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

de: "Ruggiero, Mrs. Ana Lucia (WDC)" - ruglucia@paho.org
para: EQUIDAD@listserv.paho.org
fecha: 06-abr-2009 9:40
asunto: [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 7th & 8th 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







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