1. QUALITY AND COSTS OF PRIMARY CARE IN EUROPE
30-31 August 2010
Pisa, Italy

2. Background
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.
Cost of primary care are not well identified in national accounting systems.

3. Objective
EUPRIMECARE 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 Structure
Models of Primary Care
in 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
Workpackages
WP1: Management & Coordination
Task leader: ISCIII
Overall 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
Workpackages
WP2: Primary care models in Europe
Task leaders: ISCIII, KMU, THL
To define and validate models of primary care in Europe
To classify models through 5 dimensions:
Financing
Regulation
Payment
Organization
Organizational behavior

8. WP3: Methodology for primary care costs
Workpackages
WP3: Methodology for primary care costs
Task leaders: UNIBI, UB
To identify methodology for cost measurement in primary care at macro and micro level

9. WP4: Measurement of primary care costs
Workpackages
WP4: Measurement of primary care costs
Task leaders: UNIBI, ESKI
To 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
Workpackages
WP5: Quality assessment methodology
Task leaders: OALI, UTartu, THL, KMU, ISCIII
To identify methodology for quality assessment in primary care (quality criteria, indicators...)
Focus groups:
Patients
Professionals

11. WP6: Assessment of quality
Workpackages
WP6: Assessment of quality
Task leaders: UTartu, THL, KMU
To measure quality of EU primary care services including access, equity, appropriateness and patient satisfaction
Review of medical records
Population survey

12. WP7: Linking quality and costs
Workpackages
WP7: Linking quality and costs
Task leaders: ISCIII
To establish a link between cost & quality in different primary care models
To identify possible trade-offs between quality dimensions and costs according to desired improvements

13. Workpackages To analyse potential impact of project results
WP8: Dissemination
Task leaders: ISCIII, THL, OALI
To analyse potential impact of project results
Ensure effective dissemination to all relevant stakeholders

14. Implementation Management Organisational Structure of Euprimecare
EU Commission
Coordinator
Steering Committee
Stakeholders /
Advisory Board
WP Leaders

15. Potential impact
Common research framework for Primary Care Organisational Models in Europe
Methodology for measuring the cost of PC at macro & micro level
Cost analysis of PHC models in Europe
Tools for quality assessment in EU PC
Review of quality in EU PC models
Recommendations for analysis of PC models in terms of quality and cost

16. Thank you so much!