Primary Care in the Driver's Seat?



Organizational reform in European primary care

  • What is the best way to structure primary care services?
  • How can co-ordination between primary care and other parts of health care systems be improved?
  • How should new technologies be integrated into primary care?

There is considerable agreement among national policy makers across Europe that, in principle, primary care should be the linchpin of a welldesigned health care system. This agreement, however, does not carry over into the organizational mechanisms best suited to pursuing or achieving this common objective. Across western, central and eastern Europe, primary care is delivered through a wide range of institutional, financial, professional and clinical configurations. This book is a study of the reforms of primary care in Europe as well as their impacts on the broader co-ordination mechanisms within European health care systems. It also provides suggestions for effective strategies for future improvement in health care system reform.

Primary Care in the Driver’s Seat is key reading for students studying health policy, health economics, public policy and management, as well as health managers and policy makers.


The editors

Richard B. Saltman is Professor of Health Policy and Management at the Rollins School of Public Health, Emory University in Atlanta, USA and Research Director at the European Observatory on Health Systems and Policies.

Ana Rico is Assistant Professor of Health Politics at the Department of Health Management and Health Economics at the University of Oslo, Norway.

Wienke Boerma is Senior Researcher at the Netherlands Institute of Health Services Research (NIVEL) in Utrecht, the Netherlands.

The contributors
Richard Baker, Sven-Eric Bergman, Wienke Boerma, Mats Brommels, Michael Calnan, Diana Delnoij, Anna Dixon, Carl-Ardy Dubois, Joan Gené Badia, Bernhard Gibis, Stefan Greß, Peter Groenewegen, Jan Heyrman, Jack Hutten, Michael Kidd, Mårten Kvist, Miranda Laurant, Margus Lember, Martin Marshall, Alison McCallum, Toomas Palu, Ana Rico, Ray Robinson, Valentin Rusovich, Richard B. Saltman, Anthony Scott, Rod Sheaff, Igor Svab, Bonnie Sibbald, Hrvoje Tiljak, Michel Wensing.