QUALITY AND COSTS OF PRIMARY CARE IN EUROPE

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. Overall Structure Models of Primary Care in Europe (WP2) Management & Coordination (WP1) Dissemination (WP8) Cost (WP 3 & 4) Quality (WP 5 & 6) Establish link between Quality and Cost in Primary Care (WP7)

6. Workpackages • 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. WP1: Management & Coordination Task leader: ISCIII

7. Workpackages • To define and validate models of primary care in Europe • To classify models through 5 dimensions: • Financing • Regulation • Payment • Organization • Organizational behavior WP2: Primary care models in Europe Task leaders: ISCIII, KMU, THL

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

9. Workpackages • 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 WP4: Measurement of primary care costs Task leaders: UNIBI, ESKI

10. Workpackages • To identify methodology for quality assessment in primary care (quality criteria, indicators...) • Focus groups: • Patients • Professionals WP5: Quality assessment methodology Task leaders: OALI, UTartu, THL, KMU, ISCIII

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

12. Workpackages • 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 WP7: Linking quality and costs Task leaders: ISCIII

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

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!