Seminar of Innovation in Primary Care, 2012

Date: Saturday 29th September 2012 (8.30 to 14.00 hours)
Place: Department of Primary Care Health Sciences, University of Oxford, United Kingdom
Organizers: Juan Gérvas (Equipo CESCA, Madrid, Spain) and José M Valderas
(Department of Primary Care, University of Oxford, UK)


To analyse the the impact of demographic, morbidity and technology
pressures on primary health care services, with a focus on: 1/ novel
approached to the provision of primary care health services, and 2/ the
changing boundaries in between specialized services/secondary care and
primary care.
In the XXI century a changing health services provision picture emerges with
a number of critical issues and questions, such as:
– about the professionals, who, where and when should take care of what
patients, in relation to what particular conditions/diseases and in what
– what is the right “location” for selected services?;
– who should to do what at each particular moment in order to maximize

At a macro level, rich countries find it difficult to cope with the increasing
demand for better quality and more choice, particularly as the gap in between
what is known to work and actual practice is widening. Middle income
countries try balance an expansion of coverage with cost containment.
Low income countries, in an international application of the inverse care
law, struggle to manage a very high burden of disease. The paradox is that
effective and affordable interventions already exist for the prevention and/
or cure of much of this burden of disease, but weak health systems struggle
to deliver these interventions. Simultaneously, developing countries all too
frequently fail to be able to absorb and allocate international donations.
At the micro level, new forms of health services are being developed, which
take advantage of new technological developments. Increasing resolutive
hospitals will probably be in the future smaller, more multifunctional and will
require better coordination with outpatient services. health services is calling
for a re-definition of Primary Health Care settings and hospitals, so that their
respective territories do not end up occupied by other actors. In the future,
non-hospital based health care services (including Primary Health Care) will
have to be linked with each other and with hospitals in different ways, and
continuity of care will have to be ensured through new mechanisms.


The seminar is preceded by a period of distance working (on line), using a
closed distribution list (SIAP2012).

We have posted a document on the web page of Equipo CESCA

For discussion: Other documents will be posted in the next few months.
Two weeks before the seminar, the speakers abstracts are posted, and
criticism, comments, suggestions and questions are invited to help focus on
the central issue. The participants’ and speakers’ responses are emailed to
all participants. The ensuing debate generates ideas, new comments and
exchange of relevant bibliographic references, in addition to an exchange of
unpublished experiences and new intervention proposals.

The five hour on site seminar is in two parts. In the first one (2.5 h.) the
speakers present their papers. In these presentations the initial seminar
ideas and the virtual discussions are condensed and responses are invited
(clarification, disagreement or modification). In the second part of the seminar
there is general discussion with both participants and speakers intervening. In
the two weeks following the seminar, the speakers take all the contributions
into account for writing up the final report.


Inscription is mandatory, but without any fee. Places are limited.
Please, if interested, send an e-mail to Juan Gérvas (
AND José M Valderas (

Join the SIAP2012 group at:

This is an activity “free of industrial smoke“, without sponsorship by any
private enterprise.

SIAP 2012_Registration-1-1

SIAP 2012_Programme-1-2



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