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Brazil's unified health system: the first 30 years and prospects for the future.巴西的统一卫生系统:过去 30 年的发展及未来展望。
Lancet. 2019 Jul 27;394(10195):345-356. doi: 10.1016/S0140-6736(19)31243-7. Epub 2019 Jul 11.
3
Primary Care in Cuba: Considerations for the U.S.古巴的初级医疗保健:美国应考虑的因素
J Health Care Poor Underserved. 2019;30(2):456-467. doi: 10.1353/hpu.2019.0041.
4
Financing the SDGs: mobilising and using domestic resources for health and human capital.为可持续发展目标融资:筹集和利用国内卫生与人力资本资源。
Lancet. 2018 Nov 3;392(10158):1605-1607. doi: 10.1016/S0140-6736(18)32597-2.
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The 5S-5M-5C schematic: transforming primary care inputs to outcomes in low-income and middle-income countries.5S-5M-5C示意图:将低收入和中等收入国家的初级保健投入转化为成果
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The promise and peril of universal health care.全民医保的承诺与风险。
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What do we know about community-based health worker programs? A systematic review of existing reviews on community health workers.我们对基于社区的卫生工作者项目了解多少?对社区卫生工作者现有综述的系统评价。
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Rethinking assumptions about delivery of healthcare: implications for universal health coverage.重新思考医疗保健提供方式的假设:对全民健康覆盖的影响。
BMJ. 2018 May 21;361:k1716. doi: 10.1136/bmj.k1716.
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How to harness the private sector for universal health coverage.如何利用私营部门实现全民健康覆盖。
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10
Primary Health Care as a Foundation for Strengthening Health Systems in Low- and Middle-Income Countries.初级卫生保健作为低收入和中等收入国家加强卫生系统的基础。
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初级保健 2030:创建一个有利的生态系统,以实现颠覆性的初级保健模式,从而在中低收入国家实现全民健康覆盖。

Primary Care 2030: Creating an Enabling Ecosystem for Disruptive Primary Care Models to Achieve Universal Health Coverage in Low- and Middle-Income Countries.

机构信息

Harvard Medical School, Program in Global Primary Care and Social Change, Boston, US.

Ariadne Labs at Brigham and Women's Hospital and Harvard T.H. Chan School of Public Health, Boston, US.

出版信息

Ann Glob Health. 2020 Feb 3;86(1):9. doi: 10.5334/aogh.2471.

DOI:10.5334/aogh.2471
PMID:32064227
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7006582/
Abstract

BACKGROUND

Forty years after Alma Ata, there is renewed commitment to strengthen primary health care as a foundation for achieving universal health coverage, but there is limited consensus on how to build strong primary health care systems to achieve these goals.

METHODS

We convened a diverse group of global stakeholders for a high-level dialogue on how to create an enabling ecosystem for disruptive primary care innovation. We focused our discussion on four themes: workforce innovation and strengthening; impactful use of data and technology; private sector engagement; and innovative financing mechanisms.

FINDINGS

Here, we present a summary of our convening's proceedings, with specific recommendations for strengthening primary health care systems within each of these four domains.

CONCLUSIONS

In the wake of the Astana Declaration, there is global consensus that high-quality primary health care must be the foundation for universal health coverage. Significant disruptive innovation will be required to realize this goal. We offer our recommendations to the global community to catalyze further discourse and inform policy-making and program development on the path to Health for All by 2030.

摘要

背景

在阿拉木图会议召开四十年后,人们重新承诺要加强初级卫生保健,将其作为实现全民健康覆盖的基础,但对于如何建立强大的初级卫生保健系统以实现这些目标,仍存在有限的共识。

方法

我们召集了一组多元化的全球利益相关者,就如何为颠覆性的初级保健创新创造有利环境进行了高级别对话。我们的讨论集中在四个主题上:劳动力创新和加强;数据和技术的有效利用;私营部门参与;以及创新融资机制。

结果

在这里,我们总结了会议的议事情况,并就如何在这四个领域加强初级卫生保健系统提出了具体建议。

结论

在《阿斯塔纳宣言》之后,全球一致认为,高质量的初级卫生保健必须成为全民健康覆盖的基础。要实现这一目标,需要进行重大的颠覆性创新。我们向全球社会提供建议,以促进进一步的讨论,并为到 2030 年实现全民健康提供政策制定和方案制定方面的信息。