The future of primary healthcare in Europe III, Pisa 2010.
Notice bibliographique
Résumé
The third biennial conference of the European Forum for Primary Care (EFPC) in Pisa, August 2010, aimed at enabling participants to identify, define and appreciate topics – ranging from policy to organisation, management and clinical care – which are likely to determine the future of primary care (PC) in Europe. As one of the participants in the discussions that led to the 2009 World Health Assembly resolution on PC (WHA 62.12), the EFPC wants to take this resolution as the guideline for further development of policy advice to all the countries in the European region that signed the resolution. Crucial for the success of the primary healthcare response is to ensure that PC professionals continue to work in and with communities. To make health care more effective, disease-specific vertical programmes should be implemented in the context of integrated primary health care (see: www.15by2015.org). Good practice in the integration of responsive PC and providing a wide range of services can be found everywhere in Europe. At the Pisa conference a number of these good practices from various countries including Canada, TheNetherlands, theUK, Spain and of course the hosting country Italy were presented through video presentations. A debate session was held around the specific theme of health inequalities in PC. All these examples were underpinned by high-level keynote speeches from front-runners in the area of community oriented primary health care. The EFPC is always looking to support contributions which address, in particular, issues of equitable access, cost-effectiveness, service delivery, clinical quality and themaintenance of continuity of care. Both urban and rural settings are relevant, with their differing but equally important modern pressures. The recent rapid increase in the number of member countries, in both the European Union (EU) and the WHOEuropeanRegion, demands a clear understanding of the overall impact on health and public service systems of both the emergent new clinical approaches and service delivery models in contemporary primary health care. Internationally these range from small general medical practices to multiprofessional, community oriented PC centres. All national health systems currently share similar pressures for change and development.Collaboration in understanding both these pressures and the responses they require is essential if the modern Europe is to take forward its economic and social development, and enhance the overall health status of its divergent but increasingly interdependent communities. In this context six common pressures for change and development were identified from a review of individual states’ current policies and from relevant international research. These may be regarded as the formative influences on the future organisation of primary health care in Europe. Together they represent the agenda for shared learning:
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,003 | 0,003 |
| Méta-épidémiologie (sens strict) | 0,001 | 0,001 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,001 | 0,002 |
| Études des sciences et des technologies | 0,002 | 0,001 |
| Communication savante | 0,009 | 0,004 |
| Science ouverte | 0,001 | 0,005 |
| Intégrité de la recherche | 0,007 | 0,005 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,017 | 0,006 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».