Expert Panel

Public consultation on the preliminary opinion on Definition primary care with emphasis on financing systems and referral systems

The European Commission and the Expert Panel on Effective Ways of Investing in Health (EXPH) launched from 20 March until 19 May 2014 a public consultation on the preliminary opinion on the ‘Definition of a frame of reference in relation to primary care with a special emphasis on financing systems and referral systems’.

The purpose of this opinion is to develop a common understanding on the concept of primary health care in the EU, including its goals, functions, and players involved, and explaining the national differences. Second, to investigate how to identify and analyse existing typologies of financing mechanisms in primary health care: to individual providers (e.g. fee-for-service, capitation, salaried staff, mixed systems), and at higher organisational levels (e.g. lump-sum envelope systems and case-mix corrections). Third, to reflect on the role of effective referral systems in ensuring the integration between all levels of the health system and in helping ensure that people receive the best possible care closest to home.

Submissions received during the public consultation were carefully examined by the EXPH and, when relevant, taken into account in the final opinion.

The text of the 286 comments received and the response provided by the EXPH is available here.