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EFPC Newsflash 18-2019
Health literacy, Interprofessional education in primary care,
EU health policy thematic networks for 2020 and more...

Announcements

In my view… Family Medicine, PHC and UHC Jan De Maeseneer
Jan de Maeseneer, Emeritus professor Family Medicine and Primary Health Care, Department of Public Health and Primary Care, Ghent University (Belgium), and former Chairman of the EFPC will be a familiar name to you. He has been a staunch advocate for family medicine for many years and continues his interest despite his so-called ‘retirement’! Jan was invited to contribute with his view about issues of note within primary care and family medicine to   WONCA News.
Besides, he was recognised and made it to the top 5 finalists of the health leadership award at this year European Health Forum Gastein Conference 2019 that took place last week in Hof Gastein! 

The EFPC want to congratulate Jan for a well-deserved recognition and for a whole life of disrupting and transforming primary care worldwide.
Call for papers Health Inequities and Disparities Research
This Collection will aim to inform local, national and international initiatives to reduce and eliminate health disparities. An interdisciplinary approach combining all relevant disciplines in the field of public health will be used to:

1. Examine the relative health experiences and outcomes for populations subject to health or healthcare disparities, and the socioeconomic patterning of health worldwide
2. Evaluate risk factors and etiologies related to observed health inequalities/disparities, especially in regard to noncommunicable diseases
3. Study new or existing interventions, particularly for non-infectious diseases, to improve health equity

Deadline January 21, 2020
Ten actions towards vaccination for all
The European Commission and the World Health Organization (WHO) Co-hosted a Global Summit on Vaccination on 12 September 2019 to reverse the spread of vaccine-preventable diseases and stop the spread of vaccine misinformation. The discussions are summarised in the following actions and lessons.
 
Vote now to select the Thematic Networks of 2020!
All members of the Agora Network are invited to take part in this poll! The three proposals with the most votes will win the poll and might go on to become the Thematic Networks of 2020. The leaders of the selected Thematic Networks will guide the discussion and interact closely with other stakeholders and the Commission in the following months, via webinars and through their dedicated network in the Platform. This year's five Thematic Network finalists, listed in alphabetical order of the organisation, are:
1. "Colorectal Cancer Screening in the European Union", led by Digestive Cancers Europe
2. "Digital skills for future-proof doctors (Digital Doc)", led by Erasmus MC, University Medical Center Rotterdam
3. "Profiling and training the health care workers of the future", led by Health First Europe and the European Health Management Association (EHMA)
4. "Interprofessional Education for Digital Skills", led by the International Network of Health Workforce Education (INHWE)
5. "A human rights-based approach to task-shifting: the role of peer workers", led by Mental Health Europe (MHE)
 
 Please note you need to be registered in the EU Health Policy Platform in order to vote. Requests for access to the Agora. Agora network will only be granted until 6 November
Health literacy: working together to improve health
The WHO European Region has recently launched several initiatives in order to support the growing national interest in health literacy, with many Member States having already developed or integrated health literacy policies into existing public health strategies or plans, as, for example, evident from the newly launched WHO Health Evidence Network Synthesis Report. This special issue of Public Health Panorama seeks to highlight a wide range of health literacy approaches, initiatives and investigations at many societal levels and sectors. 

Events

12-14 November 2019
Brussels, Belgium
Digital Health Society Summit “Connecting Digital Health & Data Initiatives in Europe”
11 -12 December
Helsinki, Finland
The International Forum on Quality and Safety in Healthcare
28-30 April, 2020
Copenhagen, Denmark
Call for posters now open deadline 5 November

Articles

New on Primary Health Care Research & Development (PHCR&D)
*Primary Health Care Research & Development is the EFPC official Journal
Transforming health systems and societies by investing in health literacy policy and strategy
Sørensen K, Trezona A, Levin-Zamir D,  Kosir U & Nutbeam D (2019). Public Health Panorama WHO.

According to WHO, today’s disease-centred, reaction-based health services are not fit for the challenges of the 21st century. In contrast, health systems oriented around the needs of people and communities are more effective, cost less, improve health literacy and patient engagement, and are better prepared to respond to health crises. This paper discusses how health systems and societies can be transformed by investing in health literacy policy and strategy, and provides recommendations on how governments and other policy stakeholders can engage in health literacy policy development.  
Temporalities of emergency: Migrant pregnancy and healthcare networks in Southern European borderlands
Vanessa G, Cynthia M, Chiara Q & Nina S (2019).Social Science Medicine.
 
