No universal health coverage without primary health care

Stigler, Florian L; Macinko, James; Pettigrew, Luisa; Kumar, Raman; Weel, Chris van

doi:10.1016/s0140-6736(16)30315-4

Cited by 58 publications

(48 citation statements)

References 4 publications

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“…To the model, health promotion is a "process that creates capacities for individuals and communities to exercise more control on health determinants, and to improve health". 24,25 This kind of care is provided to the healthy or apparently healthy population, focusing on the development of cognitive, procedural, and attitudinal competencies aiming at their development. This is the major challenge faced by the care model that requires the organized community's participation: promotion is not possible if the civil society does not play a protagonist role and the state does not take on its role as promoter and facilitator.…”

mentioning

confidence: 99%

Humanized care as a Public Policy. The peruvian case

Campos¹,

Zeitoune²,

Iparraguirre³

et al. 2017

Escola Anna Nery - Revista De Enfermagem

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mentioning

confidence: 99%

Humanized care as a Public Policy. The peruvian case

Campos¹,

Zeitoune²,

Iparraguirre³

et al. 2017

Escola Anna Nery - Revista De Enfermagem

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“…Primary care can manage 90% of all health system interactions, making it central to the realisation of universal health coverage 56. Over recent decades, improvements in the quality and coverage of primary care have delivered important population health gains around the world 3789101112…”

Section: Contemporary Challenges In Primary Carementioning

confidence: 99%

Unfulfilled potential of primary care in Europe

Allen

Barkley

Maeseneer

et al. 2018

BMJ

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“…WHO notes that policies that improve access to health services have had greater impact on expanding UHC than those that improve nancial protection. [8] During the 1990s, several countries throughout Latin America (LAC) began reforming their healthcare systems by creating frameworks to monitor improvements in quality of care [4], enhancing primary healthcare (PHC) networks [9], decentralizing health governance, strengthening regulatory measures, and improving e ciency. [3] They also addressed the structural fragmentation that prevented health providers from making purchasing decisions.…”

Section: Introductionmentioning

confidence: 99%

Strengthening health systems to achieve Universal Health Coverage: Lessons from four Latin American countries.

Gilardino¹,

B²,

Valanzasca³

2020

Preprint

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Background: During the 1990s, health systems within several Latin American countries changed to expand service coverage and reach more people. These changes are considered the antecedent of the Universal Health Coverage (UHC). Seven years after the United Nations’ call for UHC, healthcare services in Argentina, Brazil, Colombia, Mexico are generally accessible and affordable. However, these countries increasingly struggle to meet their populations’ growing health needs while also addressing rising health care costs. This research aims to describe measures taken by these four countries to commit by UHC, addressing their barriers and challenges. Methods: This study examined literature review data, supplemented with survey data collected from regional stakeholders. Data were analyzed within an ad-hoc matrix.Results: These four countries increased healthcare services coverage by strengthening their primary healthcare systems. They also expanded coverage for non-communicable diseases, provided community outreach, and increased the number of skilled healthcare workers. New pharmaceutical support programs provided access to treatments for chronic conditions at zero cost, while high-costs drugs and cancer treatments were partially guaranteed. However, these measures did not achieve full financial protection to all, leaving citizens exposed to possible catastrophic expenditures, despite increased service coverage. UHC is funded primarily through taxes and polling resources, and these four countries still struggle to find mechanisms that could increase pooling mechanisms capable of increasing service coverage, while reducing financial inequities among people. Conclusions: Argentina, Brazil, Colombia, and Mexico have made progress towards UHC. Nevertheless, additional mechanisms to sustain financial protection are urgently required. The decentralization of the primary healthcare system, the development of public-private partnerships, and the implementation of progressive financing mechanisms like conditional cash transfers are potential manners to improve service delivery and financial protection contributing to effective UHC.

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No universal health coverage without primary health care

Cited by 58 publications

References 4 publications

Humanized care as a Public Policy. The peruvian case

Humanized care as a Public Policy. The peruvian case

Unfulfilled potential of primary care in Europe

Strengthening health systems to achieve Universal Health Coverage: Lessons from four Latin American countries.

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