1. Community Health Centre in Europe and globally
Tonka Poplas Susič, Jan De Maeseneer, Diederik Aarendonk,
EFPC Community Health Centre Working Group

2. Outlines
As a respond to patients needs and according to the facts that primary care offers the most cost-effective medical care:
ACOPC/EFPC WG has found an agreement on definition/feasibility/networking of the community health centres (CHCs) that could enable comparable medical care in most European countries.
Globally: more and more countries over the world are active in developing their own Community Health Centre as far as history and legislation allows.

3. Delphi study in Europe

4. Agreement/consensus
CHCs according to the IFCHC‘s definition are feasible
Agreement on statements about CHCs networking that have upgraded IFCHC definition : collaboration, spreading good practices and coordination among countries

5. Results: weak/strong The weakest agreement :
Community Health Centres may include participation of clients/patients and other community members in governance of the healthcare organization.
Community Health Centres take responsibility for a population that is defined by population group(s).
High consensus:
Cooperation and spreading good practices in/across the countries is important

6. Globally
differences in health (care)are getting more and more expressed
knowledge exchange within the global network can support to overcome barriers

7. WHO:Almaty declaration and the Global Conference on Primary Health Care in Astana in October 2018
EFPC can help to shape future for CHCs worldwide

8. Topics to be discussed Content Networking
To act on social determinants of health
To strenghten team-based care and support
To empower community participation
collaboration between care providers
spreading/ supporting good practices
Coordinating the care providers

9. Networking to be identified
Collaboration between care providers is important
in the CHCs, between CHCs (CHC = a model of care)
and between different regions/countries that provide health care, is important.
Spreading and supporting good practices is important.
in / between CHCs and
in / between countries
Coordination the care providers is important
in the CHCs,
between CHCs (CHC = a model of care) and
between different regions

10. CHCs Content to be intensified
Topic
Suggested subtopics
Tools
Action on social determinants of health
Innovative upstream programs and services
Improving data collection/reporting on SDH programs
Call for articles/blogs
Integrating services from across multiple sectors
Dedicated discussion forum on Hub
Making the case with governments/funders
Building culture of upstream action at CHCs
Strengthening team-based care and support
Team-building strategies/tools
Task-shifting and optimizing resources
Improving connections b/n clinical & non-clinical staff
Addressing policy and funding barriers
Innovative recruitment/retention strategies
Possible subtopics
Empowering community
Engaging community in governance / planning
Building community capacity beyond the CHC
CHC role in supporting civic/democratic engagement
Engaging community in research / CBPR
Improving health literacy

11. Working in 3 groups: to define WHO and HOW
Collaboration between care providers,
Action on social determinants of health
Group 2:
Spreading and supporting good practices
Strengthening team-based care and support
Group 3:
Coordinating the care providers
Empowering community