From the Center for Professionalism & Value in Health Care, American Board of Family Medicine, MN Washington, DC (RLP, AWB); The Center for Professionalism & Value in Health Care, American Board of Family Medicine, PolicyPRN Consulting (MN); Departments of Family Medicine and Medical Informatics and Clinical Epidemiology, School of Medicine, Oregon Health & Science University, Portland, OR (DJC); Farley Health Policy Center, Department of Family Medicine, University of Colorado Anschutz Medical Campus, Denver, CO (LSH), Ariadne Labs, Brigham and Women's Hospital, Harvard T.H. Chan School of Public Health, Boston, MA (AB).
J Am Board Fam Med. 2024 Nov;37(Supplement1):S21-S25. doi: 10.3122/jabfm.2023.230449R1.
In July 2023, primary health care experts from more than 20 countries, the World Health Organization (WHO), and most agencies within the US Department of Health and Human Services (HHS) met at the National Academy of Sciences in Washington, DC, to catalyze action toward revitalizing primary care in the United States align efforts to advance primary health care worldwide, and improve health and security for all. This meeting was informed by the NASEM's critical primary care report, which highlighted the need for federal leadership to strengthen primary care services in the United States, especially for underserved populations, and to inform primary care systems around the world. To that end, this meeting was designed to explore the challenges and opportunities of investing in primary health care as a common good and critical for health security and resilience across the globe. In this issue, you will find {number} special communications from this conference that highlight the need to evolve from primary care to primary health care, the importance of primary care and public health collaboration, and the necessity for ongoing external scientific expertise to inform US federal government coordination efforts.Despite the clear consensus among global stakeholders regarding the importance of Primary Health Care to health equity, behavioral health, health security, and pandemic resilience, a year later the anticipated HHS Action Plan to guide implementation of the NASEM primary care recommendations has yet to be launched. While some agencies are moving ahead with initiatives and programs within their purview, the lack of a Primary Care Action Plan remains a missed opportunity to coalesce politically powerful stakeholders around a united and much-needed vision for a US health system centered on Primary Health Care, particularly in light of our challenges in responding to COVID-19.
2023 年 7 月，来自 20 多个国家的初级保健专家、世界卫生组织（WHO）以及美国卫生与公众服务部（HHS）的大多数机构在华盛顿特区的美国国家科学院举行会议，以推动美国初级保健的振兴行动，协调努力推进全球初级保健，并改善所有人的健康和安全。这次会议的依据是 NASEM 的重要初级保健报告，该报告强调了美国联邦政府需要加强初级保健服务，特别是为服务不足的人群提供服务，并为全球的初级保健系统提供信息。为此，本次会议旨在探讨将初级卫生保健作为共同利益进行投资的挑战和机遇，这对全球的卫生安全和复原力至关重要。在本期特刊中，你将找到来自本次会议的{number}篇特别通讯，强调需要从初级保健发展到初级卫生保健，强调初级保健和公共卫生合作的重要性，以及需要持续的外部科学专业知识来为美国联邦政府协调工作提供信息。尽管全球利益相关者就初级卫生保健对卫生公平、行为健康、卫生安全和大流行应对能力的重要性达成了明确共识，但一年后，预计将指导 NASEM 初级保健建议实施的 HHS 行动计划尚未发布。虽然一些机构正在其职权范围内推进倡议和计划，但缺乏初级保健行动计划仍然是一个错失的机会，无法让政治上有影响力的利益相关者围绕一个以初级卫生保健为中心的美国卫生系统的统一和急需的愿景联合起来，特别是考虑到我们在应对 COVID-19 方面面临的挑战。
