Department of Economics, Indraprastha College for Women, Delhi, India.
Population, Health and Nutrition-Research Programme, Institute for Human Development, New Delhi, India.
Fam Pract. 2023 Dec 22;40(5-6):707-713. doi: 10.1093/fampra/cmac154.
Aam Aadmi Mohalla Clinics (AAMC) are the community level public primary care facilities recently introduced to strengthen primary care in Delhi, India by bringing affordable healthcare close to home.
This study looks at the primary care attributes of AAMC from a patient perspective, to assess their features, strengths and weaknesses.
Using a primary care survey tool, a cross-sectional survey of 360 users was conducted at 18 facilities across 9 districts of Delhi to gather information on six dimensions of primary care delivery. Thematic analysis of responses to quantitative, multiple-choice and Likert scale questions using percentage of respondents in each category; and a strengths, weaknesses, opportunities and suggestions (SWOS) framework, was used to examine the primary care attributes.
AAMCs have done well in improving proximity, availability, physical and financial access to primary care with respondents reporting their residence within 1 kilometre of AAMCs (95%), physician being available (100%), free drugs in stock (99%). Service delivery is however not comprehensive with missing preventive care. Respondents reported missing gatekeeping, weak referral mechanism (6-19%), and low physician's familiarity with their overall health (2%).
AAMCs have brought affordable healthcare with free medicines and diagnostics to neighbourhood. There is an opportunity for attaining universal healthcare that is responsive to user needs through provision of comprehensive care. Compulsory enrolment of neighbourhood population with an electronic database of patients has an immense potential to improve longitudinality and coordination of care.
Aam Aadmi Mohalla 诊所（AAMC）是最近在印度德里推出的社区一级公共初级保健设施，旨在通过将负担得起的医疗保健服务带到家门口来加强初级保健。
本研究从患者角度评估 AAMC 的初级保健属性，以评估其特点、优势和劣势。
使用初级保健调查工具，在德里 9 个区的 18 个设施中对 360 名用户进行了横断面调查，以收集关于初级保健提供的六个维度的信息。使用百分比分析对定量、多项选择和李克特量表问题的回答进行主题分析；并使用优势、劣势、机会和建议（SWOS）框架来检查初级保健属性。
AAMC 在改善接近度、可用性、初级保健的物理和经济可及性方面做得很好，受访者报告他们居住在 AAMC 1 公里范围内（95%）、医生随时可（100%）、库存有免费药物（99%）。然而，服务提供并不全面，缺乏预防保健。受访者报告错过了守门人作用、转诊机制薄弱（6-19%）以及医生对他们整体健康状况了解不足（2%）。
AAMC 已经为社区提供了负担得起的医疗保健服务，包括免费药品和诊断。通过提供全面的医疗保健服务，有机会实现对用户需求做出反应的全民医疗保健。强制性登记社区人口并建立患者电子数据库，具有极大的潜力来提高医疗保健的纵向性和协调性。
