Primary Care in Period of Economical Crisis: A challenge for Europe Pr. Marianne Samuelson –Département de Médecine Générale Université de Caen-Basse Normandie Dr. Daniel Widmer -Institut Universitaire de Médecine Générale Lausanne Mr. Tino Marti -Consorci Castelldefels Agents de Salut Atencio Primaria

 What is a crisis?  Various aspect of the “crisis” that are inter related  - economical crisis  - moral crisis  - employment crisis  - scientific crisis  Health care consequences of the crisis  What is our “social responsibility ” Primary Care in period of economical crisis Marianne Samuelson - Daniel Widmer23/9/12

Increase of mental disorders Increase in suicide rate rise of risk of illness recovery more difficult new category of population at risk : young people…. ……….. 3/9/12 Primary Care in period of economical crisis Marianne Samuelson - Daniel Widmer3

Decrease of resources Migration of health care professionals Alteration of working condition Health care professionals at risk of Burnout Transfer of tasks from secondary care to Primary Care Transfer of tasks among Primary care professionals Shift from health care professionals to social workers …….. 3/9/12 Primary Care in period of economical crisis Marianne Samuelson - Daniel Widmer4

As health care professionals /providers As stakeholders Researchers in the health care or sociological field 3/9/12 Primary Care in period of economical crisis Marianne Samuelson - Daniel Widmer5

Improving the PC orientation of our health care systems Avoiding overuse or misuse of care Make better use of resources Implementation of strategies reducing inequalities ………. 3/9/12 Primary Care in period of economical crisis Marianne Samuelson - Daniel Widmer6

Is it time to go back to Alma Ata principles? 3/9/12 Primary Care in period of economical crisis Marianne Samuelson - Daniel Widmer7

3 or 4 small groups, with diversity in terms of type of country, and professional background 30 mm small group work on the 4 aspects: - the changing epidemiology in PC - the changes for the health care providers - how can we act - opportunities 40 mm large group feed back and exchange 5 mm “wrapping up” 3/9/12 Primary Care in period of economical crisis Marianne Samuelson - Daniel Widmer8