WONCA Europe 2011 Preconference - Group 4 Presentation

1. A visionary approach towardsPrimary Care in Europe Karen Pisconte, Stefan Morreel, BjarteSorensen, KrystynaKochanowicz, ZuzanaVaneckova, Anna Klimiuk, Florian Stigler, MatthewBaines

2. Discussion Personal Vision of Practicewithin next 5 years Vision of idealPractice

3. Personal Vision of Practicewithin next 5 years Work as anemployed GP Work in own GP-practice Become a good GP Master in Public Health Engage in Politics

4. Vision of idealPractice Easilyaccessible First point of contact formedical/ psychological / socialproblems Holistic approach topatients care Preventingsomatisationandoverdiagnosis Multidisciplinary Good link to community-based services No money issues betweenpatientand GP

5. The framerwork 3 levels Patient/Community Disease PoliticsandEconomy For each level Vision Facilitators Barriers Ideas

6. Patient / Community FacilitateeducationwithGPsleading Health-check-ups (ifevidence-based) barriers community work is poorlyfunded notenoughevidenceandcost-effectivenessfor check-ups GP training lacksmultidisciplinary approach GP notusedtofacilitatetonetworks In somecountries low image of GPs

7. Patient / Community Facilitators GPs have a centralrolewithin the community multidisciplinary approach High trust frompatients Ideas GP-basededucationallessons Research on evidence of screening programs Increasefundingfor community work Health awareness programs

8. Disease Barriers Financial interests of specialists Ideas Betterand more comprehensive training Financial incentives for “regained” patients

9. Politics / Economy / System Vision Focus on PHC Direct involvement in budget control / prioritization Transparency Facilitators Economic incentives Legislation

10. Politics / Economy / System Barriers Legislation Resistance of specialists Lack of knowledgeconcerning PHC benefits Shortage of workforce Ideas PHC “Branding” Training in all GP practices Increasingattractivity of being a GP (salary, workinghours, careeropportunities, …) Increasetransparency

11. Disease Vision Common diseasestreatedbyGPs Rare diseasesmanagedbyGPs, treatedbyspecialists Regaining “lost”patients Facilitators Accessibility Longtermrelationshipwithpatients Space and equipment available Approach on multimorbidity

12. “Be nice but be strong“