Brambilla Antonio, Maciocco Gavino
Recenti Prog Med. 2014 Apr;105(4):147-50. doi: 10.1701/1459.16123.
The central attributes of primary care are: first contact (accessibility), longitudinality (person- focused preventive and curative care overtime), patient-oriented comprehensiveness and coordination (including navigation towards secondary and tertiary care). Besides taking care of the needs of the individuals, primary health care teams are also looking at the community, especially when addressing social determinants of health. The rationale for the benefits for primary care for health has been found in: 1) greater access to needed services; 2) better quality of care; 3) a greater focus on prevention; 4) early management of health problems; 5) organizing and delivering high quality care for chronic non-communicable diseases. This paper describes the role of primary healthcare centres in strengthening community primary services and in reducing health inequalities. Furthemore, the experiences of Regional Health Services from Tuscany and Emilia-Romagna are discussed, with a brief overview of the literature.
首诊（可及性）、持续性（长期以患者为中心的预防和治疗性护理）、以患者为导向的全面性和协调性（包括引导患者接受二级和三级护理）。除了满足个体需求外，初级卫生保健团队也关注社区，尤其是在解决健康的社会决定因素时。初级保健对健康有益的原因在于：1）更容易获得所需服务；2）更高的护理质量；3）更注重预防；4）对健康问题的早期管理；5）为慢性非传染性疾病组织和提供高质量护理。本文描述了初级保健中心在加强社区初级服务和减少健康不平等方面的作用。此外，还讨论了托斯卡纳和艾米利亚 - 罗马涅地区卫生服务的经验，并对相关文献进行了简要概述。
