Skip to main content
Erschienen in: The European Journal of Health Economics 2/2023

18.11.2022 | Editorial

General practice in the EU: countries you see, customs you find

verfasst von: Livio Garattini, Marco Badinella Martini, Alessandro Nobili

Erschienen in: The European Journal of Health Economics | Ausgabe 2/2023

Einloggen, um Zugang zu erhalten

Excerpt

General Practice (GP) is acknowledged as a medical specialisation with specific skills and tasks. In parallel, the pivotal role played by General Practitioners (GPs) within primary care has been historically consolidated [1]. However, over the last few years, primary care in Europe has been undergoing continuous changes in response to the increasing multi-morbidity and (both medical and social) complexity of patients, whilst funding constraints have been strengthened following the economic crisis. This has necessarily affected the role of GPs, which now urgently needs a change as radical as it is necessary to be abreast with the times [2]. Therefore, the specialty training programme in GP and the role of GPs in healthcare systems appear to be two crucial issues to deal with in the European health landscape. Despite the growing importance of these topics, the health literature on them in the main European countries is currently scarce [3]. …
Literatur
1.
Zurück zum Zitat Heyrman, J.: EURACT educational agenda. European Academy of Teachers in General Practice EURACT, Leuven (2005) Heyrman, J.: EURACT educational agenda. European Academy of Teachers in General Practice EURACT, Leuven (2005)
2.
Zurück zum Zitat Samuelson, M., Aarendonk, D.: Primary care at times of the economic crisis. Eur J Gen Pract. 18(3), 195–196 (2012)CrossRefPubMed Samuelson, M., Aarendonk, D.: Primary care at times of the economic crisis. Eur J Gen Pract. 18(3), 195–196 (2012)CrossRefPubMed
4.
Zurück zum Zitat Cartier T, Bourgueil Y. France. In: Kringos DS, Boerma WGW, Hutchinson A, et al., editors. Building primary care in a changing Europe: Case studies [Internet]. Copenhagen (Denmark): European Observatory on Health Systems and Policies; 2015. (Observatory Studies Series, No. 40.) 9. Available from: https://www.ncbi.nlm.nih.gov/books/NBK459003/. Accessed 30 Sep 2022 Cartier T, Bourgueil Y. France. In: Kringos DS, Boerma WGW, Hutchinson A, et al., editors. Building primary care in a changing Europe: Case studies [Internet]. Copenhagen (Denmark): European Observatory on Health Systems and Policies; 2015. (Observatory Studies Series, No. 40.) 9. Available from: https://​www.​ncbi.​nlm.​nih.​gov/​books/​NBK459003/​. Accessed 30 Sep 2022
5.
Zurück zum Zitat Chevreul, K., Durand-Zaleski, I., Bahrami, S.B., Hernández-Quevedo, C., Mladovsky, P.: France: health system review. Health Syst Transit. 12(6), 1 (2010)PubMed Chevreul, K., Durand-Zaleski, I., Bahrami, S.B., Hernández-Quevedo, C., Mladovsky, P.: France: health system review. Health Syst Transit. 12(6), 1 (2010)PubMed
6.
Zurück zum Zitat Letrilliart, L., Rigault-Fossier, P., Fossier, B., et al.: Comparison of french training and non-training general practices: a cross-sectional study. BMC Med Educ. 16, 126 (2016)CrossRefPubMedPubMedCentral Letrilliart, L., Rigault-Fossier, P., Fossier, B., et al.: Comparison of french training and non-training general practices: a cross-sectional study. BMC Med Educ. 16, 126 (2016)CrossRefPubMedPubMedCentral
7.
