WONCA Europe 2011 Preconference - Group 4 Presentation
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Transcript of WONCA Europe 2011 Preconference - Group 4 Presentation
A visionary approach towards Primary Care in Europe
Karen Pisconte, Stefan Morreel, Bjarte Sorensen, Krystyna Kochanowicz, Zuzana Vaneckova, Anna Klimiuk, Florian Stigler, Matthew Baines
Discussion
• Personal Vision of Practice within next 5 years• Vision of ideal Practice
Personal Vision of Practice within next 5 years
• Work as an employed GP• Work in own GP-practice• Become a good GP• Master in Public Health• Engage in Politics
Vision of ideal Practice
• Easily accessible• First point of contact for medical/ psychological / social
problems• Holistic approach to patients care• Preventing somatisation and overdiagnosis• Multidisciplinary• Good link to community-based services• No money issues between patient and GP
The framerwork• 3 levels • Patient/Community• Disease• Politics and Economy
• For each level• Vision• Facilitators• Barriers• Ideas
Patient / Community • Facilitate education with GPs leading • Health-check-ups (if evidence-based)
• barriers• community work is poorly funded• not enough evidence and cost-effectiveness for check-ups• GP training lacks multidisciplinary approach• GP not used to facilitate to networks• In some countries low image of GPs
Patient / Community• Facilitators • GPs have a central role within the community• multidisciplinary approach• High trust from patients
• Ideas• GP-based educational lessons• Research on evidence of screening programs• Increase funding for community work• Health awareness programs
Disease• Barriers• Financial interests of specialists
• Ideas• Better and more comprehensive training• Financial incentives for “regained” patients
Politics / Economy / System• Vision• Focus on PHC• Direct involvement in budget control / prioritization• Transparency
• Facilitators• Economic incentives• Legislation
Politics / Economy / System• Barriers• Legislation• Resistance of specialists• Lack of knowledge concerning PHC benefits• Shortage of workforce
• Ideas• PHC “Branding”• Training in all GP practices• Increasing attractivity of being a GP (salary, working hours, career
opportunities, …)• Increase transparency
Disease• Vision• Common diseases treated by GPs• Rare diseases managed by GPs, treated by specialists• Regaining “lost”patients
• Facilitators• Accessibility• Longterm relationship with patients• Space and equipment available• Approach on multimorbidity
“Be nice but be strong“