Primary health care in practice: usual source of care and health system performance across 14 countries

Autores
Croke, Kevin; Moshabela, Mosa; Kapoor, Neena R.; Doubova, Svetlana V.; Garcia Elorrio, Ezequiel; HaileMariam, Damen; Lewis, Todd P.; Mfeka Nkabinde, Gloria N.; Mohan, Sailesh; Mugo, Peter; Nzinga, Jacinta; Prabhakaran, Dorairaj; Tadele, Ashenif; Wright, Katherine D.; Kruk, Margaret E.
Año de publicación
2023
Idioma
inglés
Tipo de recurso
artículo
Estado
versión publicada
Descripción
Primary health care (PHC) is central to attainment of the Sustainable Development Goals, yet comparable cross-country data on key aspects of primary care have not been widely available. This study analysed data from the People´s Voice Survey, which was conducted in 2022 and 2023 in 14 countries. We documented usual source of care across countries and examined associations of usual source of care with core PHC services, quality ratings, and health system confidence. We found that 75% of respondents had a usual source of care, and that 40% of respondents accessed usual care in the public sector at primary level. 44% rated their usual source of care as very good or excellent. Access to PHC-linked screenings and treatments varied widely within and across countries. Having any usual source of care was associated with higher take-up of preventive services, greater access to treatment including mental health services, and greater health system endorsement. Strengthening links between health system users and primary care providers could improve take-up of preventive care and increase user satisfaction with health system performance.
Fil: Croke, Kevin. Harvard University. Harvard School of Public Health; Estados Unidos
Fil: Moshabela, Mosa. Harvard University. Harvard School of Public Health; Estados Unidos
Fil: Kapoor, Neena R.. Harvard University. Harvard School of Public Health; Estados Unidos
Fil: Doubova, Svetlana V.. Harvard University. Harvard School of Public Health; Estados Unidos
Fil: Garcia Elorrio, Ezequiel. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
Fil: HaileMariam, Damen. Addis Ababa University; Etiopía
Fil: Lewis, Todd P.. Harvard University. Harvard School of Public Health; Estados Unidos
Fil: Mfeka Nkabinde, Gloria N.. University of KwaZulu-Natal; Sudáfrica
Fil: Mohan, Sailesh. Deakin University; Australia
Fil: Mugo, Peter. No especifíca;
Fil: Nzinga, Jacinta. No especifíca;
Fil: Prabhakaran, Dorairaj. No especifíca;
Fil: Tadele, Ashenif. Ethiopian Public Health Institute; Etiopía
Fil: Wright, Katherine D.. Harvard University. Harvard School of Public Health; Estados Unidos
Fil: Kruk, Margaret E.. Harvard University. Harvard School of Public Health; Estados Unidos
Materia
Calidad de Atencion
Nivel de accesibilidad
acceso abierto
Condiciones de uso
https://creativecommons.org/licenses/by-nc-nd/2.5/ar/
Repositorio
CONICET Digital (CONICET)
Institución
Consejo Nacional de Investigaciones Científicas y Técnicas
OAI Identificador
oai:ri.conicet.gov.ar:11336/239149
Acceder
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oai_identifier_str oai:ri.conicet.gov.ar:11336/239149
network_acronym_str CONICETDig
repository_id_str 3498
network_name_str CONICET Digital (CONICET)
spelling Primary health care in practice: usual source of care and health system performance across 14 countriesCroke, KevinMoshabela, MosaKapoor, Neena R.Doubova, Svetlana V.Garcia Elorrio, EzequielHaileMariam, DamenLewis, Todd P.Mfeka Nkabinde, Gloria N.Mohan, SaileshMugo, PeterNzinga, JacintaPrabhakaran, DorairajTadele, AshenifWright, Katherine D.Kruk, Margaret E.Calidad de Atencionhttps://purl.org/becyt/ford/3.5https://purl.org/becyt/ford/3Primary health care (PHC) is central to attainment of the Sustainable Development Goals, yet comparable cross-country data on key aspects of primary care have not been widely available. This study analysed data from the People´s Voice Survey, which was conducted in 2022 and 2023 in 14 countries. We documented usual source of care across countries and examined associations of usual source of care with core PHC services, quality ratings, and health system confidence. We found that 75% of respondents had a usual source of care, and that 40% of respondents accessed usual care in the public sector at primary level. 