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PHC: western European best practices of institutional responsabilities

21 Sep

Primary health care provides services fitted to health needs of the population. To understand the way of working in PHC we need to consider a general framework with focus in the workforce (providers) and the way of payments (and incentives). Considerations around the Duth model helps in this paper to make proposals for improvement. PHC: [...]

What role for primary health care in modern health service provision? Seminar of Innovation in Primary Care. Oxford (UK), 29nd September 2012

20 Sep

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, [...]

Brazilian health service organization: problems at a glance

18 Aug

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. [...]

Primary Care Innovation Seminars: An experience in dissemination of knowledge on network

26 May

Seminars of Innovation in Primary Care started in 2005 and they are still on in 2011. This text explains how the Seminars are organized, the methodology and how they finish with formal publications. Key points are the on-line debate before and after the face-to-face workshop, the themes selected, the difussion of practical and theoretical questions [...]

Can we resist disease mongering campaigns? Yes, we can

5 Oct

Swine flu was managed is such a way by World Health Organization and national authorities that created panic. At the end of the epidemic WHO and national authorities did not do an analytical exercise to examinate their errors. So they were not errors but a world campaign of “disease mongering”. The Spanish case of the [...]

Why become a doctor if there’s Internet? Open letter to a first year medical student

15 Sep

In the Internet era being a human and scientific physician is even a more important question than previously. In this open letter to a student of first year the author review the foundation of physicians’ work and promote a style of a professional who loves their duties. Why become a doctor if there’s Internet? Open [...]

Political borders as scientific barriers in general practice. Portugal and Spain as a case study

15 Aug

Ignorance is frequently the rule in between neighbours. This study focus on political borders as scientific barries with data from Portuguese and Spanish publications in the field of General Practice. Spanish authors fully ignore their Portugueses colleages which in turn cited them just in low percentage. Both use to cite English papers, as the European [...]