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The strength of primary care in Europe: an international comparative study

Dionne Kringos, Wienke Boerma, Yann Bourgueil, Thomas Cartier, Toni Dedeu, Toralf Hasvold, Allen Hutchinson, Margus Lember, Marek Oleszczyk, Danica Rotar Pavlic, Igor Svab, Paolo Tedeschi, Stefan Wilm, Andrew Wilson, Adam Windak, Jouke Van der Zee and Peter Groenewegen
British Journal of General Practice 2013; 63 (616): e742-e750. DOI: https://doi.org/10.3399/bjgp13X674422
Dionne Kringos
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Wienke Boerma
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Yann Bourgueil
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Thomas Cartier
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Toni Dedeu
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Toralf Hasvold
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Allen Hutchinson
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Margus Lember
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Marek Oleszczyk
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Danica Rotar Pavlic
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Igor Svab
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Paolo Tedeschi
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Stefan Wilm
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Andrew Wilson
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Adam Windak
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Jouke Van der Zee
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Peter Groenewegen
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    Figure 1

    Primary care structure and process dimensions. PC = primary care.

Tables

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    Table 1

    Availability of data on primary care indicators, by dimension and country

    CountryPercentage of indicators (including subquestions with available data, by dimension and country)
    Primary care governance (n = 16)Economic conditions of primary care (n = 10)Primary care workforce development (n = 17)Mean %Access to primary care (n = 19)Continuity of primary care (n = 12)Coordination of primary care (n = 9)Comprehensiveness of primary care (n = 10)Mean %
    Austria10090100971007510010094
    Belgium1001001001001001001009098
    Bulgaria100100100100100100100100100
    Cyprus9480718195501007079
    Czech Republic100100100100957510010092
    Denmark10089100961009210010098
    Estonia1001001001001009210010098
    Finland100899494959210010097
    France1001001001001009210010098
    Germany1009010097100100100100100
    Greece507094718967567070
    Hungary100100100100100100100100100
    Iceland75801008584757810084
    Ireland100891009684751009087
    Italy100100949895581009086
    Latvia1001001001009510010010099
    Lithuania100100100100100100100100100
    Luxembourg1009094958967899084
    Malta9460597168671006074
    Netherlands100100100100100100100100100
    Norway1001008896841008910093
    Poland100100889695921009094
    Portugal1008910096100100100100100
    Romania100801009395100898091
    Slovak Republic100100100100100100100100100
    Slovenia1001007692891008910095
    Spain10010094988910010010097
    Sweden10080828795671009088
    Switzerland100100100100636710010082
    Turkey10060100871001001009098
    UK1001001001001001001009098
    Mean %979195—94879694—
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    Table 2

    The strengths of countries’ primary care dimensions based on scoring system (see Box 2)

    CountryThe structure of primary careThe service-delivery process of primary careOverall primary care system strength
    Primary care governanceEconomic conditions of primary carePrimary care workforce developmentAccess to primary careContinuity of primary careCoordination of primary careComprehensiveness of primary care
    AustriaMediumMediumWeakMediumWeakWeakWeakWeak
    BelgiumMediumStrongMediumWeakStrongMediumStrongStrong
    BulgariaMediumWeakWeakWeakMediumWeakStrongWeak
    CyprusWeakWeakWeakWeakMediumWeakWeakWeak
    Czech RepublicMediumWeakWeakStrongStrongMediumWeakMedium
    DenmarkStrongMediumStrongStrongStrongStrongMediumStrong
    EstoniaStrongWeakMediumMediumStrongMediumMediumStrong
    FinlandMediumStrongStrongMediumMediumMediumStrongStrong
    FranceMediumMediumMediumWeakMediumMediumStrongMedium
    GermanyMediumStrongMediumMediumStrongWeakMediumMedium
    GreeceMediumWeakWeakWeakWeakStrongWeakWeak
    HungaryWeakMediumMediumStrongMediumWeakWeakWeak
    IcelandWeakWeakWeakMediumStrongWeakMediumWeak
    IrelandWeakWeakStrongWeakStrongWeakMediumWeak
    ItalyStrongStrongMediumMediumWeakMediumWeakMedium
    LatviaMediumMediumWeakWeakStrongMediumMediumMedium
    LithuaniaStrongMediumMediumStrongWeakStrongStrongStrong
    LuxembourgWeakWeakWeakWeakWeakMediumMediumWeak
    MaltaWeakWeakStrongWeakWeakStrongMediumWeak
    NetherlandsStrongStrongStrongStrongWeakStrongMediumStrong
    NorwayStrongWeakMediumMediumMediumWeakStrongMedium
    PolandWeakWeakWeakStrongMediumStrongWeakMedium
    PortugalStrongMediumStrongStrongMediumMediumStrongStrong
    RomaniaStrongStrongMediumMediumMediumWeakWeakMedium
    Slovak Rep.WeakMediumWeakMediumStrongWeakWeakWeak
    SloveniaStrongStrongStrongStrongWeakStrongWeakStrong
    SpainStrongStrongStrongStrongStrongStrongStrongStrong
    SwedenMediumMediumMediumMediumWeakStrongStrongMedium
    SwitzerlandWeakMediumStrongWeakMediumMediumMediumMedium
    TurkeyMediumMediumMediumWeakWeakWeakMediumWeak
    UKStrongStrongStrongStrongMediumStrongStrongStrong
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British Journal of General Practice: 63 (616)
British Journal of General Practice
Vol. 63, Issue 616
November 2013
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The strength of primary care in Europe: an international comparative study
Dionne Kringos, Wienke Boerma, Yann Bourgueil, Thomas Cartier, Toni Dedeu, Toralf Hasvold, Allen Hutchinson, Margus Lember, Marek Oleszczyk, Danica Rotar Pavlic, Igor Svab, Paolo Tedeschi, Stefan Wilm, Andrew Wilson, Adam Windak, Jouke Van der Zee, Peter Groenewegen
British Journal of General Practice 2013; 63 (616): e742-e750. DOI: 10.3399/bjgp13X674422

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The strength of primary care in Europe: an international comparative study
Dionne Kringos, Wienke Boerma, Yann Bourgueil, Thomas Cartier, Toni Dedeu, Toralf Hasvold, Allen Hutchinson, Margus Lember, Marek Oleszczyk, Danica Rotar Pavlic, Igor Svab, Paolo Tedeschi, Stefan Wilm, Andrew Wilson, Adam Windak, Jouke Van der Zee, Peter Groenewegen
British Journal of General Practice 2013; 63 (616): e742-e750. DOI: 10.3399/bjgp13X674422
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Keywords

  • benchmarking, Europe
  • delivery of health care
  • general practice
  • primary health care

More in this TOC Section

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  • Promoting physical activity in primary care: a systematic review and meta-analysis
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