Belgian "Eerstelijnszones" and French "Communautés Professionnelles Territoriales de Santé" (CPTS) : what lessons can be drawn for the organisation of primary care at the meso level in other European countries ?

Hector Falcoff, Gijs Van Pottelbergh

Keywords: Eerstelijnszones, Communautés Professionnelles Territoriales de Santé, Belgium, France, Meso level.

Introduction:

Eerstelijnszones (Primary Care Zones) are introduced in Flanders (Belgium) in 2019 with a focus on bringing together primary care actors in a network organization. In the Leuven region Zorgzaam Leuven was established as a collaboration between academic partners, care actors of primary and secondary care and many other organization to develop a model that can be used at this meso level for the implementation of integrated care including care pathways, neighborhood primary care teams and population health management.
CPTSs, introduced in France in 2018 are non-profit associations of primary and secondary care professionals, and social and medico-social professionals, based on a territorial healthcare project, to improve the access to healthcare, the organisation of patient pathways and the practice of health professionals.
Both models illustrate the challenges of organizing the meso level of primary care.
The meso level lies between the micro level, where teams deliver care to patients, and the macro level, where health policy is developed. The meso level is where teams organize themselves into networks, where protocols, human and material resources can be pooled between teams, where outreach initiatives can be organized to target people who are usually excluded from care, and where health and social professionals, community actors and local residents can work together to tackle the social determinants of health.

Aim(s):

To present the two models and any models from other countries reported by workshop participants.
To understand the potential of meso-level organisation to improve the health of populations, the patients pathways and the quality of professional practices.
To identify inspiring success stories that could be implemented in the territories of workshop participants.

Programme:

Presentation of Belgian primary care zones and the innovative Zorgzaam Leuven project (Gijs, 20').
Presentation of French CPTSs (Hector, 20').
Proposal of an analysis grid for a meso-level organisation, to be improved and validated by the participants (Hector, 10'): values, governance, funding, population, missions, involvement of health and social care professionals, indicators, successes, failures, obstacles, facilitators, prospects, etc.
Use of the grid to compare the Belgian, French and other models reported by the participants (Gijs, Hector, workshop participants, 20')
Conclusions: lessons that could be valid in any country (Gijs, Hector, 5').

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