Transcript European Community Health Organisations [ECHO]

Alliance of Community Oriented
Primary Care services
[ACOPC]
18 March 2011
By Dr Ade Adeagbo
Alliance of Community Oriented Primary Care
The needs…
a. No agreed and/or common definition and values
b. Some good examples outside Europe e.g. CACHCA
c. The need for learning and sharing – connecting experiences, shared
problems, shared solutions, with recognition of and respect for varied
policy, politics, economics and social operating contexts across Europe
d. The need for framework and/or principles of practise and quality
indicators
e. Lack of proxy measures and good indicators of ‘good practise’
f. Recognition of reducing resource and capacity across Europe, therefore
the need to reduce variations in practice across Europe
Therefore, an alliance, network, coalition… ?
= ECHO: EUROPEAN COMMUNITY HEALTH ORGANISATIONS!
Alliance of Community Oriented Primary Care
OPERATING FRAMEWORK
Create an intellectual space as ‘the
“outside organisation” for
-Debates
- Shared practise & learning
- Solutions
Community
Oriented
Primary Care
Patients’ involvement
[autonomy enhancement] as
a core element and principle
of strategy and operations
Policy and “voice” functions
i.e. influencing EU/EC
Alliance of Community Oriented Primary Care
Agreed actions & next steps…
a. Operates as a sub group of the European Forum for Primary Care:
[Achieved]
b. Identify other ‘actors’ – organisations and individuals – and invite them to
join: [Yet to be achieved]
c. It will be a ‘virtual’ organisation/group: [Achieved]
d. There is need to have a defined agenda, goals, responsibilities, terms of
reference etc [Achieved]
e. The is the need to set clear visions, mission, objectives and values [Yet to
be achieved]
f. Align physical meetings to existing calendars of activities, conferences etc
[Achieved]
g. Initial task/work – could be: “Towards a working definition and framework
of community health in Europe” [Partly achieved]
The survey
Aims…
• Garner information about the need and
appetite for a network/alliance and the profile
of current [and potential] membership, and
• Commence collecting thoughts that can
inform the definition and the development of
a framework for community oriented primary
care in Europe
Expectations from an European Alliance
There are 3 main areas of expectations from
respondents
• Personal and professional development with
mutual support
• Learning environment, knowledge and
practice exchange, that influence practice
• The alliance having a voice and policy
function/role
Expectations from an European Alliance
Personal and professional development
• “Working in a network to articulate all our
work with other partners of the health
system”
• “Facilitate meetings between primary care
services and professionals of these services, to
learn from each other…to sustain each other”
Expectations from an European Alliance
Learning environment, knowledge and practice exchange
•
“Strengthen roles…and provide education and framework for such…to be organised
and funded…”
•
“Ability to share best practice with others and to design services with other groups”
•
“Foster and stimulate the development of COPC across the community…provide
networking”
•
“Knowing how to implement certain concepts and principles (patient centred care,
multidisciplinary etc.) at service level and also how we, as regional organisations,
can promote, assist and develop that kind of primary care services”
•
“Delivering the statement and definition of a community oriented primary care”
•
“To provide the health professions with tools that enables them to work together
and to provide evidence for the benefits of collaboration”
•
“Sharing experiences in reorienting health systems and strengthening capacity”
•
“The alliance needs…to present its achievements to other countries and use the
experience of employment of the services”
•
“Support the development of COPC services and associations…in Europe”
Expectations from an European Alliance
Voice and policy function
• “Locally but also regionally and even on a more global scale…this can help
us in achieving the goals we set up previously”
• “Sharing ideas and networking impact on local policy making,
strengthening primary care in countries where primary care is less
developed and lacks support”
• “I think that the alliance needs to improve worldwide communication and
contact and try to use other countries healthcare systems' programmes in
providing primary healthcare services”
• “A special place [to be] given to patients organisations to bring their
special view on the objectives and quality of the services”
• “Advocacy for COPC: strengthen the lobbying for Community Oriented
Primary Care at regional, national and mostly European level”
Offers & Contributions to the Alliance…
Three broad areas:
• Involvement – with a purpose
• Influencing practice in specific areas
• Sharing – of skills and capacity
Offers & Contributions to the Alliance…
Involvement
• “To participate in meetings…for exchange of
knowledge and experiences”
• “I would like to be involved, especially in
understanding of primary care, specifically
urgent and unscheduled care
• “Carrying out studies”
Offers & Contributions to the Alliance…
Contribution to knowledge and practice
• “I can provide easy to use accurate and cost
effective diagnostic tools”
• “Interested to participate in a project to prove
the benefits of point of care testing”
• “Evaluation of the impact on wellbeing”
• “Own experience and model of a rural clinic
extending membership”
• “Research on patient safety”
• “The perspectives of the pharmacies”
Offers & Contributions to the Alliance…
Sharing…of skills and capacity
• “Experience, contacts, research”
• “Best practices and evidence based practices [e.g. in
Canada]
• “Scientific evidence”
• “Experiences in designing the services”
• “Offer our location for some meetings; up to 30 people
[in Brussels]
• “Link to existing network e.g. SEPSAC (European
secretary of community oriented health practices)
Conclusion
There is an appetite and need for an European
Alliance for community oriented primary care
Notes:
• 25 respondents, across 15 countries
• Organisational types: individuals, service centres,
civil society, government agencies [statutory and
non statutory] and professional associations
• Membership size/reach: vary from 8 to over 100
Definition & Framework
Broadly defined as: services organised around people’s needs,
integrates public health, is inclusive and multidisciplinary with
clear line of sight on quality and cost effectiveness.
Features:
• Community development and public involvement
• People centred with evidence of maximisation of self care
• Holistic care
• Integrated service with multidisciplinary collaboration
• Public health focus, including prevention and health
promotion
• Cost effective services that achieves value for money
• Accessible, provides and promotes choice
• Driven by quality and high level of care