Department of Noncommunicable Diseases, World Health Organization, Geneva, Switzerland.
Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi, India.
Int J Health Policy Manag. 2022 May 1;11(5):708-710. doi: 10.34172/ijhpm.2021.96.
Health systems built on the foundation of primary healthcare (PHC) are essential to achieve universal health coverage (UHC). To adequately respond to the needs of people with non-communicable diseases (NCDs) and enable optimal management in primary care settings, changes are needed at many levels. PHC levers recommended in the UHC framework as the cornerstone of achieving Sustainable Development Goal (SDG) goals by strengthening the primary care system include strategic and operational levers. Experience from hypertension control programs across 18 countries has shown that rapid scale-up can be achieved through systematic improvement of the PHC system brought about by political commitment, financial support, and high-quality people-centred primary care. As countries are gripped with the pandemic the importance of an appropriate and resilient health system fit for the country is emerging as a priority for building preparedness. While there are general principles, each country must learn by doing and scale up models relevant to the national context.
建立在初级卫生保健(PHC)基础上的卫生系统对于实现全民健康覆盖(UHC)至关重要。为了充分满足非传染性疾病(NCD)患者的需求,并在初级保健环境中实现最佳管理,需要在多个层面进行变革。全民健康覆盖框架中推荐的作为加强初级保健系统实现可持续发展目标(SDG)的基石的 PHC 杠杆包括战略和运营杠杆。来自 18 个国家的高血压控制项目的经验表明,通过政治承诺、财政支持和以人为本的高质量初级保健来系统地改善 PHC 系统,可以实现快速扩大规模。随着各国受到疫情的冲击,建立一个适合国情的适当和有弹性的卫生系统的重要性已成为做好准备的优先事项。虽然有一般原则,但每个国家都必须边做边学,并扩大与国家背景相关的模式。