Zurück zum Zitat Miani, C., Hinrichs, S., Pitchforth, E., et al.: Best practice: medical training from an international perspective. Rand Health Q. 5(1), 2 (2015)PubMedPubMedCentral Miani, C., Hinrichs, S., Pitchforth, E., et al.: Best practice: medical training from an international perspective. Rand Health Q. 5(1), 2 (2015)PubMedPubMedCentral
8.
Zurück zum Zitat Dourgnon, P., Naiditch, M.: The preferred doctor scheme: a political reading of a french experiment of gate-keeping. Health Policy 94(2), 129–134 (2010)CrossRefPubMed Dourgnon, P., Naiditch, M.: The preferred doctor scheme: a political reading of a french experiment of gate-keeping. Health Policy 94(2), 129–134 (2010)CrossRefPubMed
9.
Zurück zum Zitat Busse, R., Blümel, M., Knieps, F., Bärnighausen, T.: Statutory health insurance in Germany: a health system shaped by 135 years of solidarity, self-governance, and competition. Lancet 390(10097), 882–897 (2017)CrossRefPubMed Busse, R., Blümel, M., Knieps, F., Bärnighausen, T.: Statutory health insurance in Germany: a health system shaped by 135 years of solidarity, self-governance, and competition. Lancet 390(10097), 882–897 (2017)CrossRefPubMed
10.
Zurück zum Zitat Nikendei, C., Weyrich, P., Jünger, J., et al.: Medical education in Germany. Med Teach. 31(7), 591–600 (2009)CrossRefPubMed Nikendei, C., Weyrich, P., Jünger, J., et al.: Medical education in Germany. Med Teach. 31(7), 591–600 (2009)CrossRefPubMed
11.
Zurück zum Zitat Glonti, K., Struckmann, V., Alconada, A., et al.: Exploring the training and scope of practice of GPs in England. Germany Spain. 33(2), 148–155 (2019) Glonti, K., Struckmann, V., Alconada, A., et al.: Exploring the training and scope of practice of GPs in England. Germany Spain. 33(2), 148–155 (2019)
12.
Zurück zum Zitat Mohammadibakhsh, R., Aryankhesal, A., Jafari, M., Damari, B.: Family physician model in the health system of selected countries: A comparative study summary. J Educ Health Promot. 9, 160 (2020)CrossRefPubMedPubMedCentral Mohammadibakhsh, R., Aryankhesal, A., Jafari, M., Damari, B.: Family physician model in the health system of selected countries: A comparative study summary. J Educ Health Promot. 9, 160 (2020)CrossRefPubMedPubMedCentral
13.
Zurück zum Zitat Simic D, Wilm S, Redaèlli M. Germany. In: Kringos DS, Boerma WGW, Hutchinson A, et al., editors. Building primary care in a changing Europe: Case studies [Internet]. Copenhagen (Denmark): European Observatory on Health Systems and Policies; 2015. (Observatory Studies Series, No. 40.) 10. Available from: https://www.ncbi.nlm.nih.gov/books/NBK459004/. Accessed 30 Sep 2022 Simic D, Wilm S, Redaèlli M. Germany. In: Kringos DS, Boerma WGW, Hutchinson A, et al., editors. Building primary care in a changing Europe: Case studies [Internet]. Copenhagen (Denmark): European Observatory on Health Systems and Policies; 2015. (Observatory Studies Series, No. 40.) 10. Available from: https://​www.​ncbi.​nlm.​nih.​gov/​books/​NBK459004/​. Accessed 30 Sep 2022
14.
Zurück zum Zitat Bernal-Delgado, E., Garcia-Armesto, S., Oliva, J., et al.: Spain: Health System Review. Health Syst Transit. 20(2), 1–179 (2018)PubMed Bernal-Delgado, E., Garcia-Armesto, S., Oliva, J., et al.: Spain: Health System Review. Health Syst Transit. 20(2), 1–179 (2018)PubMed
15.
Zurück zum Zitat Dedeu T, Bolibar B, Gené J, et al. Spain. In: Kringos DS, Boerma WGW, Hutchinson A, et al., editors. Building primary care in a changing Europe: Case studies [Internet]. Copenhagen (Denmark): European Observatory on Health Systems and Policies; 2015. (Observatory Studies Series, No. 40.) 27. Available from: https://www.ncbi.nlm.nih.gov/books/NBK459029/. Accessed 30 Sep 2022 Dedeu T, Bolibar B, Gené J, et al. Spain. In: Kringos DS, Boerma WGW, Hutchinson A, et al., editors. Building primary care in a changing Europe: Case studies [Internet]. Copenhagen (Denmark): European Observatory on Health Systems and Policies; 2015. (Observatory Studies Series, No. 40.) 27. Available from: https://​www.​ncbi.​nlm.​nih.​gov/​books/​NBK459029/​. Accessed 30 Sep 2022
