Evidence map›Paper›PMID 39550930›Full record

ReviewHealth policy (Amsterdam, Netherlands)2025

Primary prevention in hospitals in 20 high-income countries in Europe - A case of not "Making Every Contact Count"?

Bernd Rechel, Béatrice Durvy, Gonçalo Figueiredo Augusto, Isabelle Aujoulat, Daiga Behmane, Anne-Carole Bensadon, Sara Burke, Melissa D'Agostino, Krisztina Davidovics, Mark Dayan and 26 more

Abstract readReview
In one paragraph

Review in Health policy (Amsterdam, Netherlands), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Moving primary prevention into a tertiary care hospital?Environmental health and preventive medicine · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

36 authors.

Bernd RechelEuropean Observatory on Health Systems and Policies, London School of Hygiene & Tropical Medicine, London, United Kingdom. Electronic address: Bernd.Rechel@lshtm.ac.uk.
Béatrice DurvyEuropean Observatory on Health Systems and Policies, Department of Health Care Management, Technical University of Berlin (TUB), Berlin, Germany. Electronic address: beatrice.durvy@tu-berlin.de.
Gonçalo Figueiredo AugustoNOVA National School of Public Health, Public Health Research Centre, Comprehensive Health Research Center, CHRC, REAL, CCAL, NOVA University Lisbon, Lisbon, Portugal. Electronic address: figueiredo.augusto@ensp.unl.pt.
Isabelle AujoulatInstitute of Health and Society, UCLouvain, Clos Chapelle-aux-Champs, 30.15, Brussels 1200, Belgium. Electronic address: isabelle.aujoulat@uclouvain.be.
Daiga BehmaneInstitute of Public Health, Riga Stradins University, Latvia. Electronic address: Daiga.Behmane@rsu.lv.
Anne-Carole BensadonInspection Générale des Affaires Sociales (IGAS), Paris, France. Electronic address: Anne-Carole.BENSADON@igas.gouv.fr.
Sara BurkeCentre for Health Policy & Management, Trinity College Dublin, Dublin D02 YT92, Ireland. Electronic address: BURKES17@tcd.ie.
Melissa D'AgostinoFaculty of Economics, Università Cattolica del Sacro Cuore, Rome 00168, Italy. Electronic address: melissa.dagostino01@icatt.it.
Krisztina DavidovicsHealth Services Management Training Centre, Data-Driven Health Division of National Laboratory for Health Security, Semmelweis University, Kútvölgyi út 2, Budapest, Hungary. Electronic address: davidovics.krisztina@emk.semmelweis.hu.
Mark DayanNuffield Trust, London, United Kingdom. Electronic address: Mark.Dayan@nuffieldtrust.org.uk.
Antonio Giulio De BelvisFaculty of Economics, Università Cattolica del Sacro Cuore, Rome 00168, Italy; Policlinico Universitario Agostino Gemelli, Rome 00168, Italy. Electronic address: Antonio.DeBelvis@unicatt.it.
Judith de JongNivel (Netherlands Institute for Health Services Research), Utrecht: Maastricht University, Maastricht, the Netherlands. Electronic address: J.deJong@nivel.nl.
Katarzyna Dubas-JakóbczykHealth Economics and Social Security Department, Institute of Public Health, Jagiellonian University Medical College, Krakow, Poland. Electronic address: katarzyna.dubas@uj.edu.pl.
Inês FronteiraNOVA National School of Public Health, Public Health Research Centre, Comprehensive Health Research Center, CHRC, REAL, CCAL, NOVA University Lisbon, Lisbon, Portugal. Electronic address: ines.fronteira@ensp.unl.pt.
Elena GabrielSchool of Health and Life Sciences, University of Nicosia, Cyprus. Electronic address: gabriel.e@unic.ac.com.
Giuseppe GrecoSection of Hygiene, Department of Life Sciences and Public Health, Università Cattolica del Sacro Cuore, Rome 00168, Italy. Electronic address: giuseppe.greco04@icatt.it.
Peter GroenewegenNivel (Netherlands Institute for Health Services Research), Utrecht, the Netherlands. Electronic address: P.Groenewegen@nivel.nl.
Signe Smith JervelundDepartment of Public Health, University of Copenhagen, Denmark. Electronic address: ssj@sund.ku.dk.
Marios KantarisHealth Services and Social Policy Research Centre, Cyprus. Electronic address: marioskantaris@healthresearch.cy.
Madelon KronemanNivel (Netherlands Institute for Health Services Research), Utrecht, the Netherlands. Electronic address: M.Kroneman@nivel.nl.
Jerneja Farkas-LainscakNational Institute of Public Health, Trubarjeva cesta 2, Ljubljana 1000, Slovenia. Electronic address: Jerneja.Farkas-Lainscak@nijz.si.
