EUROPEAN FORUM FOR PRIMARY CARE Primary Care in

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EUROPEAN FORUM FOR PRIMARY CARE Primary Care in Period of Economical Crisis: A challenge

EUROPEAN FORUM FOR PRIMARY CARE Primary Care in Period of Economical Crisis: A challenge for Europe Pr. Marianne Samuelson –Département de Médecine Générale Université de Caen-Basse Normandie Dr. Daniel Widmer -Institut Universitaire de Médecine Générale Lausanne Mr. Tino Marti -Consorci Castelldefels Agents de Salut Atencio Primaria

Consequences of the crisis � � What is a crisis? Various aspect of the

Consequences of the crisis � � What is a crisis? Various aspect of the “crisis” that are inter related � - economical crisis � - moral crisis � - employment crisis � - scientific crisis � � Health care consequences of the crisis What is our “social responsibility ” 3/9/12 Primary Care in period of economical crisis Marianne Samuelson - Daniel Widmer 2

1 -Epidemiological consequences of the crisis • Increase of mental disorders • Increase in

1 -Epidemiological consequences of the crisis • Increase of mental disorders • Increase in suicide rate • rise of risk of illness • recovery more difficult • new category of population at risk : young people…. • ………. . 3/9/12 Primary Care in period of economical crisis Marianne Samuelson - Daniel Widmer 3

2 - Consequences on the health care professionals, the work force in the heath

2 - Consequences on the health care professionals, the work force in the heath care field • Decrease of resources • Migration of health care professionals • Alteration of working condition • Health care professionals at risk of Burnout • Transfer of tasks from secondary care to Primary Care • Transfer of tasks among Primary care professionals • Shift from health care professionals to social workers • ……. . 3/9/12 Primary Care in period of economical crisis Marianne Samuelson - Daniel Widmer 4

3 - How can we act/react • As health care professionals /providers • As

3 - How can we act/react • As health care professionals /providers • As stakeholders • Researchers in the health care or sociological field 3/9/12 Primary Care in period of economical crisis Marianne Samuelson - Daniel Widmer 5

4 - What are the opportunities for a change, and how can we take

4 - What are the opportunities for a change, and how can we take the opportunities • Improving the PC orientation of our health care systems • Avoiding overuse or misuse of care • Make better use of resources • Implementation of strategies reducing inequalities • ………. 3/9/12 Primary Care in period of economical crisis Marianne Samuelson - Daniel Widmer 6

To make it short…. Is it time to go back to Alma Ata principles?

To make it short…. Is it time to go back to Alma Ata principles? 3/9/12 Primary Care in period of economical crisis Marianne Samuelson - Daniel Widmer 7

The Workshop • 3 or 4 small groups, with diversity in terms of type

The Workshop • 3 or 4 small groups, with diversity in terms of type of country, and professional background • 30 mm small group work on the 4 aspects: - the changing epidemiology in PC - the changes for the health care providers - how can we act - opportunities • 40 mm large group feed back and exchange • 5 mm “wrapping up” 3/9/12 Primary Care in period of economical crisis Marianne Samuelson - Daniel Widmer 8