Publications

Final overall reports Imprim

Remunerating PCH
WP3
Instruments for improving the financial provisions for Primary Health Care

Professional development
WP4
Measures to enhance and harmonize professional development and team work in PHC

Regional planning
WP5
PHC as one pillar of regional development: Strategies to increase regional competitiveness

Final single reports Imprim


Incentive payments for high quality PHC performance
Report #1
WP3

Quality indicators for high quality PHC performance
Report #2
WP3

Pilot projects on quality indicators in Lithuania and Latvia
Report #3
WP3

Adjusted Clinical Groups (ACG) and co-morbidity
WP3

The Swedish Quality Registries and PHC
WP3

The clinical audit tool
Report #4
WP4

Strategy for continuous professional development
Report #5
WP4

Multi professional teamwork
Report #6
WP4

Changing Brain drain to Brain circulation
Report #7
WP4

School for tutors - Training the Trainers programme
Annex
WP4

Strenghtening PHC in remote areas
Report #8
WP5

Counteracting bacterial resistance in the BSR
Report #9
WP5

Health Synergy
Report #10
WP5

Incorporating PHC into regional development plans
Report #11
WP5

Concise report on deliverables and reports ImPrim


Kortfattad översikt av resultatet och rapporter från ImPrim
Sweden/Sverige

Concise report on deliverables and reports ImPrim
England

Краткий обзор окончательных результатов и отчетов ImPrim
Russia/Kaliningrad

Sutrumpintas rezultatų ir ataskaitų aprašymas ImPrim
Lithuania

Lühike tulemuste ja aruannete loetelu ImPrim
Estonia

Lyhyt katsaus hankkeen tuloksiin ja raportteihin ImPrim
Finland

Īss ziņojumu apskats ImPrim
Latvia

Коратка аб выніках і справаздачы ImPrim
Belarus

Working for more and better primary care in the Baltic Sea Region

“Twenty years have passed since the first contacts were made between Scandinavian GPs and colleagues in Estonia, Latvia, Lithuania, Poland, and Russia. Today these Baltic and Nordic colleagues are project partners in ongoing EU projects or have built up a close collaboration between their universities.

One of the earliest initiatives was Forum Balticum, a research-methodological workshop, aimed to stimulate the development of primary care research. In the Baltic countries, academic and clinical family medicine has advanced strongly since then."
“...We have seen great gains in health system efficiency and health outcomes through 20 years of reform in all countries in the Baltic Sea region, many of these led by strong PHC development. However, we do need continued innovation and progress. This includes research, education, quality development, financial incentives, and implementation of new technology. Hence, we have a lot to learn from each other via established and future Baltic Sea region networks. PHC needs to continue to develop its scope and content, and health promotion is essential to reduce the gender gap in life expectancy."

Ref: Wilkens J, Ovhed I , Strandberg E L. Working for more and better primary care in the Baltic Sea Region. Scand J Prim Health Care 2012; 30: 133 — 134.

Funding Primary Health Care in the Baltic Sea Area - Joint Transnational Synthesis Report for ImPrim countries

By: Jens Wilkens, Blekinge Centre of Competence, 2011

There are substantial health differences between the countries of the Baltic Sea region. While the gap between Scandinavian and Baltic countries among basic health status indicators is slowly closing in, some crucial differences remain. These are notably the health status in Russia, which has not significantly improved like the economy after the socio-economic stress in the early 90´s, but also the differences between men and women, which still prevails also in the Baltic countries.

This report concludes that the last two decades of efforts in reforms of our health systems, on both sides of the Baltic Sea, to increase efficiency and promote preventive services, have not generally created equity problems. With specific exceptions, all residents of the Baltic Sea region countries are still generally enjoying publically funded services. However, we still lack some evidence about how the last years´ reforms have affected equity in access and utility of PHC specifically. The report also concludes that the differences in financial resources between countries in our region do not necessarily mean anything for the differences in providing services. Countries with more limited resources, or countries prioritising health less than other, still seem to have good accessibility to services. Instead reforms to strengthen PHC are about needed prioritisation of PHC, and development of the content and increase of the scope of services in PHC.

