Three axes for primary care reforms (with Decalogue included)

Jordi Varela
Editor

 

From the Alma-Ata declaration of 1978 to the Astana declaration of 2018

In 1978, through the Alma-Ata declaration, the WHO recommended that all countries should deploy universal access to primary health care, appropriate to the needs of each territory. The health of the communities should be attended to with a proactive attitude as it was the gateway to a healthy system. Countries that followed these recommendations, including the United Kingdom and Spain, have achieved more equitable and orderly services than those that have not, such as Germany and the United States. At the same time the waste was reduced, given that their services are more tailored to the characteristics of each person and each family.

Transitional Primary Care

Salvador Casado

Edward Coley-Jones
Head study of Perseus 1875

If even a pandemic like the current one has not been able to strengthen and improve Primary Care many wonder if anything will. And it will not be for money, given the generosity of European funds. With the devastation and the enormous burden it has assumed, it has become clear that the system has neither the capacity to adapt nor the energy to take on inexpected situations. Any increase in voltage overheats professionals who are already being pressed by high voltage. Those who attend to patients over forty every day are likely to move into the next hellish circle with ten or twenty more. 

Social agriculture

Josep Vidal-Alaball

In this section, we talked about the benefits for the community and public health of things as diverse as including health in all government policies, having community health agents, implementing telemedicine services, or using neighbourhood pharmacies or drug stores and public markets to carry out social and community actions. On the same topic, I would like to relate another initiative aimed at enhancing the community’s capacities such as agriculture and social farms. Social farming is the practice of participating in family farms as a form of social support service. In return, farmers have the opportunity to increase their income by developing the provision of social services, thereby further exploiting their agricultural skills. Participants can go to the farm one to five days a week. Each social farm is unique and offers its program of activities and opportunities. Similarly, participants confirm the activities they want to participate in.

The patient as a key agent for the exchange of health information in Europe

Tino Martí

Health care between the countries of the European Union is regulated by Directive 2011/24/EU of the European Parliament and the Council, on the application of the rights of patients in cross-border healthcare, published on March 9, 2011, One of the objectives of the directive is to regulate access to patient information. The exchange of health information is important to ensuring quality care and allowing continuity and coordination beyond the borders of the different health systems existing in Europe, whether at national or regional level.