Primary prevention in hospitals in 20 high-income countries in Europe – A case of not “Making Every Contact Count”?

IF 3.6 3区医学 Q1 HEALTH CARE SCIENCES & SERVICES

Health Policy Pub Date : 2024-11-08 DOI:10.1016/j.healthpol.2024.105199

Bernd Rechel , Béatrice Durvy , Gonçalo Figueiredo Augusto , Isabelle Aujoulat , Daiga Behmane , Anne-Carole Bensadon , Sara Burke , Melissa D'Agostino , Krisztina Davidovics , Mark Dayan , Antonio Giulio De Belvis , Judith de Jong , Katarzyna Dubas-Jakóbczyk , Inês Fronteira , Elena Gabriel , Giuseppe Greco , Peter Groenewegen , Signe Smith Jervelund , Marios Kantaris , Madelon Kroneman , Tuija Ylitörmänen

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Abstract

This article provides a snapshot of primary prevention activities in hospitals in 20 European high-income countries, based on inputs from experts of the Observatory's Health Systems and Policies Monitor (HSPM) network using a structured questionnaire. We found that in the vast majority of countries (15), there are no systematic national policies on primary prevention in hospitals. Five countries (Cyprus, Finland, Ireland, Romania and the United Kingdom) reported systematic primary prevention activities in hospitals, although in one of them (Cyprus) this was due to the fact that small hospitals in rural areas or less populated districts host providers of primary care. In two of the five countries with systematic national policies on primary prevention, there are no incentives (financial or otherwise) to provide these interventions. The remaining three countries (Finland, Romania and the United Kingdom) report the existence of incentives, but only two of them (Romania and the United Kingdom) provide financial incentives in the form of additional funding. Only two of the 20 countries (Ireland and the United Kingdom) make explicit use of the Making Every Contact Count (MECC) approach. Overall, it can be concluded that there is little focus on primary prevention in hospitals in Europe, which may be seen as a missed opportunity.

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欧洲 20 个高收入国家医院的初级预防--没有 "让每次接触都有价值"？

本文介绍了欧洲 20 个高收入国家医院开展初级预防活动的情况，其依据是观察站卫生系统与政策监测（HSPM）网络的专家通过结构化问卷调查提供的信息。我们发现，绝大多数国家（15 个）都没有关于医院一级预防的系统性国家政策。有五个国家（塞浦路斯、芬兰、爱尔兰、罗马尼亚和英国）报告了在医院开展系统的初级预防活动的情况，不过其中一个国家（塞浦路斯）是因为农村地区或人口较少地区的小型医院提供初级保健服务。在五个制定了系统的初级预防国家政策的国家中，有两个国家没有提供这些干预措施的激励措施（财政或其他）。其余三个国家（芬兰、罗马尼亚和英国）报告说有激励措施，但其中只有两个国家（罗马尼亚和英国）以追加资金的形式提供财政激励。在 20 个国家中，只有两个国家（爱尔兰和英国）明确采用了 "让每次接触都有价值"（MECC）的方法。总之，可以得出结论，欧洲的医院很少关注初级预防，这可能被视为错失良机。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Health Policy 医学-卫生保健

CiteScore

6.40

自引率

6.10%

发文量

157

审稿时长

3-8 weeks

期刊介绍： Health Policy is intended to be a vehicle for the exploration and discussion of health policy and health system issues and is aimed in particular at enhancing communication between health policy and system researchers, legislators, decision-makers and professionals concerned with developing, implementing, and analysing health policy, health systems and health care reforms, primarily in high-income countries outside the U.S.A.