44% rated their usual source of care as very good or excellent. Access to PHC-linked screenings and treatments varied widely within and across countries. Having any usual source of care was associated with higher take-up of preventive services, greater access to treatment including mental health services, and greater health system endorsement. Strengthening links between health system users and primary care providers could improve take-up of preventive care and increase user satisfaction with health system performance.Fil: Croke, Kevin. Harvard University. Harvard School of Public Health; Estados UnidosFil: Moshabela, Mosa. Harvard University. Harvard School of Public Health; Estados UnidosFil: Kapoor, Neena R.. Harvard University. Harvard School of Public Health; Estados UnidosFil: Doubova, Svetlana V.. Harvard University. Harvard School of Public Health; Estados UnidosFil: Garcia Elorrio, Ezequiel. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaFil: HaileMariam, Damen. Addis Ababa University; EtiopíaFil: Lewis, Todd P.. Harvard University. Harvard School of Public Health; Estados UnidosFil: Mfeka Nkabinde, Gloria N.. University of KwaZulu-Natal; SudáfricaFil: Mohan, Sailesh. Deakin University; AustraliaFil: Mugo, Peter. No especifíca;Fil: Nzinga, Jacinta. No especifíca;Fil: Prabhakaran, Dorairaj. No especifíca;Fil: Tadele, Ashenif. Ethiopian Public Health Institute; EtiopíaFil: Wright, Katherine D.. Harvard University. Harvard School of Public Health; Estados UnidosFil: Kruk, Margaret E.. Harvard University. Harvard School of Public Health; Estados UnidosElsevier2023-12info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/239149Croke, Kevin; Moshabela, Mosa; Kapoor, Neena R.; Doubova, Svetlana V.; Garcia Elorrio, Ezequiel; et al.; Primary health care in practice: usual source of care and health system performance across 14 countries; Elsevier; The Lancet Global Health; 12; 1; 12-2023; 134-1442214-109XCONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/doi/10.1016/S2214-109X(23)00513-2info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by-nc-nd/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2025-09-29T10:27:45Zoai:ri.conicet.gov.ar:11336/239149instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982025-09-29 10:27:46.088CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse
dc.title.none.fl_str_mv Primary health care in practice: usual source of care and health system performance across 14 countries
title Primary health care in practice: usual source of care and health system performance across 14 countries
spellingShingle Primary health care in practice: usual source of care and health system performance across 14 countries
Croke, Kevin
Calidad de Atencion
title_short Primary health care in practice: usual source of care and health system performance across 14 countries
title_full Primary health care in practice: usual source of care and health system performance across 14 countries
title_fullStr Primary health care in practice: usual source of care and health system performance across 14 countries
title_full_unstemmed Primary health care in practice: usual source of care and health system performance across 14 countries
title_sort Primary health care in practice: usual source of care and health system performance across 14 countries
dc.creator.none.fl_str_mv Croke, Kevin
Moshabela, Mosa
Kapoor, Neena R.
Doubova, Svetlana V.
Garcia Elorrio, Ezequiel
HaileMariam, Damen
Lewis, Todd P.
Mfeka Nkabinde, Gloria N.
Mohan, Sailesh
Mugo, Peter
Nzinga, Jacinta
Prabhakaran, Dorairaj
Tadele, Ashenif
Wright, Katherine D.
Kruk, Margaret E.
author Croke, Kevin
author_facet Croke, Kevin
Moshabela, Mosa
Kapoor, Neena R.
Doubova, Svetlana V.
Garcia Elorrio, Ezequiel
HaileMariam, Damen
Lewis, Todd P.
Mfeka Nkabinde, Gloria N.
Mohan, Sailesh
Mugo, Peter
Nzinga, Jacinta
Prabhakaran, Dorairaj
Tadele, Ashenif
Wright, Katherine D.
Kruk, Margaret E.
author_role author
author2 Moshabela, Mosa
Kapoor, Neena R.
Doubova, Svetlana V.
Garcia Elorrio, Ezequiel
HaileMariam, Damen
Lewis, Todd P.
Mfeka Nkabinde, Gloria N.
Mohan, Sailesh
Mugo, Peter
Nzinga, Jacinta
Prabhakaran, Dorairaj
Tadele, Ashenif
Wright, Katherine D.
Kruk, Margaret E.
