EFPC 2013 Conference | Balancing Primary and Secondary Care Provision for More Integration and Better Health Outcomes


Foreword from EFPC

Welcome to the EFPC-conference “Balancing the Primary and Secondary Care provision for more integration and better health outcomes”.

Both the demographical and epidemiological transition and the increasing social and health problems related to poverty, challenges health systems in Europe to develop comprehensive and integrated responses. Patient- and people-centeredness are key features of primary care that can develop in community-oriented health facilities. In the era of multi-morbidity vertical disease-oriented programs should be replaced by an integrated approach, focusing on the needs of individuals and their families. This paradigm-shift will need not only new organisational structures, but also a new type of health professional able to improve quality and to act as a change agent in the health services.

In order to stimulate providers and services to be responsive to the needs of the population, appropriate, comprehensive and integrated payment systems should be explored and implemented. In addition, smooth care pathways from primary care to secondary care and hospitals with appropriate information-transfer are needed to improve health outcomes at an affordable price.

The European Forum for Primary Care (EFPC) has planned some specific actions for the forthcoming year. It wants to pay special attention to vulnerable groups in society. Therefore, the intention is to develop a position paper on “Primary Care and the health of Roma population”. This position paper could give a thorough analysis of the health situation of Roma in different countries and draw the lines for an international comprehensive approach to address the health problems.

The European Forum is convinced that cities and local authorities have an important role to play in the development of primary care and population health. Therefore, a working group on primary care and population health for European cities, “PRiPHECi”, has been established. This working group will look at appropriate strategies that can be used by local authorities to contribute to prevention and health promotion, reactive care, including emergencies, continuity of care, home care,…. The community-oriented and integrated primary care approach could be a model that fits very well to tackle most of the challenges. Moreover, at the local level there are opportunities for an intersectoral approach, integrating health and welfare sectors with housing, work, education, infrastructure,…

As always, this conference will be an opportunity to meet professionals, organisations, researchers, policy makers and all other stakeholders involved in primary care in Europe. The exchange of information by committed people is one of the major assets of EFPC-conferences. The inspiring intercultural environment with its rich history will stimulate the interaction.

Conference: 9-10 September 2013

Galatasaray University  – Istanbul (Turkey)


Key-note Speakers

Prof. Dr. Mehtap Tatar –  Hacettepe University, Faculty of Economics and Administrative Sciences, Department of Health Care Management, Ankara- Turkey

Prof. Dr. Mehtap Tatar has graduated from Hacettepe University School of Health Administration in 1984 with a B.Sc. degree and completed his MSc from the same university in 1987. She graduated from the M.Sc. in “Health Planning and Finance” program jointly offered by the London School of Economics and London School of Hygiene and Tropical Medicine in 1988. Prof. Tatar has received her PhD from Nottingham University School of Social Studies in 1993 and continued to work as a research assistant at Hacettepe University School of Health Administration until 1994 where she started working as an assistant professor until 1996. She became an associate professor in 1996 and a full-time professor in 2002. She worked as the head of the Department of Healthcare Management at Hacettepe University Faculty of Economics and Administrative Sciences between 2007-2011. She has been working as the Secretary General of Hacettepe University since December 2011. Prof. Tatar is also an adjunct professor at Washington State University Centre for Health Services Research since 2004. Her main areas of interest are health policy, health economics and pharmacoeconomics.

Marieke J. Schuurmans PhD, RN. Chair Nursing Science University Medical Centre Utrecht and Professor Care for Older People University of Applied Sciences Utrecht, the Netherlands

Marieke is a nurse and researcher, appointed professor and chair in Nursing Science at the UMC Utrecht and professor of Care for older people at the University of Applied Sciences in Utrecht. Working over ten years as a clinical nurse specialist in geriatric medicine she is an expert on complex nursing care of older people. In her PhD study she developed the Delirium Observation Screening (DOS) Scale, which is nowadays part of regular nursing care in Dutch hospitals and which is translated in numerous languages. Her current research focuses on daily functioning of older people with multimorbidity. Some recent grants in which she is involved as project leader: the TASTE programme, development of a line of research on self-management in multmorbid patients, the HELP study, a multicentre study to evaluate cost-effectiveness of a nurse-led inhospital program to prevent delirium and the U PROFIT study, a clinical trial in 90 primary care practices to evaluate comprehensive geriatric care in primary practices. Marieke Schuurmans is responsible for the Nursing Science Master Programme of the University Utrecht (annual graduation forty to fifty students) and supervises twenty PhD students. She is a member of the Dutch Health Council, chair of the research committee of the National Association of Nurses, fellow of the European Association of Nursing Scientists and member of Sigma Teta Tau International.

