Chulalongkorn University, Thailand.
Asia Pac J Public Health. 2010 Jul;22(3):289-98. doi: 10.1177/1010539509335500. Epub 2009 May 14.
Primary care must be defined with a given country's contexts because primary care services vary across countries. This study aimed to define the concept of primary care in Thailand, which had not been systematically formulated.
of in-depth interview, focus group discussion, and Delphi were used to derive the attributes of primary care from 66 participants, including primary care providers, community representatives, general population, and national experts.The study yielded a total of 7 attributes of primary care categorized into 3 dimensions: medical care services (accessibility, continuity, comprehensiveness, and coordination), individual and family (trust and patient-centeredness), and population and community (population and community orientation).These 7 attributes provide a conceptual framework of how primary care in Thailand should be evaluated.
of the evaluation will offer insights on which aspects of primary care need to be improved to achieve better health care.
由于初级保健服务在各国之间存在差异,因此必须根据特定国家的背景来定义初级保健。本研究旨在定义泰国的初级保健概念,因为泰国尚未系统地制定这一概念。
采用深入访谈、焦点小组讨论和德尔菲法,从包括初级保健提供者、社区代表、普通民众和国家专家在内的 66 名参与者中得出初级保健的属性。研究共得出初级保健的 7 个属性,分为 3 个维度:医疗服务(可及性、连续性、综合性和协调性)、个人和家庭(信任和以患者为中心)以及人群和社区(人群和社区导向)。这 7 个属性提供了一个概念框架,说明泰国的初级保健应该如何进行评估。
评估结果将提供有关需要改进初级保健的哪些方面以实现更好的医疗保健的见解。