The ORIGINS of Primary Health Care and SELECTIVE Primary Health Care

Cueto, Marcos

doi:10.2105/ajph.94.11.1864

Cited by 529 publications

(370 citation statements)

References 21 publications

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“…T C omprehensiveness is enshrined as one of the five principles of the Canada Health Act (madore 2005) and is often applied as a qualifier of primary healthcare (PHC) (macinko et al 2007;Romanow 2002), distinguishing the ideal from the merely functional or, at worst, "selective" (Cueto 2004) forms of care. While this attribute evokes a sense of "good," the generality of its invocation obscures precision about its meaning, posing a major challenge for its assessment.…”

Section: Résumémentioning

confidence: 99%

Comprehensiveness of Care from the Patient Perspective: Comparison of Primary Healthcare Evaluation Instruments

Haggerty¹,

Beaulieu²,

Pineault³

et al. 2011

hcpol

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Comprehensiveness relates both to scope of services offered and to a whole-person clinical approach. Comprehensive services are defined as "the provision, either directly or indirectly, of a full range of services to meet most patients' healthcare needs"; whole-person care is "the extent to which a provider elicits and considers the physical, emotional and social aspects of a patient' s health and considers the community context in their care." Among instruments that evaluate primary healthcare, two had subscales that mapped to comprehensive services and to the community component of whole-person care: the Primary Care Assessment Tool -short Form (PCAT-s) and the Components of Primary Care Index (CPCI, a limited measure of whole-person care). Objective: To examine how well comprehensiveness is captured in validated instruments that evaluate primary healthcare from the patient' s perspective. Method: 645 adults with at least one healthcare contact in the previous 12 months responded to six instruments that evaluate primary healthcare. scores were normalized for descriptive comparison. Exploratory and confirmatory (structural equation modelling) factor analysis examined fit to operational definition, and item response theory analysis examined item performance on common constructs. Results: Over one-quarter of respondents had missing responses on services offered or doctor' s knowledge of the community. The subscales did not load on a single factor; comprehensive services and community orientation were examined separately. The community orientation subscales did not perform satisfactorily. The three comprehensive services subscales fit very modestly onto two factors: (1) most healthcare needs (from one provider) (CPCI Comprehensive Care, PCAT-s First-Contact utilization) and (2) range of services (PCAT-s Comprehensive services Available). Individual item performance revealed several problems. Conclusion: measurement of comprehensiveness is problematic, making this attribute a priority for measure development. Range of services offered is best obtained from providers. Wholeperson care is not addressed as a separate construct, but some dimensions are covered by attributes such as interpersonal communication and relational continuity. RésuméLa notion de globalité des soins s' applique tant à l' étendue des services offerts qu' à une approche holistique des soins cliniques. La globalité des services se définit comme « la prestation, directe ou indirecte, d'une gamme complète de services afin de répondre aux besoins des patients en matière de soins de santé »; les soins centrés sur le patient se définissent par « l' étendue selon dans laquelle le fournisseur de soins considère les aspects physiques, émotionnels et sociaux de la santé d'un patient et tient compte du contexte communautaire lors de la prestation de soins. » deux des instruments d' évaluation des soins primaires com- Objectif : Examiner dans quelle mesure la globalité des soins est captée par les instruments validés qui servent à évaluer les soins d...

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Section: Résumémentioning

confidence: 99%

Comprehensiveness of Care from the Patient Perspective: Comparison of Primary Healthcare Evaluation Instruments

Haggerty¹,

Beaulieu²,

Pineault³

et al. 2011

hcpol

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“…A perspectiva abrangente aponta a APS como componente fundamental de um sistema de saúde eficaz. Já a concepção seletiva refere-se a um pacote de intervenções técnicas de baixo custo para combater as principais doenças que acometem as populações pobres, especialmente nos países em desenvolvimento 6 .…”

Section: Introductionunclassified

Condições socioeconômicas, oferta de médicos e internações por condições sensíveis à atenção primária em grandes municípios do Brasil

et al. 2015

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Resumo As internações por condições sensíveis à atenção primária têm sido utilizadas como indicador de efetividade desse nível de atenção. O artigo explora a associação entre variáveis selecionadas e a proporção dessas internações no Brasil. A pesquisa envolveu a análise descritiva da evolução de indicadores nacionais de 1998-2012 e a realização de estudo transversal dos municípios brasileiros com população acima de 50 mil habitantes, por região do país, para o ano de 2012, utilizando-se técnicas estatísticas de correlação e regressão linear. Os resultados mostraram discreto declínio na proporção de internações por condições sensíveis à atenção primária no Brasil. Condições socioeconômicas, demográficas e de oferta de médicos no sistema de saúde nos municípios mostraram associação com a proporção de internações por condições sensíveis à atenção primária, com expressão distinta nas cinco regiões do país. Apesar de avanços relacionados à expansão da Estratégia Saúde da Família, permanecem desafios, como a distribuição adequada de médicos e outros profissionais no território nacional e a efetiva mudança do modelo de atenção à saúde.

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“…Cueto's study [4], noted that PHCs included all areas consciously or otherwise plays a functionary role in health as well as providing access to other health services which could include; the health environment as a statute of health propagandas, healthy lifestyle attitudes portrayed by these exceptional health care providers. Consequently, joining White [5], I believe that the PHCs and public health measures, when they both flock together in raven pairs (collaborate), may be considered as the underpinning forte (solid foundation) for universal health systems.…”

Section: Literature Reviewmentioning

confidence: 99%

“…The AlmaAta Conference mobilized a "Primary Health Care movement" of professionals and institutions, governments and civil society organizations, researchers and grassroots organizations that undertook to tackle the "politically, socially and economically unacceptable" health inequalities in all countries. There were many factors that inspired PHC; a prominent example is the Barefoot doctors of China [4,29,30].…”

Section: Archivos De Medicina Issn 1698-9465mentioning

confidence: 99%

Commentary: Primary Health Care Delivery Services in the World

Osahon¹

2017

J Healthc Commun

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This extract examines the primary health care delivery services in countries of the world as well as sustainable methods to curbing the alienating factors which limits the substantial health care delivery services provided around the world. While some countries have had their health care systems run smoothly, other countries still dwell in the hermit's shell waiting for possible solutions to be offered on a plate of clay. This extracts also examines some studies carried out on this particular area of concentration to further buttress the need for role players in the development and growth of the health care delivery systems in the world.

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The ORIGINS of Primary Health Care and SELECTIVE Primary Health Care

Cited by 529 publications

References 21 publications

Comprehensiveness of Care from the Patient Perspective: Comparison of Primary Healthcare Evaluation Instruments

Comprehensiveness of Care from the Patient Perspective: Comparison of Primary Healthcare Evaluation Instruments

Condições socioeconômicas, oferta de médicos e internações por condições sensíveis à atenção primária em grandes municípios do Brasil

Commentary: Primary Health Care Delivery Services in the World

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