This new volume consists of structured case studies summarizing the state of primary care in 31 European countries. It complements the previous study, Building primary care in a changing Europe, in which we provided an overview of the state of primary care across the continent, including aspects of governance, financing, workforce and details of service profiles.

These case studies establish the context of primary care in each country; the key governance and economic conditions; the development of the primary care workforce; how primary care services are delivered; and an assessment of the quality and efficiency of the primary-care system.

The studies exemplify the broad national variations in accessibility, continuity and coordination of primary care in Europe today, something which complicates the assessment of primary care’s role in contributing to the overall performance of the health system despite growing evidence of the added value of a strong primary care sector.

This book builds on the EU-funded project ‘Primary Health Care Activity Monitor for Europe’ (PHAMEU) that was led by the Netherlands Institute for Health Services Research (NIVEL) and co-funded by the European Commission (Directorate General Health & Consumers).

Contents

• Authors of the country reports
• Acknowledgements
• 1. Austria
  M. Redaèlli, S. Wilm, D. Simic, and M. Sprenger.
  • 1. The context of primary care
  • 2. Structure of the primary care system
  • 3. Primary care process
  • 4. Outcome of the primary care system
  • References
• 2. Belgium
  T. Cartier, L. Ryssaert, and Y. Bourgueil.
  • 1. The context of primary care
  • 2. Structure of the primary care system
  • 3. Primary care process
  • 4. Outcome of the primary care system
  • Acknowledgements
  • References
• 3. Bulgaria
  D.S. Kringos and P. Salchev.
  • 1. The context of primary care
  • 2. Structure of the primary care system
  • 3. Primary care process
  • 4. Outcome of the primary care system
  • Acknowledgements
  • References
• 4. Cyprus
  G. Samoutis and P. Tedeschi.
  • 1. The context of primary care
  • 2. Structure of the primary care system
  • 3. Primary care process
  • 4. Outcome of the primary care system
  • Acknowledgements
  • References
• 5. Czech Republic
  A. Windak, M. Oleszczyk, and B. Seifert.
  • 1. The context of primary care
  • 2. Structure of the primary care system
  • 3. Primary care process
  • 4. Outcome of the primary care system
  • 4. Efficiency of primary care
  • Acknowledgements
  • References
• 6. Denmark
  T. Hasvold.
  • 1. The context of primary care
  • 2. Structure of the primary care system
  • 3. Primary care process
  • 4. Outcome of the primary care system
  • References
• 7. Estonia
  K. Põlluste and M. Lember.
  • 1. The context of primary care
  • 2. Structure of the primary care system
  • 3. Primary care process
  • 4. Outcome of the primary care system
  • Conclusion
  • Acknowledgements
  • References
• 8. Finland
  K. Winell and T. Dedeu.
  • 1. The context of primary care
  • 2. Structure of the primary care system
  • 3. Primary care process
  • 4. Outcome of the primary care system
  • Acknowledgements
  • References
• 9. France
  T. Cartier and Y. Bourgueil.
  • 1. The context of primary care
  • 2. Structure of the primary care system
  • 3. Primary care process
  • 4. Outcome of the primary care system
  • Acknowledgements
  • References
• 10. Germany
  D. Simic, S. Wilm, and M. Redaèlli.
  • 1. The context of primary care
  • 2. Structure of the primary care system
  • 3. Primary care process
  • 4. Outcome of the primary care system
  • References
• 11. Greece
  C. Lionis, P. Tedeschi, and A. Saridaki.
  • 1. The context of primary care
  • 2. Structure of the primary care system
  • 3. Primary care process
  • 4. Outcome of the primary care system
  • References
• 12. Hungary
  S. Wilm, P. Vajer, and I. Rurik.
  • 1. The context of primary care
  • 2. Structure of the primary care system
  • 3. Primary care process
  • 4. Outcome of the primary care system
  • References
• 13. Iceland
  A. Hutchinson.
  • 1. The context of primary care
  • 2. Structure of the primary care system
  • 3. Primary care process
  • 4. Outcome of the primary care system
