AB823         PERSPECTIVES OF A UNIVERSITY CENTRE FOR PRIMARY HEALTH CARE IN THE DEVELOPMENT OF COMMUNITY ORIENTED PRIMARY CARE

Author(s): 
De Maeseneer JM, Art B
Department of General Practice and Primary Health care, University Hospital, GHENT, BELGIUM
Text: 
The University Health Centre 'Nieuw Ghent' was founded by the University of Ghent and the city's social services in May 2000 with a double purpose. Firstly to offer to the population of the impoverished and multi-problem area in which it operates a low threshold primary care service. Secondly this practice should play an important role in the future undergraduate medical education by offering opportunities to get in contact with 'real life' situations in the community, for improvement of knowledge and skills with respect to preventative techniques, and to get acquainted with other primary health care and social services. Moreover this practice must also yield possibilities to do research on topics as health needs assessments and community oriented primary care. The association who runs the University Health Centre consists of members of the University and of the social service department of the city, but also of two local general practitioners representing local GP organisations. The health care team consists now of two GPs and one nurse, supported by an administrative staff member. The team works within the capitation system. Being situated in the neighbourhood welfare centre, in which the city's social services, mother and child care, and neighbourhood workers also have their offices, interdisciplinary deliberation is facilitated. This close relationship between different first-line agencies allows for a more comprehensive ‘community diagnosis’: the social and neighbourhood workers hear different signals about life and needs in the community and have a different view on priorities. Joint reflection enables accurate assessment of the population's needs, and facilitates more precise interventions.