equipocesca

Rethinking the health service production function: What role for primary health care in modern health service provision? Seminar of Innovation in Primary Care. Oxford (UK), 29nd September 2012 Organized by Juan Gérvas MD, PhD (general practitioner, Equipo CESCA, Madrid, Spain; visiting professor, International Health, National School of Public Health, Madrid) and José M. Valderas MD, [...]

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The Lancet published in May a few papers about the Brazilian health system, none of them on primary care, or with a focus on health policy. Therefore, important questions were kept out of the debate. This letter highlights some of the critical questions as maldistribution of doctors. Brazilian health service organization: problems at a glance. [...]

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Brazil, with almost 200 millions inhabitants, has a public primary health system that covers 60% of the population. Health centers are public, with professionals working as public employees, and organized in health teams (one per 4.000 inhabitans, with a family physician, a nurse, an auxiliar and six agents of communiyt health). The Strategy of Family [...]

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Presentation for the Second Virtual Congress of General Practice and Family Medicine (2009) about self-learning and  the Internet. Key questions are perseverance, asking good questions during the clinical encounter and do not use self-compassion as an excuse (“I have no time today”). Download presentation here.

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Gatekeeping is a common role in Europe for general practitioners. Usually, gatekeeping is associate to patient list. Being a filter allow GP to avoid for their patients unnecessary contact with specialists. In this way it saves money and could no decrease patient satisfaction. Primary Care, Financing and Gatekeeping in Western Europe. Gérvas, J., Pérez Fernández, [...]

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Seminars on Innovation in Primary Care are encounters with a previous online work about new ways of thinking or organization in primary care. From 2005 this experience allows to teach and research in Spain. This presentation is a summary of the work done. Seminars of Innovations in Primary Care “ A Network Experience in Education [...]

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Capitation is the way of payment for general practitioners-family physicians in countries where primary care is strong, as Denmark, Holland, Spain, New Zealand, Spain and the UK. Capitation implies the existence of patients’ list and fair distribution of general practitioners over the country. Supply and distribution of family physicians. Gérvas, J. Canadian Family Physician/ Le [...]

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