Primary Health Centres – Concepts and Practices (PriKon)

Duration
04/2015-09/2017

Project management and coordination
Prof. Dr. Kerstin Hämel, Prof. Dr. Doris Schaeffer

Research associates
Carina Vössing
Marcus Heumann (student assistant)

Cooperation partner
Prof. Dr. Andreas Büscher, Hochschule Osnabrück, Fakultät Wirtschafts- und Sozialwissenschaften
Prof. Dr. Michael Ewers, Charité – Universitätsmedizin Berlin, Institut für Gesundheits- und Pflegewissenschaft
Prof. Dr. Ligia Giovanella, National School of Public Health, Fundação Oswaldo Cruz, Rio de Janeiro, Brasilien
Christiane Schaepe, Charité – Universitätsmedizin Berlin, Institut für Gesundheits- und Pflegewissenschaft
Prof. Dr. Dirce Stein Backes, Universidade Franciscana (UFN), Santa Maria, Rio Grande do Sul, Brasilien

Project funding
Robert Bosch Stiftung

Background/objectives
Most patients in primary care suffer from chronic illnesses and multimorbidity. To address their long-term, often complex health care needs, access to a continuum of health care and social care services is required. The discussion about adequate models of primary health care led the way for the development and spreading of primary health centres (e.g. community health centres, family health teams) in many countries. At international level we can find a broad spectrum of primary health centres. All together they bring different health professions under one roof and provide a broad range of health care services. Furthermore, many centres have developed multiprofessional collaboration, cooperation and teamwork to coordinate the patient’s care process. Such an integrated model of primary care could also be promising for Germany.

Aim
The aim of the project is to look at concepts and practices of primary health centres in four countries – Sweden, Slovenia, Spain and Brazil - and point out variations and different emphasis. Thereby the focus lays on concepts and practices in rural areas. On this base, suggestions for the development of multi-professional primary health centres in Germany will be made.

Approach
  1. Comparative analysis of the development of primary care centres in different countries (Belgium, Brazil, Estonia, Ireland, Italy, Netherlands, Slovenia, Spain, Sweden, UK).
    Methods: literature analysis, telephone-based semi-structured interviews with experts
  2. Deeper analysis of the concepts and practices of primary health centres in Sweden, Slovenia, Spain and Brazil.
    Methods: literature and document analyses, field research: semi-structured interviews with primary health care providers and professionals
  3. Comparative analysis and presentation of concepts and practices of primary health centres.
The results are going to be prepared for research and practice.

Publications

Publikationsserie zu PriKon: Reihe "PORT - Patientenorientierte Zentren zur Primär- und Langzeitversorgung" (Hg: Robert Bosch Stiftung)

  • Ewers, M., Schaepe, C., Hämel, K. & Schaeffer, D. (2018).Versorgungszentren in ländlichen Provinzen Nordschwedens (Vårdcentraler). Stuttgart: Robert Bosch Stiftung. doi:10.4119/unibi/2919002
    The fulltext can be found here.
  • Hämel, K., Schaeffer, D., Büscher, A., Backes, D. S. & Giovanella, L. (2018).Familiengesundheitszentren in Brasilien (Unidades básicas de saúde, Clínicas da Família). Stuttgart: Robert Bosch Stiftung. doi:10.4119/unibi/2932214
    The fulltext can be found here.
  • Hämel, K. & Vössing, C. (2018).Gesundheitszentren in Spanien (Centros de Salud). Stuttgart: Robert Bosch Stiftung. doi:10.4119/unibi/2918847
    The fulltext can be found here.
  • Hämel, K. & Vössing, C. (2018).Gesundheitszentren in Slowenien (Zdravstveni Domovi). Stuttgart: Robert Bosch Stiftung. doi:10.4119/unibi/2932212
    The fulltext can be found here.
  • Hämel, K. & Vössing, C. (2017). The collaboration of general practitioners and nurses in primary care – a comparative analysis of concepts and practices in Slovenia and Spain. Primary Health Care Research & Development, 18(5), 492-506. doi:10.1017/S1463423617000354
    The fulltext can be found here.
  • Hämel, K., Backes, D. S., Giovanella, L., & Büscher, A. (2017). Familiengesundheitsstrategie in Brasilien - Profilierung der Pflege in der Primärversorgung [Family Health Strategy in Brazil - Shaping the profile of nursing in primary health care]. Pflege & Gesellschaft, 22(1), 35-50.
  • Hämel K., & Schaeffer D. (Eds.) (2017). Rolle der Pflege in der Primärversorgung - Internationale Erfahrungen. Pflege & Gesellschaft, 22(1)
    The editorial can be foundhere.
    The magazine  1/2017 can be ordered here.
  • Schaeffer, D. (2017). Advanced Nursing Practice − Erweiterte Rollen und Aufgaben der Pflege in der Primärversorgung in Ontario/Kanada. Pflege & Gesellschaft, 22(1), 18-35.
  • Schaeffer, D., & Hämel, K. (2017). Kooperative Versorgungsmodelle. Eine international vergleichende Betrachtung. In M. Jungbauer-Gans & P. Kriwy (Eds.), Handbuch Gesundheitssoziologie (pp. 1-18). Springer VS. doi:DOI 10.1007/978-3-658-06477-8_26-1

  • Vössing, C., & Hämel, K. (2017). Multiprofessionelle Primärversorgung – eine vergleichende Analyse von Konzepten und Umsetzungserfahrung der Teamarbeit zwischen Pflegenden und Allgemeinmedizinern in slowenischen und spanischen Gesundheitszentren. Programm und Abstractband, 8. internationalen, wissenschaftliches Kongress für angewandte Pflege- und Gesundheitsforschung eInnovationen in der Pflege(-forschung), 106.

  • Hämel, K. (2016). Plädoyer für eine regional differenzierte, sektorenübergreifende Versorgung [Plea for regionally-differentiated, cross-sectoral health care]. Public Health Forum, 24(1), 15-16. doi:10.1515/pubhef-2016-0006
  • Hämel, K. (2016). Familiengesundheitsstrategie in Brasilien: Gemeindeorientierung in der Primärversorgung und Möglichkeiten für die Versorgung älterer Menschen. Zeitschrift für Gerontologie und Geriatrie, 49(Suppl. 1) 

  • Hämel, K., & Giovanella, L. (2016). Community-oriented primary health care in Brazil – a coming trend. Programme Book of the Riga Conference of the European Forum for Primary Care “Crosscutting Informal Care & Professional Primary Care", 40.
  • Hämel, K., & Vössing, C. (2016). Primary care teams – an analysis of cross-professional collaboration in Slovene and Spanish health centres. Programme Book of the Riga Conference of the European Forum for Primary Care “Crosscutting Informal Care & Professional Primary Care”, 44-45.

  • Hämel, K., & Vössing, C. (2016). Multiprofessionelle Primärversorgung – eine vergleichende Analyse multiprofessioneller Teamarbeit in slowenischen und spanischen Gesundheitszentren. Das Gesundheitswesen, 78(08/09), . doi:10.1055/s-0036-1586536

  • Hämel, K., Vössing, C., & Schaeffer, D. (2015). Primary Health Centres Concepts and Practi­ces. Presented at the European Forum for Primary Care. Integrated Primary Care: Research, Policy & Practice, Amsterdam.


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