  • References
• 14. Ireland
  A. Hutchinson.
  • 1. The context of primary care
  • 2. Structure of the primary care system
  • 3. Primary care process
  • 4. Outcome of the primary care system
  • References
• 15. Italy
  P. Tedeschi.
  • 1. The context of primary care
  • 2. Structure of the primary care system
  • 3. Primary care process
  • 4. Outcome of the primary care system
  • Acknowledgements
  • References
• 16. Latvia
  S. Veide, M. Lember, and K. Põlluste.
  • 1. The context of primary care
  • 2. Structure of the primary care system
  • 3. Primary care process
  • 4. Outcome of the primary care system
  • Conclusion
  • Acknowledgements
  • References
• 17. Lithuania
  V. Kasiulevičius and M. Lember.
  • 1. The context of primary care
  • 2. Structure of the primary care system
  • 3. Primary care process
  • 4. Outcome of the primary care system
  • Conclusion
  • References
• 18. Luxembourg
  D.S. Kringos, M. Aubart, J. Leners, and R. Stein.
  • 1. The context of primary care
  • 2. Structure of the primary care system
  • 3. Primary care process
  • 4. Outcome of the primary care system
  • References
• 19. Malta
  D. Rotar Pavlič, J.K. Soler, and M.R. Sammut.
  • 1. The context of primary care
  • 2. Structure of the primary care system
  • 3. Primary care process
  • 4. Outcome of the primary care system
  • Acknowledgements
  • References
• 20. The Netherlands
  D.S. Kringos, J. van Riet Paap, and W.G.W. Boerma.
  • 1. The context of primary care
  • 2. Structure of the primary care system
  • 3. Primary care process
  • 4. Outcome of the primary care system
  • References
• 21. Norway
  T. Hasvold and B. Christensen.
  • 1. The context of primary care
  • 2. Structure of the primary care system
  • 3. Primary care process
  • 4. Outcome of the primary care system
  • References
• 22. Poland
  A. Windak and M. Oleszczyk.
  • 1. The context of primary care
  • 2. Structure of the primary care system
  • 3. Primary care process
  • 4. Outcome of the primary care system
  • Acknowledgements
  • References
• 23. Portugal
  C. Fonseca, T. Dedeu, L. Pisco, and A. Gouveia.
  • 1. The context of primary care
  • 2. Structure of the primary care system
  • 3. Primary care process
  • 4. Outcome of the primary care system
  • References
• 24. Romania
  D. Rotar Pavlič, R. Miftode, A. Balan, and Z. Farkas Pall.
  • 1. The context of primary care
  • 2. Structure of the primary care system
  • 3. Primary care process
  • 4. Outcome of the primary care system
  • Acknowledgements
  • References
• 25. Slovakia
  A. Windak, M. Oleszczyk, and E. Jurgova.
  • 1. The context of primary care
  • 2. Structure of the primary care system
  • 3. Primary care process
  • 4. Outcome of the primary care system
  • Acknowledgements
  • References
• 26. Slovenia
  D. Rotar Pavlič, I. Švab, and R. Brinovec Pribaković.
  • 1. The context of primary care
  • 2. Structure of the primary care system
  • 3. Primary care process
  • 4. Outcome of the primary care system
  • Acknowledgements
  • References
• 27. Spain
  T. Dedeu, B. Bolibar, J. Gené, C. Pareja, and C. Violan.
  • 1. The context of primary care
  • 2. Structure of the primary care system
  • 3. Primary care process
  • 4. Outcome of the primary care system
  • Acknowledgements
  • References
• 28. Sweden
  T. Hasvold.
  • 1. The context of primary care
  • 2. Structure of the primary care system
  • 3. Primary care process
  • 4. Outcome of the primary care system
  • References
• 29. Switzerland
  T. Cartier, N. Senn, J. Cornuz, and Y. Bourgueil.
  • 1. The context of primary care
  • 2. Structure of the primary care system
  • 3. Primary care process
  • 4. Outcome of the primary care system
  • Acknowledgements
  • References
• 30. Turkey
  D.S. Kringos, M. Akman, and W.G.W. Boerma.
  • 1. The context of primary care
  • 2. Structure of the primary care system
  • 3. Primary care process
  • 4. Outcome of the primary care system
  • References
• 31. United Kingdom
  A. Wilson.
  • 1. The context of primary care
  • 2. Structure of the primary care system
  • 3. Primary care process
  • 4. Outcome of the primary care system
  • Acknowledgements
  • References

Figure

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