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EFPC Newsflash 21-2019
 Community pharmacist on the frontline of health care, WHO RC69 Highlights, Strengthening PC in Africa, the need to rehumanise health systems and more

Announcements

Six years of success: the Expert Panel on Effective Ways of Investing in Health
Professor Jan De Maeseneer, Chair of the Expert Panel, reflected on the Panel's role, work and impact after its 6 years of existence. To mark the end of the current Expert Panel’s mandate, the Commission and the Panel  organised a conference on the interaction between science/expertise and policy-making on November in Brussels.
Community pharmacists on the frontline of health care
Gilles Bonnefond has worked as a pharmacist in Montélimar, France for more than 25 years, and is witness to the evolution of the role of community pharmacists from dispensers of medicines to primary health care professionals. On World Pharmacists’ Day, Gilles’s story illustrates the frontline role that community pharmacists are increasingly playing in delivering health care.
EMA Publication of the information guide on biosimilars for healthcare professionals in all EU languages
As part of the ongoing EMA-European Commission collaboration to improve understanding of biosimilar medicines in the EU, EMA has published today the information guide on biosimilars for healthcare professionals in 15 additional EU languages.
 
Strengthening primary healthcare delivery in Africa
mHealth4Afrika: Technological innovation can play an important role in strengthening people-centred healthcare delivery. An EU-funded project collaborated with Ministries of Health to co-design and validate an electronic platform to enhance patient diagnosis and treatment in resource-constrained environments.
WHO European Region – RC69 – Day 3 highlights: Resolution on accelerating primary health care adopted
“Accelerating primary health care in the WHO European Region". The resolution on 10 evidence-based policy accelerators for strengthening primary health care in the Region was adopted by Member States and welcomed by civil society bodies, professional associations and international organizations. These policy accelerators, based on the best available research and practice, are high-impact entry points for rapidly advancing progress in primary health care.
Several Member States spoke about national efforts and challenges in building quality primary health care systems, and stressed that primary health care is a cornerstone of sustainable development, universal health coverage, equity, and strong and efficient health systems.”

Events

25th conference of WONCA Europe
June 24-27 2020, Berlin
including a key-note of Prof Sally Kendall, EFPC chair
http://www.woncaeurope2020.org/keynote-speakers


Call for abstract deadline January 10,2020
90th EGPRN meeting "Digital medicine and e-health"
7-10 May 2020
Gothenburg, Sweden
Abstract Submission deadline January 15th, 2020.
8th Annual Meeting “Linking Research, Policy and Practice”
November 28, 2019
The Hague, Netherlands
GO LOCAL: Supporting Regions, Cities and Rural Areas in Migrants’ Inclusion
3 December,2019
Brussels, Belgium
 
 

Articles

New on Primary Health Care Research & Development (PHCR&D)
European region of the WCPT statement on physiotherapy in primary care
Long,J (2019)
 
This statement has been produced by the European Region of the World Confederation for Physiotherapy (ER-WCPT) to promote the role of the physiotherapy profession within primary care, to describe the health and economic benefits to health systems and populations of having a skilled, appropriately resourced and utilised physiotherapy workforce in primary care services, and to illustrate how different models of physiotherapy service delivery are contributing to these health and cost benefits.
Challenges and prospects in the EU: Quality of life and public services
Eurofound (2019), Publications Office of the European Union, Luxembourg.
 
Key findings
  • Perception of tensions in society has the most detrimental impact on trust in institutions, while perceived quality of public services is a key driver for higher trust in institutions.
  • Civic participation, particularly volunteering, is associated with higher levels of trust.
  • More and more flexible long-term care provision is needed. Home care and help should be made more available, especially in the half of EU Member States where income is lowest.
  • Prompt access to primary healthcare, social care and long-term care can stimulate early intervention, monitoring of changing needs and prevent escalation of long-term care problems.
  • Mental health issues are increasing for young people, though it is not clear whether this is due to higher incidence or better awareness and diagnosis. Mental health is closely related to other youth issues and can both be an outcome of inequalities and a source of inequality itself. Risk factors for mental health issues include disability and long-term illness, family problems, relationship problems with peers and heavy social media use.
Primary health care and health emergencies; WHO Technical series on primary health care
World Health Organisation (WHO), 2019
 
The primary health care (PHC) approach provides an essential foundation for health emergency and risk management, and for building community and country resilience. The importance of this is not only reflected locally in preparing, responding to and recovering from an emergency, as demonstrated in the Ebola virus disease outbreak in West Africa; PHC is also vital to achieve global health security and support resilient health systems as a foundation for universal health coverage. PHC has three interrelated and synergistic pillars: empowered people and communities; multisectoral policy and action for health; and strong and integrated health services, with good-quality primary care supported by essential public health functions at the core. Through these three pillars, PHC promotes not only an effective emergency response, but also a prepared and resilient system that can prevent, withstand and recover from emergencies, while continuing to provide essential health services throughout. There are many types of emergency: these include outbreaks, natural disasters and conflicts, which are often acute but are sometimes decades long and protracted. While the underlying causes of emergencies vary, the resultant population displacement and health system destabilization have predictable health consequences
Process evaluation of a cluster randomised intervention in Swedish primary care: using care managers in collaborative care to improve care quality for patients with depression.
Svenningsson I at al. BMC Fam Pract. 2019
 
The collaborative care model with a care manager has previously generated beneficial results for patients with depression in terms of decreased burden of depression symptoms. A care manager function has been tested in Sweden in the PRIM-CARE RCT with successful results. The aim of the present study was to evaluate the process of implementing care managers in collaborative care for patients with depression in Swedish primary health care in the PRIM-CARE RCT.
Enhancing Primary Health Care with innovative Improvement Strategies
Wiken J, Fifield J, and Schwarz D. Blog  Primary Health Care Performance Initiative (PHCPI) 2019.
 
We know that primary health care is the cornerstone of a country’s overall health status. For the past several years, the Primary Health Care Performance Initiative (PHCPI), a partnership dedicated to improving and transforming the global state of primary health care, has worked on developing strategies and tools to improve primary health care around the globe. This includes the innovative PHC Vital Signs Profile which creates a snapshot of a country’s primary health care system. Through measurement, we can better understand system strengths and weaknesses, making the previously invisible gaps visible. However, measurement alone cannot improve a health care system.
Physician burnout: the need to rehumanise health systems
The Lancet, 2019
 
Medical training and clinical practice are continuously associated with stress—often welcomed and considered a positive motivating factor. However, the recently recognised triad of emotional exhaustion, depersonalisation, and reduced professional efficacy, defined as burnout, questions the role of stress in clinical practice. Burnout has the propensity to put patient care at risk and has a detrimental effect on medical workforce retainment. A health-care system under pressure undoubtably contributes to professional burnout: long working hours, outdated and not fit-for-purpose technologies, and mounting documentation requirements shift the focus away from patient care, causing work–life imbalance, insufficient job resources, ineffective multidisciplinary teams, and a dismissive organisational culture.
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