Comprehensive Primary Health Care in South America: contexts, achievements and policy implications
Autor(a) principal: | |
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Data de Publicação: | 2011 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Cadernos de Saúde Pública |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2011001000002 |
Resumo: | This article summarizes an extensive review of South American experiences with primary health care since the Declaration of Alma-Ata. It aims to address the following specific questions: What are the enabling and constraining historical and structural conditions for primary health care policies and practices? How has health care reform supported or undermined primary health care? What evidence exists on the effectiveness of primary health care? What strategies are common to best practices? What evidence exists on the roles of citizen participation and intersectoral action? And finally, what are the policy lessons to be learned from these experiences? Narrative synthesis was used to identify and examine patterns in the data consistent with these questions. Conditions that were found to promote successful implementation of primary health care are outlined, together with features of effective primary health care systems that help create more equitable health services and health outcomes. |
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Comprehensive Primary Health Care in South America: contexts, achievements and policy implicationsPrimary Health CareHealth PolicyComprehensive Health CareThis article summarizes an extensive review of South American experiences with primary health care since the Declaration of Alma-Ata. It aims to address the following specific questions: What are the enabling and constraining historical and structural conditions for primary health care policies and practices? How has health care reform supported or undermined primary health care? What evidence exists on the effectiveness of primary health care? What strategies are common to best practices? What evidence exists on the roles of citizen participation and intersectoral action? And finally, what are the policy lessons to be learned from these experiences? Narrative synthesis was used to identify and examine patterns in the data consistent with these questions. Conditions that were found to promote successful implementation of primary health care are outlined, together with features of effective primary health care systems that help create more equitable health services and health outcomes.Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz2011-10-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2011001000002Cadernos de Saúde Pública v.27 n.10 2011reponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZ10.1590/S0102-311X2011001000002info:eu-repo/semantics/openAccessRamírez,Naydú AcostaRuiz,Jennifer PollardRomero,Román VegaLabonté,Ronaldeng2011-10-24T00:00:00Zoai:scielo:S0102-311X2011001000002Revistahttp://cadernos.ensp.fiocruz.br/csp/https://old.scielo.br/oai/scielo-oai.phpcadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2011-10-24T00:00Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)false |
dc.title.none.fl_str_mv |
Comprehensive Primary Health Care in South America: contexts, achievements and policy implications |
title |
Comprehensive Primary Health Care in South America: contexts, achievements and policy implications |
spellingShingle |
Comprehensive Primary Health Care in South America: contexts, achievements and policy implications Ramírez,Naydú Acosta Primary Health Care Health Policy Comprehensive Health Care |
title_short |
Comprehensive Primary Health Care in South America: contexts, achievements and policy implications |
title_full |
Comprehensive Primary Health Care in South America: contexts, achievements and policy implications |
title_fullStr |
Comprehensive Primary Health Care in South America: contexts, achievements and policy implications |
title_full_unstemmed |
Comprehensive Primary Health Care in South America: contexts, achievements and policy implications |
title_sort |
Comprehensive Primary Health Care in South America: contexts, achievements and policy implications |
author |
Ramírez,Naydú Acosta |
author_facet |
Ramírez,Naydú Acosta Ruiz,Jennifer Pollard Romero,Román Vega Labonté,Ronald |
author_role |
author |
author2 |
Ruiz,Jennifer Pollard Romero,Román Vega Labonté,Ronald |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Ramírez,Naydú Acosta Ruiz,Jennifer Pollard Romero,Román Vega Labonté,Ronald |
dc.subject.por.fl_str_mv |
Primary Health Care Health Policy Comprehensive Health Care |
topic |
Primary Health Care Health Policy Comprehensive Health Care |
description |
This article summarizes an extensive review of South American experiences with primary health care since the Declaration of Alma-Ata. It aims to address the following specific questions: What are the enabling and constraining historical and structural conditions for primary health care policies and practices? How has health care reform supported or undermined primary health care? What evidence exists on the effectiveness of primary health care? What strategies are common to best practices? What evidence exists on the roles of citizen participation and intersectoral action? And finally, what are the policy lessons to be learned from these experiences? Narrative synthesis was used to identify and examine patterns in the data consistent with these questions. Conditions that were found to promote successful implementation of primary health care are outlined, together with features of effective primary health care systems that help create more equitable health services and health outcomes. |
publishDate |
2011 |
dc.date.none.fl_str_mv |
2011-10-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2011001000002 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2011001000002 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/S0102-311X2011001000002 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz |
publisher.none.fl_str_mv |
Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz |
dc.source.none.fl_str_mv |
Cadernos de Saúde Pública v.27 n.10 2011 reponame:Cadernos de Saúde Pública instname:Fundação Oswaldo Cruz (FIOCRUZ) instacron:FIOCRUZ |
instname_str |
Fundação Oswaldo Cruz (FIOCRUZ) |
instacron_str |
FIOCRUZ |
institution |
FIOCRUZ |
reponame_str |
Cadernos de Saúde Pública |
collection |
Cadernos de Saúde Pública |
repository.name.fl_str_mv |
Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ) |
repository.mail.fl_str_mv |
cadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br |
_version_ |
1754115731569508353 |