Pilot general practitioner teams in North-East Hungary

Projet terminé

Health status in Hungary is clearly below EU average, especially among marginalized groups. In a pilot programme, newly set-up general practitioner teams will provide a broader scope and better quality of health services in disadvantaged Hungarian regions. Together with accompanying research, the results of this pilot programme will serve as basis for a country-wide introduction of this model.
 



  

Pays/région Thème Période Budget
Hongrie
Accroître la sécurité sociale
Soins de santé primaire
01.07.2012 - 31.05.2017
CHF 13'000'000

Note: the texts under all the headings, with the exception of 'Results achieved', describe the situation before the start of the project.

Contexte Health status in Hungary is clearly below EU average, especially in the North-East of the country. Children, the elderly and marginalized groups, including Roma, are particularly affected. While primary health care services have a strong curative focus, they pay little attention to marginalized populations, to prevention or to health promotion aspects. Moreover, data collection at the primary level is often patchy and appropriate software is not available which would help to analyse data necessary to manage health care efficiently.

Objectifs

The goal is to improve the health status of children, elderly and of marginalized groups in selected micro regions in North Hungary and the Northern Great Plains. For this purpose, a community oriented primary health care model focusing on prevention and chronic disease management is developed and field tested in close cooperation with local governments, local Roma minority self-governments, local health and social care services. Furthermore, recommendations for national health policy definition are elaborated for a country-wide replication of the model.

Groupes cibles
  • Involved medical institutes
  • Universities
  • Medical staff / social workers
  • Civil society (like NGOs, interest groups)
  • 50’000 inhabitants of the affected regions, especially marginalized groups.
Activités

In disadvantaged areas of North-East Hungary, pilot practice teams (family doctors teaming up with health coordinator, dietician, physiotherapist, mental hygienist, Roma health guards, related disciplines) are set-up, giving special attention to prevention activities (e.g. mother and child care). Team members receive further training in primary care and family medicine education, provided by medical universities. A new system of primary care data reporting and processing is developed and introduced, facilitating research by a newly created health cluster. Based on research and pilot results, a health policy and health financing impact study is prepared as basis for a country-wide introduction of the model.

Résultats

Résultats obtenus:  

  • The health status of approximately 18'000 patients was assessed and healthcare professionals are offering additional services (health promotion programmes, rehabilitation etc) for 2'000 inhabitants per month in average.
  • Employment for 76 persons
  • Roma baby-mother clubs were launched and are functioning
  • Vocational training in assistant nursing and social work was organized for 18 health mediators
  • 67 Cooperation Agreements were signed by stakeholders (NGOs, schools etc) to serve as a basis for joint actions and health development projects.               


Direction/office fédéral responsable DDC
Crédit Contribution suisse à l'UE élargie
Partenaire de projet Partenaire contractuel
Institution étatique étrangère
  • National State Institute North


Budget Phase en cours Budget de la Suisse CHF   13'000'000 Budget suisse déjà attribué CHF   11'399'547
Phases du projet

Phase 1 01.07.2012 - 31.05.2017   (Completed)