The article explores whether and how the understanding or the labeling of the maternity care of migrants as an emergency within a context of professed crisis generates new norms of care within health-care delivery. Our findings suggest a) the adoption of solutions or practices that in the past might have been considered urgent, ad hoc, or creative; b) their normalization, deeply connected to the wider social landscape of these European peripheries and c) the institutionalization of humanitarianism in the context of these practices. Our research points out temporalities of emergency against the background of a professed migration crisis. In the context of austerity-driven underfunding, temporary solutions become entrenched, producing a lasting emergency. Yet, we argue that "emergency" can, at some point, generate practices of resistance that undermine, subtly yet significantly, its own normalization.
Specialist palliative care services for older people in primary care: A systematic review using narrative synthesis.
de Nooijer K, Penders YW, Pivodic L, Van Den Noortgate NJ, Pype P, Van den Block L. Palliat Med. 2019 Sep
 
There is recognition that older people with incurable conditions should have access to specialist palliative care services. However, it remains unclear which activities and outcomes these services entail for older people in primary care and to which patients they are provided. The aim of this review was to identify the criteria for referral to specialist services; who provides specialist palliative care; through which activities and with which frequency; which outcomes are reported; and which suggestions are made to improve services.
Health system performance assessment in small countries: The case study of Latvia.
Noto G Corazza IKļaviņa K  Lepiksone J & Nuti S (2019).Int J Health Plann Manage

Managing the complexity that characterizes health systems requires sophisticated performance assessment information to support the decision-making processes of healthcare stakeholders at various levels. Accordingly, in the past few decades, many countries have designed and implemented health system performance assessment (HSPA) programmes. Literature and practice agree on the key features that performance measurement in health should have, namely, multidimensionality, evidence-based data collection, systematic benchmarking of results, shared design, transparent disclosure, and timeliness. Nevertheless, the specific characteristics of different countries may pose challenges in the implementation of such programmes. In the case of small countries, many of these challenges are common and related to their inherent characteristics, eg, small populations, small volumes of activity for certain treatments, and lack of benchmarks. Through the development of the case study of Latvia, this paper aims at discussing the challenges and opportunities for assessing health system performance in a small country. As a result, for each of the performance measurement features identified by the literature, the authors discuss the issues emerging when adopting them in Latvia and set out the potential solutions that have been designed during the development of the case study.

Interprofessional collaboration improves linkages to primary care: a longitudinal analysis
Rogério M. Pinto, Emma Sophia Kay, C. Jean Choi & Melanie M. Wall (2019). AIDS Care
 
The first steps of the HIV care continuum include patients finding access to HIV testing and primary care. Psychosocial providers (“providers”), such as social workers, health educators, and outreach workers comprise a workforce tasked with linking patients to HIV testing and primary care. This study examines longitudinal associations between provider- and organization-level factors and linkage to HIV testing and primary care. The sample included 245 providers in 36 agencies in New York City. We used longitudinal data (baseline and 12- and 24-months follow-ups) and multilevel ordinal logistic regression to examine associations between factors distributed in three theoretical socioecological domains: individual (demographic and HIV training characteristics); relationship (interprofessional collaboration); and agency (size and capacity), and frequency of HIV testing and primary care linkages. Approximately 30% of providers linked 20 or more patients to HIV testing or HIV primary care in the previous six months. Providers’ higher endorsement of interprofessional collaboration at 12 months, formal HIV training, younger age, and Latinx ethnicity had higher odds of making more linkages to HIV testing and HIV primary care at 24 months. Training providers in interprofessional collaboration principles and practice and basic HIV knowledge may improve the frequency of linkages to HIV care continuum services.
Guide posts for investment in primary health care and projected resource needs in 67 low-income and middle-income countries: a modelling study
Stenberg K et al (2019).Lancet Glob Health
 
Primary health care (PHC) is a driving force for advancing towards universal health coverage (UHC). PHC-oriented health systems bring enormous benefits but require substantial financial investments. Here, we aim to present measures for PHC investments and project the associated resource needs. This modelling study analysed data from 67 low-income and middle-income countries (LMICs). Recognising the variation in PHC services among countries, we propose three measures for PHC, with different scope for included interventions and system strengthening. Measure 1 is centred on public health interventions and outpatient care; measure 2 adds general inpatient care; and measure 3 further adds cross-sectoral activities. Cost components included in each measure were based on the Declaration of Astana, informed by work delineating PHC within health accounts, and finalised through an expert and country validation meeting. We extracted the subset of PHC costs for each measure from WHO's Sustainable Development Goal (SDG) price tag for the 67 LMICs, and projected the associated health impact. Estimates of financial resource need, health workforce, and outpatient visits are presented as PHC investment guide posts for LMICs.
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