Is primary care the wave of the future?

Stephen C. Joseph, Sharon Stanton Russsell
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引用次数: 5

Abstract

In the current debate over how to utilize most effectively and efficiently resources to improve the health of populations in developing countries, the usual approach by those who would argue for heavy investment in Primary Health Care (PHC) is to compare and contrast the cost-effectiveness and cost-benefits of PHC versus alternative approaches. While this paper touches upon the relative merits of PHC in contrast to alternative approaches, it focuses more centrally on the need to move from thinking about these as if they were mutually exclusive alternatives, and toward greater attention to the proper balance among these alternatives. The debate over the investment in PHC as “the wave of the future” is, or ought to be, a debate concerning mix, timing, and emphasis. The paper also argues for expanding the realm of inquiry to include issues of sociopolitical motivation—factors which have too long been neglected in more purely technical approaches to the topic. Finally, the paper seeks to identify and explore resource requirements for and constraints to global expansion of PHC over the next 20 years and proposes specific principles to guide development of PHC strategies.

初级保健是未来的潮流吗?
在当前关于如何最有效和最高效地利用资源改善发展中国家人口健康的辩论中,主张大力投资初级卫生保健(PHC)的人通常采取的做法是比较和对比初级卫生保健与其他方法的成本效益和成本效益。虽然本文触及了PHC与其他方法相比的相对优点,但它更集中关注的是需要从将这些方法视为相互排斥的替代方法,转向更多地关注这些替代方法之间的适当平衡。关于PHC投资是否会成为“未来潮流”的争论是,或者说应该是一场关于投资组合、时机和重点的争论。本文还主张扩大调查领域,包括社会政治动机问题,这些因素在更纯粹的技术方法中被忽视了太长时间。最后,本文试图识别和探讨未来20年初级卫生保健全球扩张的资源需求和制约因素,并提出指导初级卫生保健战略制定的具体原则。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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