Canada, TheNetherlands, theUK, Spain and of course the hosting country Italy were presented through video presentations. A debate session was held around the specific theme of health inequalities in PC. All these examples were underpinned by high-level keynote speeches from front-runners in the area of community oriented primary health care. The EFPC is always looking to support contributions which address, in particular, issues of equitable access, cost-effectiveness, service delivery, clinical quality and themaintenance of continuity of care. Both urban and rural settings are relevant, with their differing but equally important modern pressures. The recent rapid increase in the number of member countries, in both the European Union (EU) and the WHOEuropeanRegion, demands a clear understanding of the overall impact on health and public service systems of both the emergent new clinical approaches and service delivery models in contemporary primary health care. Internationally these range from small general medical practices to multiprofessional, community oriented PC centres. All national health systems currently share similar pressures for change and development.Collaboration in understanding both these pressures and the responses they require is essential if the modern Europe is to take forward its economic and social development, and enhance the overall health status of its divergent but increasingly interdependent communities. In this context six common pressures for change and development were identified from a review of individual states’ current policies and from relevant international research. These may be regarded as the formative influences on the future organisation of primary health care in Europe. Together they represent the agenda for shared learning:

Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.