PHA-Exchange> Primary health care as a strategy for achieving equitable care - Literature Review

[Claudio Schuftan]

  from "Ruggiero, Mrs. Ana Lucia (WDC)"
<ruglucia at PAHO.ORG> -----
 EQUIDAD at LISTSERV.PAHO.ORG

Primary health care as a strategy for achieving equitable care:

a literature review commissioned by the Health Systems Knowledge Network


Prof. J. De Maeseneer, S. Willems,  A. De Sutter, I. Van de Geuchte,
Department of Family Medicine and Primary Health Care, Ghent University.
Belgium.

M.Billings  Global Health through Education, Training and Service,
Attleboro, USA.

March 2007

The Health Systems Knowledge Network - WHO Commission on the Social
Determinants of Health



Available online at:
http://www.wits.ac.za/chp/kn/De%20Maeseneer%202007%20PHC%20as%20strategy
.pdf
<http://www.wits.ac.za/chp/kn/De%20Maeseneer%202007%20PHC%20as%20strateg
y.pdf>



"....The health system plays a role as a social determinant of health :

* at the macro-level: through public policy and equitable resource
allocation processes;

* at the meso- level (the community): through performance of the
decentralized policy;

* at the micro-level: through factors related to the organisation of the
health care system (physical, financial, psycho-social, cultural and
administrative access) as well as factors related to the health care
provider (skills, knowledge, approach to the patient). This is where
primary health care systems may contribute to comprehensive care...."



Content:

Executive Summary

1. INTRODUCTION

2. SOCIAL DETERMINANTS OF HEALTH: THE HEALTH (CARE) SYSTEM AS A SOCIAL
DETERMINANT OF HEALTH

3. PRIMARY HEALTH CARE: DEFINITION AND EVOLUTION OF THE CONCEPT

4. WHAT ARE THE MAIN FEATURES OF PRIMARY HEALTH CARE THAT MAKE IT USEFUL
AS A STRATEGY FOR PROMOTING HEALTH EQUITY AND INTERSECTORAL ACTION?

5. ENABLING AND LIMITING FACTORS THAT ACCOUNT FOR ACHIEVEMENTS AND
FAILURES OF A STRATEGY BASED ON PRIMARY HEALTH CARE

6. WHAT POLICY MEASURES ARE NEEDED TO ENHANCE THE IMPACT OF PRIMARY
HEALTH CARE ON HEALTH EQUITY?
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