Europe's strong primary care systems are linked to better population health but alsoto higher health spending

Health Affairs

Volumn 32, Issue 4, 2013, Pages 686-694

  Kringos, Dionne S ^a   Boerma, Wienke ^b   Van Der Zee, Jouke ^c   Groenewegen, Peter ^b  

^a UNIVERSITY OF AMSTERDAM   (Netherlands)

^b NETHERLANDS INSTITUTE FOR HEALTH SERVICES RESEARCH   (Netherlands)

^c MAASTRICHT UNIVERSITY   (Netherlands)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; COMPARATIVE STUDY; DATA COLLECTION METHOD; DECENTRALIZATION; EDUCATIONAL STATUS; EUROPE; GROWTH CURVE; HEALTH CARE COST; HEALTH CARE DELIVERY; HEALTH SERVICE; HOSPITALIZATION; HUMAN; INFORMATION PROCESSING; PRIMARY MEDICAL CARE; SELF REPORT; SOCIOECONOMICS; UNNECESSARY PROCEDURE;

DELIVERY OF HEALTH CARE; EUROPE; EUROPEAN UNION; HEALTH CARE COSTS; HEALTH EXPENDITURES; HEALTH STATUS; HEALTH STATUS DISPARITIES; HOSPITALIZATION; HUMANS; PATIENT SATISFACTION; PRIMARY HEALTH CARE; QUALITY OF HEALTH CARE; SOCIOECONOMIC FACTORS;

EID: 84877984761     PISSN: 02782715     EISSN: 15445208     Source Type: Journal    
DOI: 10.1377/hlthaff.2012.1242     Document Type: Article

References (32)

