| Titre : | Primary care and health outcomes. Belgium in an international context. (1995) |
| Auteurs : | B. STARFIELD |
| Type de document : | Article |
| Dans : | Archives of public health (vol. 53, n° 11-12, 1995) |
| Pagination : | 477-488 |
| Langues: | Anglais |
| Mots-clés : | Soins santé primaire ; Système santé ; Indicateur ; Indicateur santé ; Belgique ; Europe ; Politique santé ; Médecin |
| Résumé : | [BDSP. Notice produite par INIST 3XR0xZDt. Diffusion soumise à autorisation]. Most Industrialized nations implicitly recognize the importance of a primary care infrastructure in their health systems. Primary care is that level of a health services system that is accessible, person-focussed and continuous, coordinated, and comprehensive in addressing all of the common needs in populations. Despite this recognition, the strength of the primary care sector varies from country to country. Until recently, there was little evidence on the extent to which these differences are associated with differences in health care costs, outcomes, or population satisfaction. When the strength of primary care is measured quantitatively by means of a score that reflects the achievement of its basic elements as well as certain system characteristics conducive to the delivery of high quality primary care, Belgium ranks relatively low. It also ranks relatively low on 14 important health outcomes ; its costs are also relatively high. Research to determine those aspects of primary care that are responsible for its salutary effects is warranted. These include, but are not limited to, research on optimum mechanisms of professional reimbursement, referral practices, free choice of physician, teamwork in practice, community orientation, and the merits or disadvantages of limiting specialty practice to hospitals. |
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