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Résumé :
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Primary care in Europe has grown dramatically in scope and respect over the past several decades. This reflects a concerted effort by academics, policymakers, and national and international organizations to move primary care, as a core component of primary health care, into the centre of health system decision-making and responsibility. While the process has taken on different forms in different countries, the underlying goal has been broadly similar. This process of organizational change has been a difficult and complicated exercise. In varying degrees, it has involved developing new and more balanced relationships between hospital and primary care, between specialist and general practitioner, between primary care and home care, and, in a number of environments, between inpatient and outpatient forms of care. These types of fundamental organizational adjustments are, by their very nature, long-term endeavours. Progress must be counted in years and requires focused and persistent efforts from key actors.
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