Read "Funding Primary Health Care in the Baltic Sea Area"

Nurses´workload, Klaipeda Region, Lithuania

- A tool developed for quality improvement from a bottom-up perspective

By:

  • Gintare Sirutyt, Family clinic UAB, Mano šeimos gydytojas
  • Jurate Beinoriene, VšĮ"Jūrininkų sveikatos priežiūros centras
  • Ingvar Ovhed, Blekinge Centre of Competence

ImPrim EU-BSR flagship project focus on primary health care development and especially on the role of nurses in basic health care. In Work Package 4 one of the deliverables are to develop tools for quality improvement from a bottom-up perspective. To have such a tool web-based has been tried several times in primary health care in Scandinavia, but has not been considered realistic. Not least due to the demand for confidentiality from the individual participants.

Nurses taking part in the ImPrim courses in Turku University, Finland and Blekinge, Sweden have all carried out pilot audit project in the field "Nurses' work load" to describe their work up to structure, process and results. Two groups of nurses in Klaipeda region continued in a full size audit registering in family doctors clinics — group A and in policlinics - Group B. In group A 15 nurses registered 2733 and in group B 20 nurses registered 4396 consultations. In all 7129 consultations were registered during one week in march 2011.

Read "On Nurses´workload" here

Diabetes care — an APO-audit by family nurses in Kaliningrad region

A subproject associated to the EUBSR-NDPHS flagship project ImPrim

By:

  • Elena Egorova GP, MD, Association of General practitioners of Russian Federation in Kaliningrad region
  • Elena But-Gusaim, RN, MYZGor.policlinic in Kaliningrad
  • Ingvar Ovhed, GP, MD, PhD, Blekinge Centre of Competence

This report is part of the APO-audit process for Primary Health Care (PHC)qualitydevelopment. The first step is an initial professional discussion and decision-making on topic to choose and variables to measure in clinical practice. The registration takes place during a specific time parallel by a number of colleagues. After that the data are processed and analyzed. A report on the group results is produced for the participants.

The report will be the basis for an internal discussion as well as a follow-up for the whole group where even resource persons like subspecialists are invited. Each participant will also get their personal results, which are strict confidential. Supported by the Minister of Health and due to an earlier decision among family nurses and family doctors in Kaliningrad region the topic “Diabetes care in PHC in Kaliningrad region" was chosen. Both family doctors and family nurses carried out specific audit registrations on this topic during spring 2011.

Read "Diabetes Care - an APO-audit by family nurses in Kaliningrad region

Diabetes care — an APO-audit by family doctors in Kaliningrad region

A subproject associated to the EUBSR-NDPHS flagship project ImPrim

By:

  • Elena Egorova GP, MD Association of General practitioners of Russian Federation in Kaliningrad region
  • Ingvar Ovhed, GP, MD, PhD, Blekinge Centre of Competence

This report is part of the APO-audit process for Primary Health Care (PHC)qualitydevelopment.

The first step is an initial professional discussion and decision-making on topic to choose and variables to measure in clinical practice. The registration takes place during a specific time parallel by a number of colleagues. After that the data are processed and analyzed. A report on the group results is produced for the participants.

The report will be the basis for an internal discussion as well as a follow-up for the whole group where even resource persons like subspecialists are invited. Each participant will also get her/his personal results, which are strict confidential. Supported by the Minister of Health and due to an earlier decision among family doctors in Kaliningrad region the topic “Diabetes care in PHC in Kaliningrad region" was chosen. Both family doctors and family nurses carried out specific audit registrations on this topic during spring 2011.

Read "Diabetes Care - an APO-audit by family doctors in Kaliningrad region

Senast uppdaterad 2014-01-31 15:13:00