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2019 | 13 | 1 |

Tytuł artykułu

Integrated health care services as a current challenge for primary health care: reflections from Crete, Greece

Treść / Zawartość

Warianty tytułu

Języki publikacji

EN

Abstrakty

EN
This paper addresses the issue of integrated care services as a current challenge for primary health care in Europe. It is focused on an operational definition of integrated care and documents its relevance to the recent declaration of the World Health Organization regarding primary health care. The paper also reports on experiences gained and lessons learned in Greece, a country where initial attempts towards integration of public health into primary care are currently unfolding. Additionally, it discusses the limited involvement of patients, families, and communities in health care, as well as relative absence of advocacy and care coordination at a policy level. The need for training stakeholders to define and promote integrated care is highlighted as an essential component of translating new concepts into concrete health care actions. Finally, when discussing development and implementation of a well-coordinated and integrated primary health care system, the paper provides ideas for further consideration. The present report is anticipated to open the dialogue between health care professionals, stakeholders, policy makers, and the public towards the integration of health services in contemporary Europe.

Słowa kluczowe

Wydawca

-

Rocznik

Tom

13

Numer

1

Opis fizyczny

p.22-25,ref.

Twórcy

autor
  • Clinic of Social and Family Medicine, School of Medicine, University of Crete, Voutes Heraklion Crete, PO Box 2208, Zip Code 71003, Greece
  • Clinic of Social and Family Medicine, School of Medicine, University of Crete, Greece

Bibliografia

  • 1. World Health Organisation. WHO global strategy on integrated people-centred health services 2016–2026. Executive summary. Placing people and communities at the centre of healthservices. Geneva: WHO; 2015.
  • 2. World Health Organization. A vision for primary health care in the 21st century: towards universal health coverage and the sustainable development goals. Geneva: WHO/United Nations Children’s Fund; 2018.
  • 3. Lionis C, Petelos E, Papadakis S, Tsiligianni S, Anastasaki M, Angelaki A, et al. Towards evidence-informed integration of public health and primary health care: experiences from Crete. WHO Public Health Panorama 2018; 4: 491–735.
  • 4. Tsiachristas A, Lionis C, Yfantopoulos J. Bridging knowledge to develop an action plan for integrated care for chronic diseases in Greece. Int J Integr Care 2015; 15: e040.
  • 5. Lionis C, Symvoulakis EK, Markaki A, Vardavas C, Papadakaki M, Daniilidou N, et al. Integrated primary health care in Greece, a missing issue in the current health policy agenda: a systematic review. Int J Integr Care 2009; 9: e88.
  • 6. Sifaki-Pistolla D, Chatzea VE, Markaki A, Kritikos K, Petelos E, Lionis C. Operational integration in primary health care: patient encounters and workflows.BMC Health Serv Res 2017; 17: 788.
  • 7. Sapouna V, Dafermos V, Chatziarsenis M, Vivilaki V, Bitsios P, Schene AH, et al. Assessing the burden of caregivers of patients with mental disorders: translating and validating the involvement evaluation questionnaire into Greek. Ann Gen Psychiatry 2013; 12: 3.
  • 8. Tsiligianni I, Anastasiou F, Antonopoulou M, Chliveros K, Dimitrakopoulos S, Duijker G, et al. Greek rural GPs’ opinions on how financial crisis influences health, quality of care and health equity. Rural Remote Health 2013; 13: 2528.
  • 9. Lionis C, Papadakaki M, Saridaki A, Dowrick C, O’Donnell CA, Mair FS, et al. Engaging migrants and other stakeholders to improve communication in cross-cultural consultation in primary care: a theoretically informed participatory study. BMJ Open 2016; 6: e010822.
  • 10. Papadakaki M, Lionis C, Saridaki A, Dowrick C, de Brún T, O’Reilly-de Brún M, et al. Exploring barriers to primary care for migrants in Greece in times of austerity: perspectives of service providers. Eur J Gen Pract 2017; 23: 128–134.
  • 11. van Loenen T, van den Muijsenbergh M, Hofmeester M, Dowrick C, van Ginneken N, Mechili EA, et al. Primary care for refugees and newly arrived migrants in Europe: a qualitative study on health needs, barriers and wishes. Eur J Public Health 2018; 28: 82–87.
  • 12. Lionis C, Papadakis S, Tatsi C, Bertsias A, Duijker G, Mekouris PB, et al. Informing primary care reform in Greece: patient expectations and experiences (the QUALICOPC study). BMC Health Serv Res 2017; 17: 255.
  • 13. Lionis C, Shea S, Markaki A. Introducing and implementing a compassionate care elective for medical students in Crete. J Holistic Healthcare 2011; 8: 38–41.
  • 14. Mechili E-A, Angelaki A, Petelos E, Sifaki-Pistolla D, Chatzea V-E, Dowrick C, et al. Compassionate care provision: an immense need during the refugee crisis: lessons learned from a European capacity-building project. J Compassionate Health Care 2018; 5: 2.
  • 15. Lionis C, Midlöv P. Prevention in the elderly: a necessary priority for general practitioners. Eur J Gen Pract 2017; 23: 202–207.

Typ dokumentu

Bibliografia

Identyfikatory

Identyfikator YADDA

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