Presentation on theme: "QUALITY AND COSTS OF PRIMARY CARE IN EUROPE"— Presentation transcript:
1 QUALITY AND COSTS OF PRIMARY CARE IN EUROPE 30-31 August 2010Pisa, Italy
2 BackgroundCommon 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.Cost of primary care are not well identified in national accounting systems.
3 ObjectiveEUPRIMECARE is a project funded by the 7th Framework which aims to describe different primary care models in Europe, assess their quality in different dimensions and determine their costs.
4 Partners Institute of Health Carlos III (ISCIII – ES) Universität Bielefeld (UNIBI- DE)University of Tartu (UTartu – ET)National Institute for Stratagic Health Research (ESKI – HU)Institute for Health and Welfare (THL – FI)Kaunas Universtity of Medicine (KMU – LT)Universita Commerciale Luigi Bocconi (UB – IT)Országos Alapellátási Intezet (OALI – HU)
5 Establish link between Quality and Cost in Primary Care Overall StructureModels of Primary Carein Europe(WP2)Management &Coordination(WP1)Dissemination(WP8)Quality(WP 5 & 6)Cost(WP 3 & 4)Establish link between Quality and Cost in Primary Care(WP7)
6 WP1: Management & Coordination WorkpackagesWP1: Management & CoordinationTask leader: ISCIIIOverall management of the project, including technical, administrative, financial and organisational issues.To provide the means for efficient internal information flow and knowledge management.To agree on and execute ethical procedures, publications rules, and rights.
7 WP2: Primary care models in Europe WorkpackagesWP2: Primary care models in EuropeTask leaders: ISCIII, KMU, THLTo define and validate models of primary care in EuropeTo classify models through 5 dimensions:FinancingRegulationPaymentOrganizationOrganizational behavior
8 WP3: Methodology for primary care costs WorkpackagesWP3: Methodology for primary care costsTask leaders: UNIBI, UBTo identify methodology for cost measurement in primary care at macro and micro level
9 WP4: Measurement of primary care costs WorkpackagesWP4: Measurement of primary care costsTask leaders: UNIBI, ESKITo measure costs in primary care services in different EU countries:At macro level. In relation to: population size, GPD, OECD costs...At micro level. Data related to specific services and providers
10 WP5: Quality assessment methodology WorkpackagesWP5: Quality assessment methodologyTask leaders: OALI, UTartu, THL, KMU, ISCIIITo identify methodology for quality assessment in primary care (quality criteria, indicators...)Focus groups:PatientsProfessionals
11 WP6: Assessment of quality WorkpackagesWP6: Assessment of qualityTask leaders: UTartu, THL, KMUTo measure quality of EU primary care services including access, equity, appropriateness and patient satisfactionReview of medical recordsPopulation survey
12 WP7: Linking quality and costs WorkpackagesWP7: Linking quality and costsTask leaders: ISCIIITo establish a link between cost & quality in different primary care modelsTo identify possible trade-offs between quality dimensions and costs according to desired improvements
13 Workpackages To analyse potential impact of project results WP8: DisseminationTask leaders: ISCIII, THL, OALITo analyse potential impact of project resultsEnsure effective dissemination to all relevant stakeholders
14 Implementation Management Organisational Structure of Euprimecare EU CommissionCoordinatorSteering CommitteeStakeholders /Advisory BoardWP Leaders
15 Potential impactCommon research framework for Primary Care Organisational Models in EuropeMethodology for measuring the cost of PC at macro & micro levelCost analysis of PHC models in EuropeTools for quality assessment in EU PCReview of quality in EU PC modelsRecommendations for analysis of PC models in terms of quality and cost