16.
Zurück zum Zitat Garattini, L., Badinella Martini, M., Zanetti, M.: The Italian NHS at regional level: same in theory, different in practice. Eur J Health Econ. 23(1), 1–5 (2022)CrossRefPubMed Garattini, L., Badinella Martini, M., Zanetti, M.: The Italian NHS at regional level: same in theory, different in practice. Eur J Health Econ. 23(1), 1–5 (2022)CrossRefPubMed
17.
Zurück zum Zitat Badinella Martini, M., D’Ascenzo, F., Zaninelli, A., Garattini, L., Mannucci, P.M.: The dark age of Italian general practice research-An Italian matter. Eur J Intern Med. 73, 98–99 (2020)CrossRefPubMed Badinella Martini, M., D’Ascenzo, F., Zaninelli, A., Garattini, L., Mannucci, P.M.: The dark age of Italian general practice research-An Italian matter. Eur J Intern Med. 73, 98–99 (2020)CrossRefPubMed
19.
Zurück zum Zitat Cegolon, L., Heymann, W.C., Lange, J.H., Xodo, C.: Improving Italian general practice training: the role of academia. BJGP Open. 1(2), 989 (2017)CrossRef Cegolon, L., Heymann, W.C., Lange, J.H., Xodo, C.: Improving Italian general practice training: the role of academia. BJGP Open. 1(2), 989 (2017)CrossRef
20.
Zurück zum Zitat Garattini, L., Curto, A., Freemantle, N.: Access to primary care in Italy: time for a shake-up? Eur J Health Econ. 17(2), 113–116 (2016)CrossRefPubMed Garattini, L., Curto, A., Freemantle, N.: Access to primary care in Italy: time for a shake-up? Eur J Health Econ. 17(2), 113–116 (2016)CrossRefPubMed
21.
Zurück zum Zitat Göktaş, O.: Family medicine practice in Italy. SM J Fam Med. 1(2), 1013 (2017) Göktaş, O.: Family medicine practice in Italy. SM J Fam Med. 1(2), 1013 (2017)
22.
Zurück zum Zitat Garattini, L., Padula, A.: Competition in health markets: is something rotten? J R Soc Med. 112(1), 6–10 (2019)CrossRefPubMed Garattini, L., Padula, A.: Competition in health markets: is something rotten? J R Soc Med. 112(1), 6–10 (2019)CrossRefPubMed
23.
Zurück zum Zitat Garattini, L., Zanetti, M., Freemantle, N.: The Italian NHS: what lessons to draw from COVID-19? Appl Health Econ Health Policy. 18(4), 463–466 (2020)CrossRefPubMedPubMedCentral Garattini, L., Zanetti, M., Freemantle, N.: The Italian NHS: what lessons to draw from COVID-19? Appl Health Econ Health Policy. 18(4), 463–466 (2020)CrossRefPubMedPubMedCentral
24.
Zurück zum Zitat Garattini, L., Bozzetto, M., Remuzzi, G., Freemantle, N., Nobili, A.: Primary care in a national health service: time for radical reform. Fam Pract. 39(5), 994–995 (2022)CrossRefPubMed Garattini, L., Bozzetto, M., Remuzzi, G., Freemantle, N., Nobili, A.: Primary care in a national health service: time for radical reform. Fam Pract. 39(5), 994–995 (2022)CrossRefPubMed
Metadaten
Titel
General practice in the EU: countries you see, customs you find
verfasst von
Livio Garattini
Marco Badinella Martini
Alessandro Nobili
Publikationsdatum
18.11.2022
Verlag
Springer Berlin Heidelberg
Erschienen in
The European Journal of Health Economics / Ausgabe 2/2023
Print ISSN: 1618-7598
Elektronische ISSN: 1618-7601
DOI
https://doi.org/10.1007/s10198-022-01549-4

Weitere Artikel der Ausgabe 2/2023

The European Journal of Health Economics 2/2023 Zur Ausgabe