EUPRIMECARE: PRIMARY HEALTH CARE SYSTEMS IN EUROPE

1. EUPRIMECARE: PRIMARY HEALTH CARE SYSTEMS IN EUROPE Sarría Santamera A1,2, Parody Rúa E, Martín Martínez MA1, Del Pino Valero V1, Segovia Pérez C3, Euprimecare Consortium 1AETS (Agencia de Evaluación de Tecnologías Sanitarias). Instituto de Salud Carlos III. Madrid (Spain) 2 Departamento de Ciencias Medico sociales. Universidad de Alcalá. Madrid (Spain) 3Departamento de Proyectos Internacionales de Investigación. Instituto de Salud Carlos III. Madrid (Spain) INTRODUCTION METHODOLOGY Common framework to describe primary health care models in the EU is not available. Not yet developed a trans-national consensus on how to define quality of primary care (PC) and cost are not well identified in national accounting systems. EUPRIMECARE is a project funded by the 7th Framework which aims to describe different PC models in Europe, assess their quality in different dimensions and determine their costs. WP2 WP 5 & 6 REGULATION • Identify a methodology to measure the PC quality • To measure the health quality in PC ORGANIZATIONAL BEHAVIOUR FINANCING PRIMARY CARE IN EUROPE COORDINATION WP 1 DISSMINATION WP 8 WP 7 ORGANIZATION PAYMENT WP 3 & 4 • Identify a methodology to measure costs in PC Evaluation of PC models in Europe • To measure costs in PC RESULTS Common framework for classification of primary care models Range of services by country • Provision of services through national / regional/ local system (Yes/No) • Voluntary private insurance (Yes/No) FINANCING FINANCING • Geographical distribution of primary care services (Yes/No) REGULATION ORGANIZATION • Professional income (Capitation/Salary/Fee for service/ Out of pocket PAYMENTT • Gatekeeping to specialist (Yes/No) • Type of facilities (Public/Private) • Type of practice (solo practices/Group practice/ Integrated network ORGANIZATION NEXT STEPS • WP2: Validation in 34 European Countries • WP3, Micro costs method => Clinical Vignettes: • Preventive (influenza vaccination in aged person) • Pediatric care (sick little boy) • Management of long term conditions (diabetic patient) • Health promotion (smoking cessation) • WP4, Macro costs method => data of services and providers (OECD & HiTs) • WP5 & WP6, Quality research method based on: • Patients & Professionals Focus Groups • Quality Indicators in PC • Population survey of the quality of care • Formal quality management & improvement programmes (Yes/No) • Continuing clinical education programmes (Yes/No) • Local adaptation of clinical guidelines (Yes/No) ORGANIZATIONAL BEHAVIOUR VIII Annual Meeting HTAi. Rio de Janeiro, June 25th to 29th, 2011 Contact E-mail: asarria@isciii.es