IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v99y2013icp9-17.html
   My bibliography  Save this article

Political, cultural and economic foundations of primary care in Europe

Author

Listed:
  • Kringos, Dionne S.
  • Boerma, Wienke G.W.
  • van der Zee, Jouke
  • Groenewegen, Peter P.

Abstract

This article explores various contributing factors to explain differences in the strength of the primary care (PC) structure and services delivery across Europe. Data on the strength of primary care in 31 European countries in 2009/10 were used. The results showed that the national political agenda, economy, prevailing values, and type of healthcare system are all important factors that influence the development of strong PC. Wealthier countries are associated with a weaker PC structure and lower PC accessibility, while Eastern European countries seemed to have used their growth in national income to strengthen the accessibility and continuity of PC. Countries governed by left-wing governments are associated with a stronger PC structure, accessibility and coordination of PC. Countries with a social-security based system are associated with a lower accessibility and continuity of PC; the opposite is true for transitional systems. Cultural values seemed to affect all aspects of PC. It can be concluded that strengthening PC means mobilising multiple leverage points, policy options, and political will in line with prevailing values in a country.

Suggested Citation

  • Kringos, Dionne S. & Boerma, Wienke G.W. & van der Zee, Jouke & Groenewegen, Peter P., 2013. "Political, cultural and economic foundations of primary care in Europe," Social Science & Medicine, Elsevier, vol. 99(C), pages 9-17.
    • Handle: RePEc:eee:socmed:v:99:y:2013:i:c:p:9-17
    DOI: 10.1016/j.socscimed.2013.09.017
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277953613005236
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.socscimed.2013.09.017?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Boerma, Wienke G. W., 1989. "Local housing scheme and political preference as conditions for the results of a health centre-stimulating policy in The Netherlands," Health Policy, Elsevier, vol. 13(3), pages 225-237, December.
    2. Pelone, Ferruccio & Kringos, Dionne Sofia & Valerio, Luca & Romaniello, Alessandro & Lazzari, Agnese & Ricciardi, Walter & de Belvis, Antonio Giulio, 2012. "The measurement of relative efficiency of general practice and the implications for policy makers," Health Policy, Elsevier, vol. 107(2), pages 258-268.
    3. Kruk, Margaret Elizabeth & Porignon, Denis & Rockers, Peter C. & Van Lerberghe, Wim, 2010. "The contribution of primary care to health and health systems in low- and middle-income countries: A critical review of major primary care initiatives," Social Science & Medicine, Elsevier, vol. 70(6), pages 904-911, March.
    4. Westert, Gert P. & Groenewegen, Peter P., 1999. "Regional disparities in health care supply in eleven European countries: does politics matter?," Health Policy, Elsevier, vol. 47(2), pages 169-182, May.
    5. Tovey, Philip & Adams, Jon, 2001. "Primary care as intersecting social worlds," Social Science & Medicine, Elsevier, vol. 52(5), pages 695-706, March.
    6. Erumban, Abdul Azeez & de Jong, Simon B., 2006. "Cross-country differences in ICT adoption: A consequence of Culture?," Journal of World Business, Elsevier, vol. 41(4), pages 302-314, December.
    7. Kroneman, Madelon W. & Maarse, Hans & Zee, Jouke van der, 2006. "Direct access in primary care and patient satisfaction: A European study," Health Policy, Elsevier, vol. 76(1), pages 72-79, March.
    8. Ros, Corina C. & Groenewegen, Peter P. & Delnoij, Diana M. J., 2000. "All rights reserved, or can we just copy? Cost sharing arrangements and characteristics of health care systems," Health Policy, Elsevier, vol. 52(1), pages 1-13, May.
    9. Tenbensel, Tim & Eagle, Samantha & Ashton, Toni, 2012. "Comparing health policy agendas across eleven high income countries: Islands of difference in a sea of similarity," Health Policy, Elsevier, vol. 106(1), pages 29-36.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Akman, Mehmet & Sakarya, Sibel & Sargın, Mehmet & Ünlüoğlu, İlhami & Eğici, Memet Taşkın & Boerma, Wienke G.W. & Schäfer, Willemijn L.A., 2017. "Changes in primary care provision in Turkey: A comparison of 1993 and 2012," Health Policy, Elsevier, vol. 121(2), pages 197-206.
    2. Kelly, Niall & Garvey, John & Palcic, Dónal, 2016. "Health policy and the policymaking system: A case study of primary care in Ireland," Health Policy, Elsevier, vol. 120(8), pages 913-919.
    3. Vermeulen, Lisa & Schäfer, Willemijn & Pavlic, Danica Rotar & Groenewegen, Peter, 2018. "Community orientation of general practitioners in 34 countries," Health Policy, Elsevier, vol. 122(10), pages 1070-1077.
    4. Reibling, Nadine & Ariaans, Mareike & Wendt, Claus, 2019. "Worlds of Healthcare: A Healthcare System Typology of OECD Countries," Health Policy, Elsevier, vol. 123(7), pages 611-620.
