Transferable learning from international primary care developments

Meads, Geoffrey; Iwami, Michiyo; Wild, Andrea

doi:10.1002/hpm.813

Cited by 7 publications

(9 citation statements)

References 21 publications

(19 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Of these, twelve were situated in the United Kingdom, nine in the United States, four in Australia, four in Canada, three in Spain, two in the Netherlands, two in Norway, and the rest in Belgium, Croatia, Cyprus, Finland, Greece, New Zealand, Poland, Serbia and Switzerland. Sixteen international comparative primary care studies were included, covering forty-eight countries [4,18,23,32,33,36,39,47-50,63,76,78,79,81]. The remaining twenty-four studies had an unrestricted setting [13,51-56,58,60-62,64-74,80,94].…”

Section: Resultsmentioning

confidence: 99%

“…Quality management infrastructure in primary care: This can consist of a number of mechanisms that need to be in place to assure adequate quality of care. These include coordination of quality management, quality assessment mechanisms, certification of providers, licensing of facilities, quality incentives, availability of quality information, availability of relevant clinical guidelines, professional competence and standardization of facility equipment [15,16,23,28,36,38,43,49,51,59,63,64,79,83-85,87,96]. …”

Section: Resultsmentioning

confidence: 99%

“…Education and retention: Vocational training requirements for primary care professionals, primary care workforce supply and retention problems, and capacity planning [4,13,36,49,81,83,90]. …”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

The breadth of primary care: a systematic literature review of its core dimensions

Kringos

Boerma

Hutchinson

et al. 2010

BMC Health Serv Res

456

433

View full text Add to dashboard Cite

BackgroundEven though there is general agreement that primary care is the linchpin of effective health care delivery, to date no efforts have been made to systematically review the scientific evidence supporting this supposition. The aim of this study was to examine the breadth of primary care by identifying its core dimensions and to assess the evidence for their interrelations and their relevance to outcomes at (primary) health system level.MethodsA systematic review of the primary care literature was carried out, restricted to English language journals reporting original research or systematic reviews. Studies published between 2003 and July 2008 were searched in MEDLINE, Embase, Cochrane Library, CINAHL, King's Fund Database, IDEAS Database, and EconLit.ResultsEighty-five studies were identified. This review was able to provide insight in the complexity of primary care as a multidimensional system, by identifying ten core dimensions that constitute a primary care system. The structure of a primary care system consists of three dimensions: 1. governance; 2. economic conditions; and 3. workforce development. The primary care process is determined by four dimensions: 4. access; 5. continuity of care; 6. coordination of care; and 7. comprehensiveness of care. The outcome of a primary care system includes three dimensions: 8. quality of care; 9. efficiency care; and 10. equity in health. There is a considerable evidence base showing that primary care contributes through its dimensions to overall health system performance and health.ConclusionsA primary care system can be defined and approached as a multidimensional system contributing to overall health system performance and health.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

The breadth of primary care: a systematic literature review of its core dimensions

Kringos

Boerma

Hutchinson

et al. 2010

BMC Health Serv Res

456

433

View full text Add to dashboard Cite

show abstract

“…3,15 Planning together is crucial at all levels. 36 Community engagement is a mark of a democratic society, and should be resourced as part of enhancing capacity of communities and agencies.…”

Section: Resultsmentioning

confidence: 99%

“…36 Increased stakeholder participation and partnerships between public and private, health and community sectors, and training organisations require skills in joint planning and decision-making. A drift back from community participation via partnership and accountability towards consultation, as in the UK, is a danger 30 In Australia, the federal Labor government is consulting with high-level rural representative groups, 37 and moving health and community service sectors closer together, consistent with international policy trends.…”

Section: Policy Contextmentioning

confidence: 99%

Multi‐level rural community engagement in health

Kilpatrick

2009

Australian J Rural Health

View full text Add to dashboard Cite

Community participation in health is consistent with notions of democracy. A systems perspective of engagement can see consumers engaged to legitimise government agendas. Often community participation is via consultation instead of partnership or delegation. A community development approach to engagement can empower communities to take responsibility for their own health care. Understanding rural place facilitates alignment between health programs and community, assists in incorporating community resources into health care and provides information about health needs. Rural communities, health services and other community organisations need skills in working together to develop effective partnerships that transfer some power from health systems. Rural engagement with national/state agendas is a challenge. Community engagement takes time and resources, but can be expected to lead to better health outcomes for rural residents.

show abstract

Community governance in primary health care: towards an international Ideal Type

Meads

Russell

Lees

2016

Health Planning & Management

Self Cite

View full text Add to dashboard Cite

SUMMARYAgainst a global background of increased resource management responsibilities for primary health care agencies, general medical practices, in particular, are increasingly being required to demonstrate the legitimacy of their decision making in market oriented environments. In this context a scoping review explores the potential utility for health managers in primary health care of community governance as a policy concept.The review of recent research suggests that applied learning from international health systems with enhanced approaches to public and patient involvement may contribute to meeting this requirement. Such approaches often characterise local health systems in Latin America and North West Europe where innovative models are beginning to respond effectively to the growing demands on general practice. The study design draws on documentary and secondary data analyses to identify common components of community governance from the countries in these regions, supplemented by other relevant international studies and sources where appropriate. Within a comprehensive framework of collaborative governance the components are aggregated in an Ideal Type format to provide a point of reference for possible adaptation and transferable learning across market oriented health systems. Each component is illustrated with international exemplars from recent organisational practices in primary health care. The application of community governance is considered for the particular contexts of GP led Clinical Commissioning Groups in England and Primary Health Networks in Australia.

show abstract

Transferable learning from international primary care developments

Cited by 7 publications

References 21 publications

The breadth of primary care: a systematic literature review of its core dimensions

The breadth of primary care: a systematic literature review of its core dimensions

Multi‐level rural community engagement in health

Community governance in primary health care: towards an international Ideal Type

Contact Info

Product

Resources

About