Marmara University School of Medicine, Department of Family Medicine, Istanbul, Turkey.
Hacettepe University School of Medicine, Department of Family Medicine, Ankara, Turkey.
Prim Health Care Res Dev. 2022 Sep 1;23:e49. doi: 10.1017/S1463423622000275.
Strong primary care does not develop spontaneously but requires a well-developed organizational planning between levels of care. Primary care-oriented health systems are required to effectively tackle unmet health needs of the population, and efficient primary care organization (PCO) is crucial for this aim. Via strong primary care, health delivery, health outcomes, equity, and health security could be improved. There are several theoretical models on how primary care can be organized. In this position paper, the key aspects and benchmarks of PCO will be explored based on previously mentioned frameworks and domains. The aim of this position paper is to assist primary care providers, policymakers, and researchers by discussing the current context of PCO and providing guidance for implementation, development, and evaluation of it in a particular setting. The conceptual map of this paper consists of structural and process (PC service organization) domains and is adapted from frameworks described in literature and World Health Organization resources. Evidence we have gathered for this paper shows that for establishing a strong PCO, it is crucial to ensure accessible, continuous, person-centered, community-oriented, coordinated, and integrated primary care services provided by competent and socially accountable multiprofessional teams working in a setting where clear policy documents exist, adequate funding is available, and primary care is managed by dedicated units.
强有力的基层医疗并非自然而然就能发展起来的,而是需要在各级医疗保健之间进行精心规划。面向基层医疗的卫生系统需要有效地解决民众未满足的卫生需求,而有效的基层医疗组织(PCO)是实现这一目标的关键。通过强化基层医疗,可以改善医疗服务、医疗效果、公平性和卫生安全。有几种关于基层医疗组织方式的理论模型。在这份立场文件中,将根据上述框架和领域探讨基层医疗组织的关键方面和基准。本立场文件的目的是通过讨论当前基层医疗组织的背景,为特定环境下基层医疗组织的实施、发展和评估提供指导,从而为基层医疗提供者、政策制定者和研究人员提供帮助。本文的概念图包括结构和流程(PC 服务组织)领域,是根据文献和世界卫生组织资源中描述的框架改编的。本文所收集的证据表明,为了建立一个强大的基层医疗组织,确保提供可及、连续、以患者为中心、面向社区、协调和整合的基层医疗服务至关重要,这些服务由具备能力且对社会负责的多专业团队提供,在一个有明确政策文件、充足资金和专门单位管理基层医疗的环境中运作。