ArticleBMC family practice2016
Trends towards stronger primary care in three western European countries; 2006-2012.
Article in BMC family practice, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed.
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- Primary health care reforms: a scoping review.Primary health care research & development · 2025Article
- The mental health care system for children and adolescents in Greece: a review and structure assessment.Frontiers in health services · 2024Review
- What makes a multidisciplinary medication review and deprescribing intervention for older people work well in primary care? A realist review and synthesis.BMC geriatrics · 2023Review
- Impact of MidMed, a general practitioner-led modified comprehensive geriatric assessment for patients with frailty.Age and ageing · 2023Article
- Ontario family physicians' perspectives about their scope of practice: what is it, what drives it and how does it change?BMC primary care · 2022Article
- Barriers and Enablers of Healthcare Providers to Deprescribe Cardiometabolic Medication in Older Patients: A Focus Group Study.Drugs & aging · 2022Article
- Comparative performance of public and private primary care service delivery in Malaysia: An analysis of findings from QUALICOPC.PloS one · 2022Article
- Positive Health and the happy professional: a qualitative case study.BMC family practice · 2021Article
- Article
- Person-centred and efficient care delivery for high-need, high-cost patients: primary care professionals' experiences.BMC family practice · 2020Article
- Modifiable risk factors for 9-year mortality in older English and Brazilian adults: The ELSA and SIGa-Bagé ageing cohorts.Scientific reports · 2020Article
- Evaluating the Feasibility of a Software Prototype Supporting the Management of Multimorbid Seniors: Mixed Methods Study in General Practices.JMIR human factors · 2019Article
- The effects of gatekeeping on the quality of primary care in Guangdong Province, China: a cross-sectional study using primary care assessment tool-adult edition.BMC family practice · 2019Article
- Perceptions regarding the scope of practice of family doctors amongst patients in primary care settings in Nairobi.African journal of primary health care & family medicine · 2018Article
- Operational integration in primary health care: patient encounters and workflows.BMC health services research · 2017Article
- Factors influencing decision of general practitioners and managers to train and employ a nurse practitioner or physician assistant in primary care: a qualitative study.BMC family practice · 2017Article
- Role of Patient and Practice Characteristics in Variance of Treatment Quality in Type 2 Diabetes between General Practices.PloS one · 2016Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundStrong primary care systems are believed to have an important role in dealing with healthcare challenges. Strengthening primary care systems is therefore a common policy goal for many countries. This study aims to investigate whether the Netherlands, the UK and Germany have strengthened their primary care systems in 2006-2012.
methodFor this cross-sectional study, data from the International Health Policy surveys of the Commonwealth Fund in 2006, 2009 and 2012 were used. The surveys represent the experiences and perspectives of primary care physicians with their primary care system. The changes over time were researched in three areas: organization of primary care processes, use of IT in primary care and use of benchmarking and financial incentives for performance improvement.
resultsRegarding organization of primary care processes, in all countries the use of supporting personnel in general practice increased, but at the same time practice accessibility decreased. IT services were most advanced in the UK. The UK and the Netherlands showed increased use of performance feedback information. German GPs were least satisfied with how their system works across the 2006-2012 timeframe.
conclusionAll three countries show trends towards stronger primary care systems, although in different areas. Coordination and comprehensive care through the assignment of assisting personnel and use of disease management programs improved in all countries. In the Netherlands and the UK, informational continuity is in part ensured through better IT services. All countries showed increasing difficulties upholding primary care accessibility.
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