LMU University Hospital, Institute for General Practice and Family Medicine, Munich, Germany.
Medische Centrum Leeuwarden, Leeuwarden, The Netherlands.
J Prim Care Community Health. 2022 Jan-Dec;13:21501319221078379. doi: 10.1177/21501319221078379.
Primary Health Care (PHC) is the backbone of health systems and a cornerstone of Universal Health Coverage. In 2018, political commitment to PHC, including a comprehensive approach based on essential care throughout the lifespan, integrated public health functions, and community empowerment was reaffirmed by international stakeholders in Astana. As recent events exposed weaknesses of health care systems worldwide, growing attention has been paid to strengthening PHC. While the role of care providers as health advocates has been recognized, they may lack skills, opportunities, and resources to actively engage in advocacy. Particularly for PHC providers, guidance and tools on how to advocate to strengthen PHC are scarce. In this article, we review priority policy areas for PHC strengthening with relevance for several settings and health care systems and propose approaches to empower PHC providers-physician, non-physician, or informal PHC providers-to advocate for strengthening PHC in their countries by individual or collective action. We provide initial ideas for a stepwise advocacy strategy and recommendations for practical advocacy activities. Our aim is to initiate further discussion on how to strengthen health care provider driven advocacy for PHC and to encourage advocates in the field to reflect on their opportunities for local, national, and global action.
初级卫生保健（PHC）是卫生系统的支柱，也是全民健康覆盖的基石。2018 年，国际利益相关者在阿斯塔纳重申了对 PHC 的政治承诺，包括基于全生命周期基本保健的综合方法、整合公共卫生职能和社区赋权。最近的事件暴露了全球卫生保健系统的弱点，人们越来越关注加强 PHC。虽然已经认识到医疗服务提供者作为健康倡导者的作用，但他们可能缺乏技能、机会和资源来积极参与倡导。特别是对于 PHC 提供者，关于如何倡导加强 PHC 的指导和工具非常稀缺。在本文中，我们审查了与多个环境和卫生保健系统相关的 PHC 加强的优先政策领域，并提出了一些方法，以使 PHC 提供者（医生、非医生或非正式 PHC 提供者）能够通过个人或集体行动在其本国倡导加强 PHC。我们为逐步倡导战略提供了初步思路，并为实际倡导活动提出了建议。我们的目的是启动关于如何加强卫生保健提供者推动的 PHC 倡导的进一步讨论，并鼓励该领域的倡导者思考他们在地方、国家和全球层面采取行动的机会。