    5. Ana Isabel Ribeiro & Elias Teixeira Krainski & Marilia Sá Carvalho & Guy Launoy & Carole Pornet & Maria de Fátima Pina, 2018. "Does community deprivation determine longevity after the age of 75? A cross-national analysis," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 63(4), pages 469-479, May.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Groenewegen, Peter P. & Dourgnon, Paul & Greß, Stefan & Jurgutis, Arnoldas & Willems, Sara, 2013. "Strengthening weak primary care systems: Steps towards stronger primary care in selected Western and Eastern European countries," Health Policy, Elsevier, vol. 113(1), pages 170-179.
    2. Vermeulen, Lisa & Schäfer, Willemijn & Pavlic, Danica Rotar & Groenewegen, Peter, 2018. "Community orientation of general practitioners in 34 countries," Health Policy, Elsevier, vol. 122(10), pages 1070-1077.
    3. Simon Pol & Paula Rojas Garcia & Fernando Antoñanzas Villar & Maarten J. Postma & Antoinette D. I. Asselt, 2021. "Health-Economic Analyses of Diagnostics: Guidance on Design and Reporting," PharmacoEconomics, Springer, vol. 39(12), pages 1355-1363, December.
    4. Ana León-Gómez & José Manuel Santos-Jaén & Daniel Ruiz-Palomo & Mercedes Palacios-Manzano, 2022. "Disentangling the impact of ICT adoption on SMEs performance: the mediating roles of corporate social responsibility and innovation," Oeconomia Copernicana, Institute of Economic Research, vol. 13(3), pages 831-866, September.
    5. Glinos, Irene A. & Doering, Nora & Maarse, Hans, 2012. "Travelling home for treatment and EU patients’ rights to care abroad: Results of a survey among German students at Maastricht University," Health Policy, Elsevier, vol. 105(1), pages 38-45.
    6. Lê, Gillian & Morgan, Rosemary & Bestall, Janine & Featherstone, Imogen & Veale, Thomas & Ensor, Tim, 2016. "Can service integration work for universal health coverage? Evidence from around the globe," Health Policy, Elsevier, vol. 120(4), pages 406-419.
    7. Chi-Yo Huang & Hui-Ya Wang & Chia-Lee Yang & Steven J. H. Shiau, 2020. "A Derivation of Factors Influencing the Diffusion and Adoption of an Open Source Learning Platform," Sustainability, MDPI, vol. 12(18), pages 1-27, September.
    8. Yeh, Ching-Hsuan & Wang, Yi-Shun & Yieh, Kaili, 2016. "Predicting smartphone brand loyalty: Consumer value and consumer-brand identification perspectives," International Journal of Information Management, Elsevier, vol. 36(3), pages 245-257.
    9. repec:ddj:parsro:y:2013:i:2:p:53-61 is not listed on IDEAS
    10. van Hoorn, Andre, 2016. "How much does job autonomy vary across countries and other extra-organizational contexts?," MPRA Paper 80010, University Library of Munich, Germany.
    11. Uzuegbunam, Ikenna & Geringer, J. Michael, 2021. "Culture, connectedness, and international adoption of disruptive innovation," Journal of International Management, Elsevier, vol. 27(1).
    12. Stuchlý, Peter & Hennyeyová, Klára & Janšto, Erik & Šilerová, Edita & Vaněk, Jiří, 2023. "Marketing Management of Electronic Commerce in the Process of Current Marketing Management," AGRIS on-line Papers in Economics and Informatics, Czech University of Life Sciences Prague, Faculty of Economics and Management, vol. 15(2), June.
    13. Ioana Andreea Bogoslov & Sorina Corman & Anca Elena Lungu, 2024. "Perspectives on Artificial Intelligence Adoption for European Union Elderly in the Context of Digital Skills Development," Sustainability, MDPI, vol. 16(11), pages 1-34, May.
    14. Eibich, Peter & Ziebarth, Nicolas R., 2014. "Analyzing regional variation in health care utilization using (rich) household microdata," Health Policy, Elsevier, vol. 114(1), pages 41-53.
    15. Qu, Wen Guang & Yang, Zhiyong & Wang, Zhongming, 2011. "Multi-level framework of open source software adoption," Journal of Business Research, Elsevier, vol. 64(9), pages 997-1003, September.
    16. Humphrey M. Sabi & Faith-Michael E. Uzoka & Kehbuma Langmia & Felix N. Njeh & Clive K. Tsuma, 0. "A cross-country model of contextual factors impacting cloud computing adoption at universities in sub-Saharan Africa," Information Systems Frontiers, Springer, vol. 0, pages 1-24.
    17. Potrafke, Niklas & Roesel, Felix, 2020. "The urban–rural gap in healthcare infrastructure: does government ideology matter?," EconStor Open Access Articles and Book Chapters, ZBW - Leibniz Information Centre for Economics, vol. 54(3), pages 340-351.
    18. Pavlova, Milena & Groot, Wim & van Merode, Godefridus, 2002. "Public attitudes towards patient payments in Bulgarian public health care sector: results of a household survey," Health Policy, Elsevier, vol. 59(1), pages 1-24, January.
    19. Emmanuel Senior Tenakwah & Emmanuel Junior Tenakwah & Mary Amponsah & Sarah Eyaa & Elliot Boateng & Nekpen Okhawere, 2022. "Adoption of Sustainable Technologies during Crisis: Examining Employees’ Perception and Readiness across Cultures," Sustainability, MDPI, vol. 14(8), pages 1-20, April.
    20. Hernan G. Roxas & Val Lindsay & Nicholas Ashill & Antong Victorio, 2007. "Institutional analysis of strategic choice of micro, small, and medium enterprises : a conceptual framework," Philippine Review of Economics, University of the Philippines School of Economics and Philippine Economic Society, vol. 44(1), pages 151-186, June.
    21. Danyliv, Andriy & Groot, Wim & Gryga, Irena & Pavlova, Milena, 2014. "Willingness and ability to pay for physician services in six Central and Eastern European countries," Health Policy, Elsevier, vol. 117(1), pages 72-82.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:99:y:2013:i:c:p:9-17. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.