WONCA Europe 2011 Preconference - Group 4 Presentation

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WONCA Europe 2011 Preconference - Group 4 Presentation

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WONCA Europe 2011 Preconference - Group 4 Presentation

  1. 1. A visionary approach towardsPrimary Care in Europe<br />Karen Pisconte, Stefan Morreel, BjarteSorensen, KrystynaKochanowicz, ZuzanaVaneckova, Anna Klimiuk, Florian Stigler, MatthewBaines<br />
  2. 2. Discussion<br />Personal Vision of Practicewithin next 5 years<br />Vision of idealPractice<br />
  3. 3. Personal Vision of Practicewithin next 5 years<br />Work as anemployed GP<br />Work in own GP-practice<br />Become a good GP<br />Master in Public Health<br />Engage in Politics<br />
  4. 4. Vision of idealPractice<br />Easilyaccessible<br />First point of contact formedical/ psychological / socialproblems<br />Holistic approach topatients care<br />Preventingsomatisationandoverdiagnosis<br />Multidisciplinary<br />Good link to community-based services<br />No money issues betweenpatientand GP<br />
  5. 5. The framerwork<br />3 levels <br />Patient/Community<br />Disease<br />PoliticsandEconomy<br />For each level<br />Vision<br />Facilitators<br />Barriers<br />Ideas<br />
  6. 6. Patient / Community <br />FacilitateeducationwithGPsleading<br />Health-check-ups (ifevidence-based)<br />barriers<br />community work is poorlyfunded<br />notenoughevidenceandcost-effectivenessfor check-ups<br />GP training lacksmultidisciplinary approach<br />GP notusedtofacilitatetonetworks<br />In somecountries low image of GPs<br />
  7. 7. Patient / Community<br />Facilitators<br />GPs have a centralrolewithin the community<br />multidisciplinary approach<br />High trust frompatients<br />Ideas<br />GP-basededucationallessons<br />Research on evidence of screening programs<br />Increasefundingfor community work<br />Health awareness programs<br />
  8. 8. Disease<br />Barriers<br />Financial interests of specialists<br />Ideas<br />Betterand more comprehensive training<br />Financial incentives for “regained” patients<br />
  9. 9. Politics / Economy / System<br />Vision<br />Focus on PHC<br />Direct involvement in budget control / prioritization<br />Transparency<br />Facilitators<br />Economic incentives<br />Legislation<br />
  10. 10. Politics / Economy / System<br />Barriers<br />Legislation<br />Resistance of specialists<br />Lack of knowledgeconcerning PHC benefits<br />Shortage of workforce<br />Ideas<br />PHC “Branding”<br />Training in all GP practices<br />Increasingattractivity of being a GP (salary, workinghours, careeropportunities, …)<br />Increasetransparency<br />
  11. 11. Disease<br />Vision<br />Common diseasestreatedbyGPs<br />Rare diseasesmanagedbyGPs, treatedbyspecialists<br />Regaining “lost”patients<br />Facilitators<br />Accessibility<br />Longtermrelationshipwithpatients<br />Space and equipment available<br />Approach on multimorbidity<br />
  12. 12. “Be nice but be strong“<br />

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