Benjamin MauriceInspection Générale des Affaires Sociales (IGAS), Paris, France. Electronic address: benjamin.maurice@igas.gouv.fr.
Luisne Mac ConghailCentre for Health Policy & Management, Trinity College Dublin, Dublin D02 YT92, Ireland. Electronic address: MACCONGL@tcd.ie.
Liubove MurauskienePublic Health Department, Faculty of Medicine, Vilnius University, Vilnius LT-01513, Lithuania. Electronic address: Liubove.Murauskiene@mf.vu.lt.
Mircha PoldrugovacNational Institute of Public Health, Trubarjeva cesta 2, Ljubljana 1000, Slovenia. Electronic address: Mircha.Poldrugovac@nijz.si.
Zsuzsa RákosyDepartment of Public Health Medicine, Medical School, University of Pécs, Pécs, Hungary; Bethesda Children's Hospital, Budapest, Hungary. Electronic address: zsuzsa.rakosy@aok.pte.hu.
Silvia Gabriela ScinteeNational Institute of Health Services Management, Bucharest, Romania. Electronic address: sg.scintee@gmail.com.
Christoph SowadaHealth Economics and Social Security Department, Institute of Public Health, Jagiellonian University Medical College, Krakow, Poland. Electronic address: christoph.sowada@uj.edu.pl.
Frédéric TurblinInspection Générale des Affaires Sociales (IGAS), Paris, France. Electronic address: frederic.turblin@igas.gouv.fr.
Desislava VankovaDepartment of Social Medicine and Healthcare Organization, Medical University of Varna, Marin Drinov str. 55, Varna 9002, Bulgaria. Electronic address: Desislava.Vankova@mu-varna.bg.
Zita VelkeyHealth Services Management Training Centre, Data-Driven Health Division of National Laboratory for Health Security, Semmelweis University, Kútvölgyi út 2, Budapest, Hungary. Electronic address: zita.velkey@emk.semmelweis.hu.
Cristian VladescuNational Institute for Health Services Management, Romania; University Titu Maiorescu, Bucharest, Romania. Electronic address: cristian.vladescu@gmail.com.
Dorja VocanecDepartment of Social Medicine and Organization of Health Care, Andrija Štampar School of Public Health, University of Zagreb School of Medicine, Zagreb, Croatia. Electronic address: dorja.vocanec@gmail.com.
Karsten VrangbækDepartment of Public Health, University of Copenhagen, Denmark. Electronic address: kavr@sund.ku.dk.
Johannes WünscherGerman Nurses Association DBfK, Berlin. Electronic address: wuenscher@dbfk.de.
Tuija YlitörmänenDepartment of Public Health and Welfare, Finnish Institute for Health and Welfare, Helsinki, Finland. Electronic address: tuija.ylitormanen@thl.fi.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This article provides a snapshot of primary prevention activities in hospitals in 20 European high-income countries, based on inputs from experts of the Observatory's Health Systems and Policies Monitor (HSPM) network using a structured questionnaire. We found that in the vast majority of countries (15), there are no systematic national policies on primary prevention in hospitals. Five countries (Cyprus, Finland, Ireland, Romania and the United Kingdom) reported systematic primary prevention activities in hospitals, although in one of them (Cyprus) this was due to the fact that small hospitals in rural areas or less populated districts host providers of primary care. In two of the five countries with systematic national policies on primary prevention, there are no incentives (financial or otherwise) to provide these interventions. The remaining three countries (Finland, Romania and the United Kingdom) report the existence of incentives, but only two of them (Romania and the United Kingdom) provide financial incentives in the form of additional funding. Only two of the 20 countries (Ireland and the United Kingdom) make explicit use of the Making Every Contact Count (MECC) approach. Overall, it can be concluded that there is little focus on primary prevention in hospitals in Europe, which may be seen as a missed opportunity.

Indexed as

Primary PreventionDeveloped CountriesEuropeHealth PolicyHospitalsHumansSurveys and QuestionnairesHealth-promoting hospitalsHospitalsMaking Every Contact CountMECCPrevention

Identifiers

PMID39550930
PMCPMC11672674

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.