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How to develop Quality improvement capacity in primary care

Robert SARKADI KRISTIANSSONLena LENA NYSTROM and Wilhelm WILHELM LINDER

Evidence from several European countries, including recent target trial emulation and qualitative work, shows that improving continuity, coordination, and patient experience can reduce avoidable hospital use and strengthen patients’ sense of safety. Yet many primary care teams lack practical tools to translate this knowledge into everyday practice and system-level change.Describe key challenges and inequities in the care of older people with multimorbidity in their own context, linked to the themes of Liberty, Equality and Fraternity.  Identify a small set of feasible process measures (e.g. continuity, follow‑up, care planning) and outcome measures (e.g. perceived safety, avoidable hospital use) relevant to their primary care setting. Draft a simple, context‑specific improvement plan for older people with multimorbidity, including roles for patients, primary care teams, and other sectors. Share and reflect on strategies for interprofessional and cross‑sector collaboration (Fraternity) that respect patient autonomy (Liberty) and promote fair access and outcomes (Equality).Methods: Short presentations, small‑group work, structured discussion, and real‑world examples from participating countries. Proposed schedule (90 minutes): Brief presentation of key evidence on multimorbid older adults: continuity, avoidable hospital use, and patient experience.  We will discuss *Shared decision‑making and deprescribing in multimorbidity.  *Access to primary care, follow‑up, and preventive services.  *Interprofessional collaboration and territorial organization.Have a clearer understanding of how the themes of Liberty, Equality, and Fraternity can be operationalized in everyday care for older people with multimorbidity.  Gain concrete examples of process and outcome indicators (clinical, organizational, and patient‑reported) that are feasible to collect in primary care.  Build connections with colleagues from other countries who are working on similar challenges, laying the groundwork for future collaboration and comparative projects.Caring for older people with multimorbidity is a shared European challenge that sits at the heart of family medicine. By systematically applying the principles of Liberty, Equality, and Fraternity, primary care teams can redesign local systems to improve continuity, perceived safety, and the appropriateness of hospital use. This interactive workshop will help participants translate evidence and policy into practical, measurable changes in their own contexts, and foster ongoing dialogue and collaboration across countries.