1. Starfield B. Is primary care essential. Lancet. 1994;344(8930):1129-33.
2. Delnoij D, Van Merode G, Paulus A, Groenewegen P. Does general practitioner gatekeeping curb health care expenditure. J Health Serv Res Pol. 2000;5(1):22-6.
3. Macinko J, Starfield B, Shi L. The contribution of primary care systems to health outcomes within Organization for Economic Cooperation and Development (OECD) countries, 1970-1998. Health Serv Res. 2003;38(3):831-65.
4. Shi L, Macinko J, Starfield B, Politzer R, Wulu J, Xu J. Primary care, social inequalities, and allcause, heart disease, and cancer mortality in US counties, 1990. Am J Public Health. 2005;95(4):674-80.
5. Sixty-Second World Health Assembly. Primary health care, including health system strengthening. Resolution WHA62.12 [Internet]. Geneva: World Health Organization; 2009 May 22 [cited 2013 Mar 6]. Available from: http:// www.who.int/hrh/resources/A62_12_EN.pdf
6. World Health Organization. The World Health Report 2008: primary health care now more than ever. Geneva: WHO; 2008.
7. Kringos DS, Boerma WGW, Hutchinson A, van der Zee J, Groenewegen PP. The breadth of primary care: a systematic literature review of its core dimensions. BMC Health Serv Res. 2010;10(1):65-78.
8. Kringos DS, Boerma WGW, Bourgueil Y, Cartier T, Hasvold T, Hutchinson A, et al. The European Primary Care Monitor: structure, process, and outcome indicators. BMC Fam Pract. 2010;11(1):81-98.
9. Kringos DS. The strength of primary care in Europe [dissertation]. Utrecht, the Netherlands: NIVEL/Utrecht University; 2012.
10. To access the Appendix, click on the Appendix link in the box to the right of the article online.
11. Gerdtham UG, Jönssen B, Macfarlan M, Oxley H. The determinants of health expenditure in the OECD countries: a pooled data analysis. In: Zweifel P, editor. Health, the medical profession, and regulation. New York (NY): Springer US; 1998. p. 113-34.
12. Gress S, Delnoij D, Groenewegen P. Managing primary care behaviour through payment systems and financial incentives. In: Saltman R, Rico A, Boerma WGW, editors. Primary care in the driver's seat? Organizational reform in European primary care. Buckingham (UK): Open University Press; 2006. p. 184-200.
13. Kroneman MW, Maarse JAM, van der Zee J. Direct access in primary care and patient satisfaction: a European study. Health Pol. 2006; 76(1):72-9.
14. Ansari Z, Barbetti T, Carson NJ, Auckland MJ, Cicuttini F. The Victorian ambulatory care sensitive conditions study: rural and urban perspectives. Soz Praventivmed. 2003;48(1):33-43.
15. Parchman ML, Culler S. Primary care physicians and avoidable hospitalizations. J Fam Pract. 1994;39(2): 123-8.
16. Rosano A, Lauria L, Viola G, Burgio A, De Belvis AG, Ricciardi W, et al. Hospitalization for ambulatory care sensitive conditions and the role of primary care. Ital J Public Health. 2011;8(1):77-88.
17. Caminal J, Starfield B, Sánchez E, Casanova C, Morales M. The role of primary care in preventing ambulatory care sensitive conditions. Eur J Public Health. 2004;14(3):246-51.
18. Friedberg MW, Coltin KL, Pearson SD, Kleinman KP, Zheng J, Singer JA, et al. Does affiliation of physician groups with one another produce higher quality primary care? J Gen Intern Med. 2007;22(10):1385-92.
19. Sans-Corrales M, Pujol-Ribera E, Gene-Badia J, Pasarin-Rua MI, Iglesias-Perez B, Casajuana-Brunet J. Family medicine attributes related to satisfaction, health, and costs. Fam Pract. 2006;23(3):308-16.
20. Starfield B, Shi L, Macinko J. Contribution of primary care to health systems and health. Milbank Q. 2005;83(3):457-502.
21. Chapman JL, Zechel A, Carter YH, Abbott S. Systematic review of recent innovations in service provision to improve access to primary care. Br J Gen Pract. 2004;54(502):374-81.
22. Starfield B. State of the art in research on equity in health. J Health Polit Policy Law. 2006;31(1):11-32.
23. Van Doorslaer E, Masseria C, Koolman X. Inequalities in access to medical care by income in developed countries. Can Med Assoc J. 2006;174(2):177-83.
24. World Health Organization. European Health for All database [Internet]. Geneva: WHO Regional Office for Europe; c2013 [cited 2013 Mar 6]. Available from: http://data.euro.who.int/hfadb/
25. TNS Opinion and Social. Special Eurobarometer 283: health and long-term care in the European Union, wave 67.3 [CD-ROM]. Brussels: European Commission; 2007.
26. Organization for Economic Cooperation and Development. OECD health data 2011 [Internet]. Paris: OECD; c2012 [cited 2012 Apr 30]. Available for download from: http://stats.oecd.org/index.aspx?DataSetCode=HEALTH_STAT,Paris: OECD; c2012 [cited 2012 Apr 30]. Available for download from
27. International Diabetes Foundation. IDF diabetes atlas, 5th edition [Internet]. Brussels: IDF; c2011 [cited 2012 Apr 15]. Available from: http://www.idf.org/atlasmap/atlasmap
28. TNS Opinion and Social. Special Eurobarometer 272e: health in the European Union, wave 66.2 [CDROM]. Brussels: European Commission; 2007.
29. European Commission. Eurostat statistics [Internet]. Luxembourg: EC; c2012 [cited 2012 Apr 4]. Available for download from: http://epp.eurostat.ec.europa.eu/portal/page/portal/statistics/search_database
30. Kakwani NC, Wagstaff A, van Doorslaer E. Socioeconomic inequalities in health: measurement, computation, and statistical inference. J Econom. 1997;77(1):87-104.
31. Davis K, Abrams M, Stremikis K. How the Affordable Care Act will strengthen the nation's primary care foundation. J Gen Intern Med. 2011;26(10):1201-3.
32. Schoen C, Osborn R, Doty MM, Squires D, Peugh J, Applebaum S. A survey of primary care physicians in eleven countries, 2009: perspectives on care, costs, and experiences. Health Aff (Millwood). 2009;28(6): w1171-83. DOI: 10.1377/hlthaff .28.6.w1171.