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3. Wissenschaftlicher Kongress "Familienmedizin in der hausärztlichen Versorgung der Zukunft"

Institut für Allgemeinmedizin (ifam), UKD, Düsseldorf in Kooperation mit der Deutschen Gesellschaft für Allgemeinmedizin und Familienmedizin (DEGAM)

11. November 2015, Düsseldorf

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The role of the Family Physician in an interdisciplinary Community Health Centre: Insights into 40 years of experience as a General Practitioner at Botermarkt CHC in Ghent, Belgium

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  • Jan De Maeseneer - Department of Family Medicine and PHC, Ghent University, Ghent, Belgium

Institut für Allgemeinmedizin (ifam), UKD, Düsseldorf. 3. Wissenschaftlicher Kongress „Familienmedizin in der hausärztlichen Versorgung der Zukunft“. Düsseldorf, 11.-11.11.2015. Düsseldorf: German Medical Science GMS Publishing House; 2015. Doc15ifam01

doi: 10.3205/15ifam01, urn:nbn:de:0183-15ifam012

Published: October 29, 2015

© 2015 De Maeseneer.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

Outline

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The Community Health Centre Botermarkt is a not-for-profit organisation set up in 1978 in Ledeberg, a deprived area in the city of Ghent. The primary care team is composed of family physicians, nurses and other staff, including a receptionists, health promoters, dieticians, social workers, ancillary staff, smoking-cessation experts and dentists. The centre takes care of 6,200 patients, coming from over 70 different countries. All patient information is coordinated in an integrated, interdisciplinary electronic patient health record. The centre aims to deliver integrated primary care. Service delivery focuses on accessibility (no financial, geographical or cultural barriers) and quality, using a comprehensive eco-bio-psycho-socio frame of reference. The focus is on empowerment of patients and contribution to social cohesion.

Patients are registered on a population-based list. The range of services provided are: health promotion and prevention, screening, curative care, palliative and rehabilitative services (consultations and home visits), integrated home care by an interdisciplinary team, nursing services, nutrition services, social work and dental care. The centre is financed through contracts with the insurance companies that include a monthly capitation payment for every patient on the list. Since 2013, there has been an integrated, mixed, needs-based capitation formula for the centre that takes into account social variables, morbidity, age, sex, functional status, and income of the patient. Contracts are agreed between the centre and secondary care providers, physiotherapists, psychologists, palliative services and social services, in the framework of an integrated primary care system.

In 1986 the health centre created a local care platform comprising primary care providers,local schools, local police, citizen organisations and organisations of ethnic-cultural minorities, and this meets every three months to undertake ‘community diagnosis’ and enhance inter-professional and inter-sectoral cooperation, as well as seeking to tackle the upstream causes of ill health.

Information

For information on the Botermarkt Community Health Centre: http://www.wgcbotermarkt.be

For information on Community Health Centres: International Federation of Community Health Centres: http://www.ifchc2013.org/european-launch/