Keywords: road map; primary healthcare services; health outcomes; public health; Europe
Introduction:
Primary Healthcare Services (PHCS) in Europe are facing a severe crisis, characterized by chronic underfunding, staffing shortages, and lack of social recognition for their pivotal role in population health. Studies underscored the significance of PHCS within health systems, demonstrating that sustained investment in these services can lead to reduced hospitalizations, emergency visits, and mortality rates over time. Consequently, the development of a comprehensive roadmap to bolster PHCS is essential for safeguarding the well-being of European populations.
Method:
A literature review focused on identifying the core principles that define PHCS, including patient-centeredness, continuity, holistic care, and accessibility. Employing the Donabedian quality assessment model (structure, process, and outcomes), we delineated key thematic areas that uphold these core values. Each thematic area drew upon recent scientific research and guidance from relevant international organizations.
Results:
The roadmap is structured as follows:
1) Core Values: Citizens-Centered Care. First Point of Contact and Accessibility. Continuity of Care Throughout Lifespan. Comprehensive and Coordinated Care Across Levels. Affordability and Equity. Resilience and Adaptability. Multisectoral Partnerships
2) Rebuilding Primary Healthcare Structure: Cultivating a Competent Primary Healthcare Workforce. Enhancing Health Information Systems. Improving Organizational and Governance Models. Ensuring Adequate Funding
3) Adapting Primary Healthcare Processes: Prioritizing Health Promotion and Prevention. Enhancing Acute Care and Out-of-Hours Services. Optimizing Chronic Condition Management and Elderly Care. Providing End-of-Life Support. Strengthening High-Resolution Clinical Capacity
4) Results: Evaluating Processes and Outcomes. Leveraging Data-Driven Learning and Improvement. Fostering Innovation. Promoting Better Health for All. Building Confidence in the PHCS System. Realizing Global Economic Benefits
Conclusions:
A roadmap to strengthen PHCS in Europe, based on evidence and reports, awaits stakeholder validation. A Delphi study will seek consensus on key components, facilitating policy advocacy for PHCS in European countries.
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