Netherlands Institute for Health Services Research (NIVEL) and Utrecht University, Departments of Sociology and Human Geography, Utrecht, Netherlands.
Netherlands Institute for Health Services Research (NIVEL), Utrecht, Netherlands.
Prim Health Care Res Dev. 2022 Jul 22;23:e40. doi: 10.1017/S1463423622000287.
To inform the primary care community about priorities for research in primary care as came up from the European project TO-REACH and to discuss transferability of service and policy innovations between countries.
TO-REACH stands for ransfer of rganizational innovations for esilient, ffective, equitable, ccessible, sustainable and omprehensive ealth services and systems. This EU-funded project has put health systems and services research higher on the European agenda and has led to the current development of a European 'Partnership Transforming Health and Care Systems'.
To identify research priorities, both qualitative and quantitative approaches were used. Policy documents and strategic roadmaps were searched, and priorities were mapped. Stakeholders were involved through national roundtable consultations and online consultations. Regarding transferability, we carried out a review of the literature, guided by a conceptual framework, and using a snowballing approach.
Primary care emerged as an important priority from the inventory, as are areas that are conducive to strengthening primary care, such as workforce policies. The large variation in service organisation and policy around primary care in Europe is a huge potential for cross-country learning. However, the simple transfer of primary care service and policy arrangements from one health system to another has a big chance to fail, unless known conditions for successful transfer are taken into account and gaps in our knowledge about transfer are resolved.
向初级保健社区通报初级保健研究的优先事项，这些优先事项来自欧洲项目 TO-REACH，并讨论国家间服务和政策创新的可转移性。
TO-REACH 代表转移组织创新以实现有弹性、有效、公平、可及、可持续和综合的卫生服务和系统。这个由欧盟资助的项目将卫生系统和服务研究提上了欧洲议程的更高位置，并导致了当前欧洲“转型健康和护理系统伙伴关系”的发展。
为了确定研究优先事项，使用了定性和定量方法。搜索了政策文件和战略路线图，并对优先事项进行了映射。通过国家圆桌会议协商和在线协商让利益攸关方参与进来。关于可转移性，我们根据一个概念框架，采用滚雪球的方法，对文献进行了综述。
初级保健是从清单中确定的一个重要优先事项，还有一些有利于加强初级保健的领域，如劳动力政策。欧洲初级保健服务和政策组织的巨大差异是跨国学习的巨大潜力。然而，除非考虑到成功转移的已知条件，并解决我们关于转移的知识差距，否则将初级保健服务和政策安排从一个卫生系统简单地转移到另一个卫生系统很有可能会失败。
