Annual Primary Care 2030 Convening: Creating an Enabling Ecosystem for Person-Centered Primary Healthcare Models to Achieve Universal Health Coverage in Low- and Middle-Income Countries

被引：4

作者：

Alpert, Jessica L. ^{[1
]}

Akinola, Sofiat ^{[2
]}

Booty, Edward ^{[3
]}

Dimitrova, Dessislava ^{[2
]}

Do, Thu T. ^{[4
]}

Emmanuel, Audu Lucky ^{[5
,6
]}

Frohlicher, Pascal ^{[7
]}

Gitonga, Caroline W. ^{[8
]}

Phan Le Thu Hang ^{[9
]}

Hunt, Lindsay ^{[1
]}

Hussein, Salim ^{[10
]}

Kiarie, Helen ^{[11
]}

Mistry, Sejal ^{[12
]}

Ngechu, Ruth ^{[13
]}

Nikolic, Irina A. ^{[14
]}

Olago, Agatha ^{[15
]}

Pollack, Todd M. ^{[16
,17
]}

Vellenga, Ruben ^{[18
,19
]}

Wispelwey, Bram P. ^{[20
]}

Duong, David B. ^{[1
,7
]}

机构：

[1] Harvard Med Sch, Ctr Primary Care, Boston, MA 02115 USA

[2] World Econ Forum, Geneva, Switzerland

[3] Reach52 SG, Singapore, Singapore

[4] Novartis, Novartis Global Hlth, Munich, Germany

[5] Fed Tertiary Hosp, Jalingo, Taraba State, Nigeria

[6] Integrated Universal Hlth Management & Innovat Ct, Abuja, Nigeria

[7] Harvard Med Sch, Dept Global Hlth & Social Med, Program Global Primary Care & Social Change, Boston, MA 02115 USA

[8] Philips Africa Innovat Hub, Nairobi, Kenya

[9] Minist Hlth, Dept Planning & Finance, Hanoi, Vietnam

[10] Minist Hlth, Dept Primary Hlth Care, Nairobi, Kenya

[11] Minist Hlth, Div Monitoring & Evaluat, Nairobi, Kenya

[12] Access Hlth Int, Singapore, Singapore

[13] Living Goods, Nairobi, Kenya

[14] World Bank Grp, Washington, DC USA

[15] Minist Hlth, Div Primary Hlth Serv & Family Med, Nairobi, Kenya

[16] Beth Israel Deaconess Med Ctr, Partnership Hlth Adv Vietnam, Hanoi, Vietnam

[17] Beth Israel Deaconess Med Ctr, Dept Med, Boston, MA 02215 USA

[18] United Nations Resident Coordinators Off, Nairobi, Kenya

[19] United Nations Populat Fund, Nairobi, Kenya

[20] Brigham & Womens Hosp, Div Global Hlth Equ, 75 Francis St, Boston, MA 02115 USA

来源：

ANNALS OF GLOBAL HEALTH | 2020年 / 86卷 / 01期

关键词：

D O I：

10.5334/aogh.2948

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Background: The 2019 United Nations General Assembly High-Level Meeting on Universal Health Coverage and the 2018 Declaration of Astana reaffirm the highest level of political commitment by United Nations Member States to achieve access to health services and primary healthcare for all. Both documents emphasize the importance of person-centered care in both healthcare services and systems design. However, there is limited consensus on how to build a strong primary healthcare system to achieve these goals. Methods: We convened a diverse group of global stakeholders for a high-level dialogue on how to create a person-centered primary healthcare system, using the country examples of the Republic of Kenya and the Socialist Republic of Vietnam. We focused our discussion on four themes to enable the creation of personcentered primary healthcare systems in Kenya and Vietnam: (1) strengthened community, person and patient engagement in subnational and national decision making; (2) improved service delivery; (3) impactful use of innovation and technology; and (4) meaningful and timely use of measurement and data. Findings: Here, we present a summary of our convening's proceedings, with specific insights on how to enable a person-centered primary healthcare system within each of these four domains. Conclusions: Following the 2019 United Nations General Assembly High-Level Meeting on Universal Health Coverage and the 2018 Declaration of Astana, there is high-level commitment and global consensus that a person-centered approach is necessary to achieve high-quality primary healthcare and universal health coverage. We offer our recommendations to the global community to catalyze further discourse and inform policy-making and program development on the path to Universal Health Coverage by 2030.

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