Department of Global Health and Population, Harvard T H Chan School of Public Health, Boston, MA, USA.
School of Nursing and Public Health, College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa.
Lancet Glob Health. 2024 Jan;12(1):e134-e144. doi: 10.1016/S2214-109X(23)00513-2. Epub 2023 Dec 11.
Primary health care (PHC) is central to attainment of the Sustainable Development Goals, yet comparable cross-country data on key aspects of primary care have not been widely available. This study analysed data from the People's Voice Survey, which was conducted in 2022 and 2023 in 14 countries. We documented usual source of care across countries and examined associations of usual source of care with core PHC services, quality ratings, and health system confidence. We found that 75% of respondents had a usual source of care, and that 40% of respondents accessed usual care in the public sector at primary level. 44% rated their usual source of care as very good or excellent. Access to PHC-linked screenings and treatments varied widely within and across countries. Having any usual source of care was associated with higher take-up of preventive services, greater access to treatment including mental health services, and greater health system endorsement. Strengthening links between health system users and primary care providers could improve take-up of preventive care and increase user satisfaction with health system performance.
初级卫生保健（PHC）是实现可持续发展目标的核心，但关于初级保健关键方面的可比跨国数据尚未广泛提供。本研究分析了 2022 年至 2023 年在 14 个国家进行的人民之声调查的数据。我们记录了各国的常规医疗服务来源，并研究了常规医疗服务来源与核心初级卫生保健服务、质量评级和卫生系统信心之间的关联。我们发现，75%的受访者有常规医疗服务来源，40%的受访者在初级公共部门获得常规医疗服务。44%的受访者对其常规医疗服务来源的评价非常好或优秀。在各国内部和之间，与初级卫生保健相关的筛查和治疗的可及性差异很大。有任何常规医疗服务来源与更高的预防服务利用率、更多的治疗机会（包括心理健康服务）以及更大的卫生系统认可相关。加强卫生系统使用者和初级保健提供者之间的联系，可以提高预防保健的利用率，并增加用户对卫生系统绩效的满意度。