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Calidad de Atencion
topic Calidad de Atencion
purl_subject.fl_str_mv https://purl.org/becyt/ford/3.5
https://purl.org/becyt/ford/3
dc.description.none.fl_txt_mv Primary health care (PHC) is central to attainment of the Sustainable Development Goals, yet comparable cross-country data on key aspects of primary care have not been widely available. This study analysed data from the People´s Voice Survey, which was conducted in 2022 and 2023 in 14 countries. We documented usual source of care across countries and examined associations of usual source of care with core PHC services, quality ratings, and health system confidence. We found that 75% of respondents had a usual source of care, and that 40% of respondents accessed usual care in the public sector at primary level. 44% rated their usual source of care as very good or excellent. Access to PHC-linked screenings and treatments varied widely within and across countries. Having any usual source of care was associated with higher take-up of preventive services, greater access to treatment including mental health services, and greater health system endorsement. Strengthening links between health system users and primary care providers could improve take-up of preventive care and increase user satisfaction with health system performance.
Fil: Croke, Kevin. Harvard University. Harvard School of Public Health; Estados Unidos
Fil: Moshabela, Mosa. Harvard University. Harvard School of Public Health; Estados Unidos
Fil: Kapoor, Neena R.. Harvard University. Harvard School of Public Health; Estados Unidos
Fil: Doubova, Svetlana V.. Harvard University. Harvard School of Public Health; Estados Unidos
Fil: Garcia Elorrio, Ezequiel. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
Fil: HaileMariam, Damen. Addis Ababa University; Etiopía
Fil: Lewis, Todd P.. Harvard University. Harvard School of Public Health; Estados Unidos
Fil: Mfeka Nkabinde, Gloria N.. University of KwaZulu-Natal; Sudáfrica
Fil: Mohan, Sailesh. Deakin University; Australia
Fil: Mugo, Peter. No especifíca;
Fil: Nzinga, Jacinta. No especifíca;
Fil: Prabhakaran, Dorairaj. No especifíca;
Fil: Tadele, Ashenif. Ethiopian Public Health Institute; Etiopía
Fil: Wright, Katherine D.. Harvard University. Harvard School of Public Health; Estados Unidos
Fil: Kruk, Margaret E.. Harvard University. Harvard School of Public Health; Estados Unidos
description Primary health care (PHC) is central to attainment of the Sustainable Development Goals, yet comparable cross-country data on key aspects of primary care have not been widely available. This study analysed data from the People´s Voice Survey, which was conducted in 2022 and 2023 in 14 countries. We documented usual source of care across countries and examined associations of usual source of care with core PHC services, quality ratings, and health system confidence. We found that 75% of respondents had a usual source of care, and that 40% of respondents accessed usual care in the public sector at primary level. 44% rated their usual source of care as very good or excellent. Access to PHC-linked screenings and treatments varied widely within and across countries. Having any usual source of care was associated with higher take-up of preventive services, greater access to treatment including mental health services, and greater health system endorsement. Strengthening links between health system users and primary care providers could improve take-up of preventive care and increase user satisfaction with health system performance.
publishDate 2023
dc.date.none.fl_str_mv 2023-12
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
http://purl.org/coar/resource_type/c_6501
info:ar-repo/semantics/articulo
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/11336/239149
Croke, Kevin; Moshabela, Mosa; Kapoor, Neena R.; Doubova, Svetlana V.; Garcia Elorrio, Ezequiel; et al.; Primary health care in practice: usual source of care and health system performance across 14 countries; Elsevier; The Lancet Global Health; 12; 1; 12-2023; 134-144
2214-109X
CONICET Digital
CONICET
url http://hdl.handle.net/11336/239149
identifier_str_mv Croke, Kevin; Moshabela, Mosa; Kapoor, Neena R.; Doubova, Svetlana V.; Garcia Elorrio, Ezequiel; et al.; Primary health care in practice: usual source of care and health system performance across 14 countries; Elsevier; The Lancet Global Health; 12; 1; 12-2023; 134-144
2214-109X
CONICET Digital
CONICET
dc.language.none.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv info:eu-repo/semantics/altIdentifier/doi/10.1016/S2214-109X(23)00513-2
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by-nc-nd/2.5/ar/
eu_rights_str_mv openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by-nc-nd/2.5/ar/
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
dc.source.none.fl_str_mv reponame:CONICET Digital (CONICET)
instname:Consejo Nacional de Investigaciones Científicas y Técnicas
reponame_str CONICET Digital (CONICET)
collection CONICET Digital (CONICET)
instname_str Consejo Nacional de Investigaciones Científicas y Técnicas
repository.name.fl_str_mv CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicas
repository.mail.fl_str_mv dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar
_version_ 1844614280228372480
score 13.070432

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