1. European Forum forUm for Primary care Primary Care in Period of Economical Crisis: A challenge for Europe Pr. Marianne Samuelson –Département de MédecineGénéraleUniversité de Caen-BasseNormandie Dr. Daniel Widmer -InstitutUniversitaire de MédecineGénérale Lausanne Mr.Tino Marti -ConsorciCastelldefels Agents de SalutAtencioPrimaria

2. Consequences of the crisis • What is a crisis? • Various aspect of the “crisis” that are inter related • - economical crisis • - moral crisis • - employment crisis • - scientific crisis • Health care consequences of the crisis • What is our “social responsibility ” Primary Care in period of economical crisis Marianne Samuelson - Daniel Widmer

3. 1-Epidemiological consequences of the crisis • Increase of mental disorders • Increase in suicide rate • rise of risk of illness • recovery more difficult • new category of population at risk : young people…. • ……….. Primary Care in period of economical crisis Marianne Samuelson - Daniel Widmer

4. 2- Consequences on the health care professionals, the work force in the heath care field • Decrease of resources • Migration of health care professionals • Alteration of working condition • Health care professionals at risk of Burnout • Transfer of tasks from secondary care to Primary Care • Transfer of tasks among Primary care professionals • Shift from health care professionals to social workers • …….. Primary Care in period of economical crisis Marianne Samuelson - Daniel Widmer

5. 3- How can we act/react • As health care professionals /providers • As stakeholders • Researchers in the health care or sociological field Primary Care in period of economical crisis Marianne Samuelson - Daniel Widmer

6. 4- What are the opportunities for a change, and how can we take the opportunities • Improving the PC orientation of our health care systems • Avoiding overuse or misuse of care • Make better use of resources • Implementation of strategies reducing inequalities •………. Primary Care in period of economical crisis Marianne Samuelson - Daniel Widmer

7. To make it short…. Is it time to go back to Alma Ata principles? Primary Care in period of economical crisis Marianne Samuelson - Daniel Widmer

8. The Workshop • 3 or 4 small groups, with diversity in terms of type of country, and professional background • 30 mm small group work on the 4 aspects: - the changing epidemiology in PC - the changes for the health care providers - how can we act - opportunities • 40 mm large group feed back and exchange • 5 mm “wrapping up” Primary Care in period of economical crisis Marianne Samuelson - Daniel Widmer