Political, cultural and economic foundations of primary care in Europe

Social Science & Medicine
Dionne S KringosPeter Groenewegen

Abstract

This article explores various contributing factors to explain differences in the strength of the primary care (PC) structure and services delivery across Europe. Data on the strength of primary care in 31 European countries in 2009/10 were used. The results showed that the national political agenda, economy, prevailing values, and type of healthcare system are all important factors that influence the development of strong PC. Wealthier countries are associated with a weaker PC structure and lower PC accessibility, while Eastern European countries seemed to have used their growth in national income to strengthen the accessibility and continuity of PC. Countries governed by left-wing governments are associated with a stronger PC structure, accessibility and coordination of PC. Countries with a social-security based system are associated with a lower accessibility and continuity of PC; the opposite is true for transitional systems. Cultural values seemed to affect all aspects of PC. It can be concluded that strengthening PC means mobilising multiple leverage points, policy options, and political will in line with prevailing values in a country.

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Citations

Feb 11, 2016·Scandinavian Journal of Primary Health Care·Willemijn L A SchäferPeter P Groenewegen
Feb 10, 2016·Atencion primaria·Verónica Casado Vicente
Jul 30, 2015·Journal of Health Organization and Management·Mateusz LichonDaniel Masterson
Oct 11, 2015·BMC Health Services Research·Tessa van LoenenGert P Westert
Apr 16, 2016·Health Policy·Catherine Agnes O'DonnellUNKNOWN RESTORE Team
Aug 3, 2014·European Journal of Public Health·Esperanza DiazLuis-Andrés Gimeno-Feliu
May 29, 2016·BMC Family Practice·Tessa van LoenenGert P Westert
Feb 22, 2017·Health Services Research·Jens DetollenaereSara Willems
Dec 14, 2017·International Journal of Environmental Research and Public Health·Andrej BelakSijmen A Reijneveld
Oct 6, 2017·The International Journal of Health Planning and Management·Maja RacicSandra Jokovic
Feb 27, 2018·International Journal of Public Health·Ana Isabel RibeiroMaria de Fátima de Pina
Dec 4, 2015·BMC Family Practice·Danica Rotar PavličIgor Švab
Jul 1, 2020·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Elina TolvanenElise Kosunen
Apr 28, 2020·BioMed Research International·Maria Gabriella MelchiorreUNKNOWN on behalf of ICARE4EU Consortium
Jul 4, 2019·Ciência & saúde coletiva·Daniel Seabra Resende Castro CorrêaJames Macinko
Feb 2, 2021·BMC Health Services Research·Peter P GroenewegenPeter Spreeuwenberg

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