Katja Neubauer Deputy head of unit, European Commission, Health and Consumers Directorate-General, Healthcare Systems Unit , B232 08/66, B-1049 Brussels, Belgium.

Katja Neubauer graduated from the University of Konstanz in biology. Since 1994 she has been working as a civil servant for the European Commission in the areas of food safety and health. The focus of her current work is the European health workforce and the safety and quality of health services.

Dr Hans Kluge Director of the Division of Health Systems and Public Health (DSP), WHO Regional Office for Europe.

Dr. Hans Kluge is a Belgian trained medical doctor with a Masters degree in Public Health. Having worked in Somalia, Liberia and Siberia (in the prison system), and been based in the WHO Country Office in Myanmar and in the WHO Office of the Special Representative of the Director-General in the Russian Federation, Dr. Kluge has a wealth of country and management experience spanning several WHO Regions and a broad background in health systems, public health and infectious diseases.

Dr. Kluge moved to the WHO Regional Office in Copenhagen in 2009 when he was recruited to the position of Unit Head, Country Policies and Systems and has since worked as the Regional Director’s Special Representative to Prevent and Combat M/XDR-TB in the WHO European Region and most recently as Director, Division of Health Systems and Public Health.

Dr Pavlos N. Theodorakis MSc, PhD; Chair Greek MoH PHC Committee, Chair of the National PHC Committee, WHO National Counterpart for Mental Health, Adjunct Professor, Health Policy, Open University of Cyprus, General Practitioner

Pavlos N. Theodorakis, MD, MSc, DipLSHTM, PhD, is a General Practitioner with a PhD in the evaluation of the quality of primary health care services. He studied Health Policy, Planning and Financing at the London School of Economics, where he also worked as a research associate. He also worked as a clinical and research fellow at the Medical School of the University of Linkoping in Sweden in the evaluation of primary health care services in the Balkans. He further worked in primary care projects in Abkhazia-Georgia, and Pogradec-Albania during the Kossovo war. After closing down the first psychiatric asylum in Greece as a CEO in 2006, he is involved in several reform initiatives in primary health care and mental health sectors in Greece. He is currently the WHO National Counterpart for Greece in mental health issues and the President of the National Primary Health Care Committee, working close with EU Task Force for Greece and international experts for the implementation of the primary care sector reforms in Greece. He has more than 50 publications, including book chapters and articles in peer-review journals in the fields of health policy, public health and epidemiology. He is an Adjunct Professor at the Open University of Cyprus in Health Policy and has lectured at graduate and postgraduate level at the Universities of Ioannina, Crete and Athens Greece, as well as Linkoping, Sweden.

Dr.Cagri Kalaca CEO Saglik Bahcesi – A communication and education company, Istanbul, Turkey

Dr. Kalaca has been a Managing partner at Saglik Bahcesi, a communication and education company in Turkey, since 2002. He studied at the Medical University of Istanbul and finalised his family medicine training programme at the MoH Ankara Hospital. Furthermore, Dr Kalaca is educated in health communication, health care services marketing, epidemiology and a training of the trainer. During his career he has been an employee of the Ministry of Health at the Catalzeytin Health Centre, he has been working at the Ankara Training and Research Hospital, at the Ministry of Health, GD of Mother and Child Health and Family Planning. In addition, he has been head of the family medicine department, the founder and coordinator of Introduction to Clinical Practice Programme (1-3rd years), and trainer in advance ToT Programme for Academic Staff at the Marmara University School of Medicine. Currently, Dr Kalaca is founder and general secretary of the Medical Ethics Committee. In addition, he is a member of the Turkish Association of Family physicians, and he is the founder of the health education and drama association. Next to that, he is the founder and board member of the Turkish Foundation of Family Medicine (TAHEV). During his career he also have been the head of publications division of the Public Health Association (HASAK). Dr Kalaca Has national and international publications mostly published during his academic life.


Scientific Committee

Christine Beerepoot, WHO regional office for Europe
Danica Rotar, University Ljubljana
Mehmet Akman, Marmara University & TAHEV
Mehmet Sargin, TAHEV
Prof. İlhami Ünlüoğlu, Eskişehir Osmangazi University & TAHEV
Prof. Peter Groenewegen, NIVEL & EFPC
Prof. Jan De Maeseneer, Ghent University & EFPC
Mr. Diederik Aarendonk, EFPC

Organising Commitee

Dr. Mehmet Akman, TAHEV
Dr. İsmet Tamer, TAHEV
Ms. Bugu Usanma Koban, TAHEV
Mr. Engin Altinoz, TAHEV
Dr. Emrah Kırımlı, TAHEV
Mr. Diederik Aarendonk, EFPC
Mr. Matthijs van Maanen, EFPC
Ms. Anouk Faassen, EFPC