Van basisarts tot public health: verschillende wegen om naar Rome te reizen

Abstract

From medical doctor to public health: different ways to travel to Rome Public health aims at health promotion through an organized societal effort. The Alma Ata declaration laid the broad conceptual foundation for public health and primary care in developing countries (the South) and industrialized countries (the North). Family medicine evolved to a professional practice where a community focus is also important. The introduction of the ‘personal medical record’ and the design of primary care areas in Flanders are anchor points for the development of public health in our country. In developing countries and more specifically in Africa, a structured population approach to health care is since long more evident, amongst others through the development of health districts. The evolution of the post-war period that the authors experienced and describe, makes it clear that public health must be a combination of care for the population and the individual: an ‘and-and’ story, in situations where contexts may strongly differ but where basic objectives remain similar. Thereby, the North can learn from the district experiences in the South, and the South from the power of primary care and general practice in the North.

Integration of Healthcare in Belgium: Insufficient, but There Is Hope Comment on "Integration or Fragmentation of Health Care? Examining Policies and Politics in a Belgian Case Study"

“…At once the public and the government saw the these primary care zones can play and played a role at public, local health level. 7 This concertation, cooperation and coordination of the medical and welfare settings and institutions, the local responsible persons, the nurses and representatives of the patients and sick funds were able to organize COVID-19 testing, local contact tracing, societal support and the successful COVID-19 vaccination program. The Federal Government instructed the Federal Knowledge Centre for Health Care to start the "Study 2021-54 (HSR) Integrated care" (https://www.kce.fgov.be) in order to examine the current maturity of integrated care in Belgium, with the aim of formulating recommendations for future policy on integrated care by the summer of 2022.…”

“…At once the public and the government saw the these primary care zones can play and played a role at public, local health level. 7 This concertation, cooperation and coordination of the medical and welfare settings and institutions, the local responsible persons, the nurses and representatives of the patients and sick funds were able to organize COVID-19 testing, local contact tracing, societal support and the successful COVID-19 vaccination program.…”