From: Trends towards stronger primary care in three western European countries; 2006-2012
Country | 2006 | 2009 | 2012 | Change 2006-2012 - = decrease + = increase | |
---|---|---|---|---|---|
Organization of Primary care | |||||
Non physician per FTE physician within practice | Germany | 2.24 | 2.08* | 2.87*‡ | + (p < 0.001) |
Netherlands | 1.22 | 1.38* | 1.70*‡ | + (p < 0.001) | |
UK | 0.92 | 1.04* | 1.32*‡ | + (p < 0.001) | |
Out-of –hours care (%) | Germany | 76.1 | 54.3* | 89.6*‡ | + (p < 0.001) |
Netherlands | 96.3 | 97.0 | 95.3 | ||
UK | 87.1 | 88.8 | 95.5*‡ | + (p < 0.001) | |
Same or next day appointment (% almost all >80 %) | Germany | 69.0 | 57.3* | 56.6* | - (p < 0.001) |
Netherlands | 71.9 | 62.1* | 61.5* | - (p < 0.001) | |
UK | 73.4 | 64.8* | 55.3*‡ | - (p < 0.001) | |
IT to support organization of primary care | |||||
Use electronic medical records (%) | Germany | 42.1 | 73.3* | 83.2*‡ | + (p < 0.001) |
Netherlands | 97.9 | 99.8* | 98.7‡ | ||
UK | 89.5 | 96.8* | 96.8* | + (p < 0.001) | |
Reminder notices to patients receiving care (%) | Germany | 27.6 | 17.4* | 18.1* | - (p < 0.001) |
Netherlands | 61.0 | 48.6* | 43.1* | - (p < 0.001) | |
UK | 83.3 | 76.8* | 65.5*‡ | - (p < 0.001) | |
Alert/prompt for providing test results (%) | Germany | 32.0 | 11.7* | 11.3* | - (p < 0.001) |
Netherlands | 16.5 | 7.8* | 6.6* | - (p < 0.001) | |
UK | 53.5 | 49.2 | 58.3‡ | ||
List of patients by diagnosis or health risk (% easy) | Germany | 80.6 | 71.1* | 55.6*‡ | - (p < 0.001) |
Netherlands | 63.3 | 67.1 | 78.1*‡ | + (p < 0.001) | |
UK | 92.5 | 97.3* | 96.0* | + (p = 0.009) | |
List of patients due or overdue for tests or preventive care (%easy) | Germany | 63.7 | 39.0* | 41.7* | - (p < 0.001) |
Netherlands | 41.9 | 65.0* | 73.0*‡ | + (p < 0.001) | |
UK | 77.2 | 90.9* | 89.6* | + (p < 0.001) | |
List of all medications taken by individual patients (%easy) | Germany | 54.9 | 58.1 | 62.2* | + (p = 0.001) |
Netherlands | 59.8 | 70.0* | 78.8*‡ | + (p < 0.001) | |
UK | 87.8 | 90.4 | 98.5*‡ | + (p < 0.001) | |
Incentives for performance improvement | |||||
Incentive for patients with chronic diseases (%) | Germany | 24.0 | 49.7* | 61.0*‡ | + (p < 0.001) |
Netherlands | 50.0 | 62.2* | 77.6*‡ | + (p < 0.001) | |
UK | 80.5 | 84.8 | 51.7*‡ | - (p < 0.001) | |
Incentive for enhanced preventive care (%) | Germany | 28.3 | 24.9 | 23.3* | - (p = 0.01) |
Netherlands | 19.0 | 17.8 | 28.8*‡ | + (p < 0.001) | |
UK | 74.2 | 39.4* | 38.1* | - (p < 0.001) | |
Receives data on clinical outcomes (%) | Germany | 70.9 | 41.3* | 54.1*‡ | - (p < 0.001) |
Netherlands | 36.7 | 64.8* | 82.0*‡ | + (p < 0.001) | |
UK | 78.1 | 90.8* | 85.4*‡ | + (p = 0.001) | |
Receives data on patient satisfaction (%) | Germany | 27.4 | 24.5 | 34.8*‡ | + (p = 0.001) |
Netherlands | 19.1 | 22.7 | 39.7*‡ | + (p < 0.001) | |
UK | 89.5 | 96.7* | 84.9*‡ | - (p = 0.01) |