Lunch EFPC Webinar: Jan De Maeseneer & Per Kallestrup “Family Medicine and Primary Care at the Crossroads of Societal Change” (Tuesday 17 October, 2017 @12.30p.m. Amsterdam time)

CASAP in Barcelona, Catalonia

- The context is a large PC health centre with health care professionals off various skills.
- Among the conditions to develop IpC, the payment system was adapted, strong leadership , and flexibility in working hours was provided
- The main practical actions were the development of common projects and common guidelines for specific conditions, for specific types of demands or group of patients, WebPages with access to all providers of the centre were created with registration and analysis of critical incidents.

IJburg in Amsterdam, The Netherlands

- The context is a network of different health care centres and social services in a new urban district coordinated to provide services and information.
- Conditions were established by health insurers for accessibility to current services delivery without financial or professional obstacles. Organising accessibility and special living conditions for particular subgroups of inhabitants. (clustered homes, assisted living)
- The main practical actions were enabling patients to make informed choices, providing guidance for patients with specific needs (eg:mental disorders and poor social environment), organising an office of volunteers caregivers. Multi professional meetings on complex cases with the coordination of a "case manager".

Botermarkt in Gent, Belgium

- The context is a health care centre well integrated in the community of a deprived area. The team is composed of large number and variety of professionals including social workers and street workers. 
- The health care centre is involved in community life and a good communication exists with community organisations (schools, elderly homes). 
- In terms of action a successful plan has been undertaken to address the problem of overweight of youngsters. Activities to enhance physical activity of the whole population based on good IpC and collaboration of the community were the main success factors of the project.

PHC centre of Jesenice, Slovenia

- The context is the integration of standardized Cardio Vascular Prevention programs in organised PC centres.
- Among the conditions of success of this specific program, a large multidisciplinary team with adapted skill mix at practice level , a coordination at regional level, a special focus of PC teams on that very prevalent health condition. 
- Actions were taken on risk factors like smoking cessation, adapted diet for weight lost, emphasising physical activity.

PHC centres of Vastra Gotaland, Sweden

- The context of this program is a group of large Primary health care centres in a region of Sweden
- The integration of a dietician in the group in connection with all other PC team professionals and the community allowed the implementation the program: "Health Equilibrium Initiative"
- The main action undertaken was the production of an educational material on diet and physical activity in 13 languages disseminated in multiple settings and in community facilities (schools, day-care, sport associations.) and to local stakeholders.