Kinder Karen, Bazemore Andrew, Taylor Melina, Mannie Cristina, Strydom Stefan, George Joe, Goodyear-Smith Felicity
Technische Universität Berlin, Berlin, Germany.
American Board of Family Medicine, Lexington, Kentucky, USA.
Prim Health Care Res Dev. 2021 Jun 10;22:e27. doi: 10.1017/S1463423621000311.
Primary health care (PHC) includes both primary care (PC) and essential public health (PH) functions. While much is written about the need to coordinate these two aspects, successful integration remains elusive in many countries. Furthermore, the current global pandemic has highlighted many gaps in a well-integrated PHC approach. Four key actions have been recognized as important for effective integration.A survey of PC stakeholders (clinicians, researchers, and policy-makers) from 111 countries revealed many of the challenges encountered when facing the pandemic without a coordinated effort between PC and PH functions. Participants' responses to open-ended questions underscored how each of the key actions could have been strengthened in their country and are potential factors to why a strong PC system may not have contributed to reduced mortality.By integrating PC and PH greater capacity to respond to emergencies may be possible if the synergies gained by harmonizing the two are realized.
初级卫生保健（PHC）包括初级保健（PC）和基本公共卫生（PH）功能。虽然有很多关于协调这两个方面必要性的论述，但在许多国家，成功整合仍然难以实现。此外，当前的全球大流行凸显了在全面整合的初级卫生保健方法中存在的许多差距。四项关键行动已被认为对有效整合至关重要。一项对来自111个国家的初级保健利益相关者（临床医生、研究人员和政策制定者）的调查揭示了在初级保健和公共卫生功能之间缺乏协调努力应对大流行时遇到的许多挑战。参与者对开放式问题的回答强调了在他们国家每项关键行动如何能够得到加强，以及为什么强大的初级保健系统可能没有对降低死亡率做出贡献的潜在因素。通过整合初级保健和公共卫生，如果实现了两者协调所带来的协同效应，可能会有更大的应急能力。
