[EQ] Coordination and management of chronic conditions in Europe: the role of primary care

Co-ordination and management of chronic conditions in Europe: the role of primary care
- position paper of the European Forum for Primary Care

 Greß, Stefan¹; Baan, Caroline A.²; Calnan, Michael³; Dedeu, Toni⁴; Groenewegen, Peter⁵; Howson, Helen⁶; Maroy, Luc⁷; Nolte, Ellen⁸; Redaèlli, Marcus⁹; Saarelma, Osmo¹⁰; Schmacke, Norbert¹¹; Schumacher, Klaus¹²; van Lente, Evert Jan¹³; Vrijhoef, Bert¹⁴

Quality in Primary Care, Volume 17, Number 1, February 2009 , pp. 75-86(12)

Abstract website at: http://www.ingentaconnect.com/content/rmp/qpc/2009/00000017/00000001/art00011

“……Healthcare systems in Europe struggle with inadequate co-ordination of care for people with chronic conditions. Moreover, there is a considerable evidence gap in the treatment of chronic conditions, lack of self-management, variation in quality of care, lack of preventive care, increasing costs for chronic care, and inefficient use of resources. In order to overcome these problems, several approaches to improve the management and co-ordination of chronic conditions have been developed in European healthcare systems.

These approaches endeavour to improve self-management support for patients, develop clinical information systems and change the organisation of health care. Changes in the delivery system design and the development of decision support systems are less common. Almost as a rule, the link between healthcare services and community resources and policies is missing. Most importantly, the integration between the six components of the chronic care model remains an important challenge for the future.

We find that the position of primary care in healthcare systems is an important factor for the development and implementation of new approaches to manage and coordinate chronic conditions. Our analysis supports the notion that countries with a strong primary care system tend to develop more comprehensive models to manage and co-ordinate chronic conditions. …..”

 

Diederik Aarendonk, Forum Coördinator, European Forum for Primary Care
Visiting address: Otterstraat 118 – 124, 3513 CR Utrecht
Postal address: PO Box 1568, 3500 BN Utrecht, The Netherlands
e-mail: d.aarendonk@euprimarycare.org Web-site: http://www.euprimarycare.org/

 

                                                                                                                                                                                    

 EFPC conference in Cyprus on the 7^th & 8^th of May 2009 - Nicosia Cyprus

In close collaboration with the University of Nicosia and the Cyprus Ministry of Health

The URL for the conference is: http://www.nivel.nl/oc2/page.asp?PageID=12258

 

 

 

*      *     *

This message from the Pan American Health Organization, PAHO/WHO, is part of an effort to disseminate
information Related to: Equity; Health inequality; Socioeconomic inequality in health; Socioeconomic
health differentials; Gender; Violence; Poverty; Health Economics; Health Legislation; Ethnicity; Ethics;
Information Technology - Virtual libraries; Research & Science issues.  [DD/ KMC Area]

“Materials provided in this electronic list are provided "as is". Unless expressly stated otherwise, the findings
and interpretations included in the Materials are those of the authors and not necessarily of The Pan American
Health Organization PAHO/WHO or its country members”.
------------------------------------------------------------------------------------
PAHO/WHO Website
Equity List - Archives - Join/remove: http://listserv.paho.org/Archives/equidad.html

    IMPORTANT: This transmission is for use by the intended recipient and it may contain privileged, proprietary or confidential information. If you are not the intended recipient or a person responsible for delivering this transmission to the intended recipient, you may not disclose, copy or distribute this transmission or take any action in reliance on it. If you received this transmission in error, please notify us immediately by email to infosec@paho.org, and please dispose of and delete this transmission. Thank you.