Exworthy Mark
Reader in Public Management and Policy, School of Management, Royal Holloway, University of London, UK.
London J Prim Care (Abingdon). 2008;1(2):81-4. doi: 10.1080/17571472.2008.11493214.
The 1978 Alma Ata conference and declaration was a landmark in defining and providing a direction for primary healthcare. Despite the initial enthusiasm for Alma Ata, its impact appeared to have declined in the 1990s. However, in recent years, there has been a revitalisation of primary healthcare. This article reviews the Alma Ata conference and declaration, assesses its waxing and waning, and examines its recent revival. The paper draws conclusions about the relevance of Alma Ata, 30 years on.
1978年的阿拉木图会议及宣言是界定初级卫生保健并为其指明方向的一个里程碑。尽管最初人们对阿拉木图会议充满热情,但在20世纪90年代其影响力似乎有所下降。然而,近年来,初级卫生保健再度兴起。本文回顾了阿拉木图会议及宣言,评估了其兴衰历程,并审视了其近期的复兴。本文得出了关于30年后阿拉木图宣言相关性的结论。