From: <b class="gmail_sendername">Ruggiero, Mrs. Ana Lucia (WDC)</b> <span dir="ltr"><<a href="mailto:ruglucia@paho.org">ruglucia@paho.org</a>></span><br><div class="gmail_quote">crossposted from : <a href="mailto:EQUIDAD@listserv.paho.org">EQUIDAD@listserv.paho.org</a><br>
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<p class="MsoNormal" style="margin-left:.5in"><b><font color="maroon" face="Arial" size="3"><span style="font-size:12.0pt;font-family:Arial;color:maroon;font-weight:bold">Politics, primary healthcare and health: was Virchow right?<br>

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<p class="MsoNormal" style="margin-left:.5in"><b><font face="Arial" size="2"><span style="font-size:10.0pt;font-family:Arial;font-weight:bold">Barbara Starfield*<u></u><u></u></span></font></b></p>

<p class="MsoNormal" style="margin-left:.5in"><b><font face="Arial" size="2"><span style="font-size:10.0pt;font-family:Arial;font-weight:bold">Primary healthcare<br>
*</span></font></b><font face="Arial" size="1"><span style="font-size:7.0pt;font-family:Arial">Editors' note Just as this issue was going to press, we
learned that Barbara Starfield MD, MPH, died suddenly and unexpectedly while
swimming. Dr Starfield was a world-renowned scholar and tireless advocate for
primary care and health inequalities research. She made an enormous impact in
both of these fields and her contributions will be greatly missed by our
research community. <br>
We thank Normalie Barton for checking the proofs on behalf of Dr Starfield<br>
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<p class="MsoNormal" style="margin-left:.5in"><b><font face="Arial" size="2"><span style="font-size:10.0pt;font-family:Arial;font-weight:bold">J Epidemiol
Community Health 2011;65:653-655 doi:10.1136/jech.2009.102780 <br>
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</span></font></b><font face="Arial" size="2"><span style="font-size:10.0pt;font-family:Arial"><u></u><u></u></span></font></p>

<p class="MsoNormal" style="margin-left:.5in"><font face="Arial" size="2"><span style="font-size:10.0pt;font-family:Arial">Website: <span><a href="http://bit.ly/pTuxH3" target="_blank"><font color="black"><span style="color:windowtext">http://bit.ly/pTuxH3</span></font></a></span><br>

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<u></u><u></u></span></font></p>

<p class="MsoNormal" style="margin-left:.5in"><font face="Arial" size="2"><span style="font-size:10.0pt;font-family:Arial">“…..In this issue of
JECH, authors from both the People's Health Movement 1 and WHO 2 agree that
primary healthcare makes a considerable contribution to reducing the adverse
impact of social inequalities on health. <br>
<br>
<u></u><u></u></span></font></p>

<p class="MsoNormal" style="margin-left:.5in"><font face="Arial" size="2"><span style="font-size:10.0pt;font-family:Arial">That is, primary healthcare is a
‘health equity-producing’ social policy. Both groups of authors
agree that health systems do not exist in isolation from other social systems.
Both provide examples of how the market orientation of neo-liberal globalisation
has worked against improvements in general and equity in health specifically.
The role of world trade agreements in compromising nutritional status of
socially disadvantaged populations provides a powerful case for the importance
of inter-sectoral approaches in health policy activities. <br>
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<u></u><u></u></span></font></p>

<p class="MsoNormal" style="margin-left:.5in"><font face="Arial" size="2"><span style="font-size:10.0pt;font-family:Arial">Both papers speak of ‘primary
health care’ rather than of ‘primary care’. The distinction
between the two is at the heart of achieving greater equity in health through
societal actions. Both clinical practices and system policies need
consideration. 3 <br>
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<u></u><u></u></span></font></p>

<p class="MsoNormal" style="margin-left:.5in"><font face="Arial" size="2"><span style="font-size:10.0pt;font-family:Arial">The literature on <i><span style="font-style:italic">‘primary care’</span></i> is largely
clinical, having to do with the behaviour of health services professionals and
their interactions with people and, increasingly, the subpopulations for whom
they provide services. Within the last two decades there has been increasing
clarity about which ‘<i><span style="font-style:italic">behaviours</span></i>’
are most important to adequacy of primary care: first contact accessibility and
use, identification with a regular source of care that is person (rather than
disease) focused care over time, comprehensiveness of services available and
provided, and coordination (when care from other places is required). <br>
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<p class="MsoNormal" style="margin-left:.5in"><b><font face="Arial" size="2"><span style="font-size:10.0pt;font-family:Arial;font-weight:bold" lang="FR">Issue –
content: <a href="http://bit.ly/o87RK4" target="_blank"><font color="black"><span style="color:windowtext">http://bit.ly/o87RK4</span></font></a> <br>
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<u></u><u></u></span></font></b></p>

<p class="MsoNormal" style="margin-left:.5in"><b><font face="Arial" size="2"><span style="font-size:10.0pt;font-family:Arial;font-weight:bold" lang="FR">Related
Articles:<br>
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</span></font></b><font face="Arial" size="2"><span style="font-size:10.0pt;font-family:Arial" lang="FR"><u></u><u></u></span></font></p>

<p class="MsoNormal" style="margin-left:.5in"><b><font color="maroon" face="Arial" size="2"><span style="font-size:10.0pt;font-family:Arial;color:maroon;font-weight:bold" lang="EN">Primary health care and the social determinants of health:
essential and complementary approaches for reducing inequities in health <u></u><u></u></span></font></b></p>

<p class="MsoNormal" style="margin-left:.5in"><font face="Arial" size="1"><span style="font-size:9.0pt;font-family:Arial" lang="EN">Kumanan Rasanathan, Eugenio
Villar Montesinos, Don Matheson, Carissa Etienne, Tim Evans<u></u><u></u></span></font></p>

<p class="MsoNormal" style="margin-left:.5in"><font face="Arial" size="1"><span style="font-size:9.0pt;font-family:Arial" lang="EN">J Epidemiol Community Health
2011;65:656-660 Published November 2009 doi:10.1136/jech.2009.093914<br>
<br>
<u></u><u></u></span></font></p>

<p class="MsoNormal" style="margin-left: 0.5in; color: rgb(51, 102, 255);"><b><font face="Arial" size="2"><span style="font-size: 10pt; font-family: Arial; font-weight: bold;" lang="EN">Revitalising primary healthcare requires an equitable global
economic system - now more than ever <u></u><u></u></span></font></b></p>

<p class="MsoNormal" style="margin-left: 0.5in; color: rgb(51, 102, 255);"><font face="Arial" size="1"><span style="font-size:9.0pt;font-family:Arial" lang="EN">David Sanders, Fran E Baum,
Alexis Benos, David Legge<u></u><u></u></span></font></p>

<p class="MsoNormal" style="margin-left: 0.5in; color: rgb(51, 102, 255);"><font face="Arial" size="1"><span style="font-size:9.0pt;font-family:Arial" lang="EN">J Epidemiol Community Health
2011;65:661-665 Published December 2009 doi:10.1136/jech.2009.095125<br>
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