Bhattacharya Jayanta
Family Practitioner, Independent Researcher on Public Health and History of Medicine, Uttar Dinajpur, West Bengal, India.
J Family Med Prim Care. 2023 May;12(5):807-811. doi: 10.4103/jfmpc.jfmpc_621_23. Epub 2023 May 31.
Growing evidence shows that primary care-oriented systems achieve better health outcomes, more health equity, and lower costs. Despite this strong evidence, such care has been chronically underfunded. If a council focused on primary care had existed during the height of the coronavirus disease 2019 (COVID-19) pandemic, it could have helped rapidly mobilize primary care to address vaccine equity and shore up public health, particularly in rural and historically marginalized urban communities. We believe an infrastructure investment plan should include oversight, tools, and resources for rebuilding primary care. Researchers have tried to compare the number of deaths due to "neglected tropical diseases" and that due to COVID - total deaths in the former cases are greater than COVID deaths. We should take into consideration a few issues: (a) distinction between health (as a human right) and health care (as commodity), (b) "clinical health" and "public health," (3) primary health care (as the backbone of public health) as well as community-based program NOT to be replaced by selective primary health care or GOBI or any disease-centered program.
越来越多的证据表明，以初级保健为导向的系统能取得更好的健康成果、更大程度的健康公平以及更低的成本。尽管有如此确凿的证据，但这类保健长期以来资金不足。如果在2019年冠状病毒病（COVID-19）大流行高峰期存在一个专注于初级保健的委员会，它本可以帮助迅速调动初级保健力量，以解决疫苗公平问题并加强公共卫生，特别是在农村和历史上被边缘化的城市社区。我们认为，一项基础设施投资计划应包括重建初级保健的监督、工具和资源。研究人员试图比较“被忽视的热带病”导致的死亡人数和COVID-19导致的死亡人数——前者的总死亡人数多于COVID-19死亡人数。我们应该考虑几个问题：（a）健康（作为一项人权）与医疗保健（作为一种商品）之间的区别，（b）“临床健康”与“公共卫生”，（3）初级卫生保健（作为公共卫生的支柱）以及基于社区的项目不应被选择性初级卫生保健或GOBI或任何以疾病为中心的项目所取代。
