Institute of General Practice, Hannover Medical School, 30625 Hannover, Germany.
Eur J Gen Pract. 2010 Mar;16(1):42-50. doi: 10.3109/13814780903563725.
At the WONCA Europe conference 2009 the recently published 'Research Agenda for General Practice/Family Medicine and Primary Health Care in Europe' was presented. It is a background paper and reference manual, providing advocacy of general practice/family medicine (GP/FM) in Europe. The Research Agenda summarizes the evidence relating to the core competencies and characteristics of the WONCA Europe definition of GP/FM, and its implications for general practitioners/family doctors, researchers and policy makers. The European Journal of General Practice publishes a series of articles based on this document. In a first article, background, objectives, and methodology were discussed. In this second article, the results for the core competencies 'primary care management' and 'community orientation' are presented. Though there is a large body of research on various aspects of 'primary care management', it represents a very scattered rather than a meta view. Many studies focus on care for specific diseases, the primary/secondary care interface, or the implications of electronic patient records. Cost efficiency or process indicators of quality are current outcomes. Current literature on community orientation is mainly descriptive, and focuses on either care for specific diseases, or specific patient populations, or on the uptake of preventive services. Most papers correspond poorly to the WONCA concept. For both core competencies, there is a lack of research with a longitudinal perspective and/or relevant health or quality of life outcomes as well as research on patients' preferences and education for organizational aspects of GP/FM.
在 2009 年的 WONCA 欧洲会议上，发布了最近出版的《欧洲普通科/家庭医学和初级卫生保健研究议程》。这是一份背景文件和参考手册，倡导在欧洲开展普通科/家庭医学（GP/FM）。该研究议程总结了与 WONCA 欧洲 GP/FM 定义的核心能力和特征相关的证据，及其对全科医生/家庭医生、研究人员和政策制定者的影响。《欧洲普通医学杂志》根据该文件发表了一系列文章。在第一篇文章中，讨论了背景、目的和方法。在第二篇文章中，介绍了核心能力“初级保健管理”和“社区导向”的结果。尽管有大量关于“初级保健管理”各个方面的研究，但这些研究非常分散，而不是元分析。许多研究侧重于特定疾病的护理、初级/二级保健界面，或电子病历的影响。成本效益或质量的过程指标是当前的结果。关于社区导向的现有文献主要是描述性的，侧重于特定疾病的护理、特定患者群体、或预防服务的采用。大多数论文与 WONCA 的概念不太相符。对于这两个核心能力，缺乏具有纵向视角和/或相关健康或生活质量结果的研究，以及关于患者偏好和组织方面的教育的研究。
