Health mediators as members of multidisciplinary group practice: lessons learned from a primary health care model programme in Hungary.

摘要: A Model Programme of primary care group practices was implemented in Hungary between 2013 and 2017 – where virtually all GPs had worked single aiming to increase preventive service uptake reduce inequalities based on a bilateral agreement the Swiss Hungarian governments. Group employed wide variety health professionals as well support workers called mediators. Employment latter two decades European experience mediators who specifically facilitate access use services Roma minority groups. Health been recruited from local communities, received training job, were tasked new provided by personal contacts populace. The paper describes contribution work practices. Quantitative analysis depersonalized administrative data mandatorily reported Management during 43 months operation carried out employment their (health status assessment community promoting programmes). 80% clients registered with participated at invitation that 1.3–1.7 times higher than participation most successful national screening programmes past 15 years. Both number mediator minutes per client rate assessment, total time participants events showed high correlation. Twice many patients motivated for compared patients. very reflects impact probably reached not only minority, but vulnerable population groups general. future general lays multidisciplinary teams which serviced communities can be valuable members, especially deprived areas.