Comprehensive Primary Health Care in South America: contexts, achievements and policy implications

Detalhes bibliográficos
Autor(a) principal: Ramírez, Naydú Acosta
Data de Publicação: 2011
Outros Autores: Ruiz, Jennifer Pollard, Romero, Román Vega, Labonté, Ronald
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Cadernos de Saúde Pública
Texto Completo: https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/4704
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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spelling 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.Este artículo resume una extensa revisión de experiencias de atención primaria en salud en Suramérica desarrolladas desde la Declaración de Alma-Ata. Se abordaron preguntas específicas: ¿Cuáles son las restricciones y facilitadores estructurales y del contexto histórico para las políticas y experiencias de atención primaria en salud? ¿Cómo las reformas en salud las han favorecido o limitado? ¿Qué evidencia existe de la efectividad de la atención primaria en salud? ¿Cuáles son las estrategias comunes de las mejores prácticas? ¿Qué evidencia existe del rol de la participación comunitaria y la acción intersectorial? Y finalmente, ¿Cuáles son las lecciones políticas aprendidas? Se empleó una síntesis narrativa para identificar y examinar las tendencias en los hallazgos a esas preguntas. Se describen las condiciones encontradas que favorecen el éxito de la implementación de la atención primaria en salud y las características que fueron efectivas para lograr servicios y resultados de salud equitativos.Reports in Public HealthCadernos de Saúde Pública2011-10-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlapplication/pdfhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/4704Reports in Public Health; Vol. 27 No. 10 (2011): OctoberCadernos de Saúde Pública; v. 27 n. 10 (2011): Outubro1678-44640102-311Xreponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZenghttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/4704/9601https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/4704/9602Ramírez, Naydú AcostaRuiz, Jennifer PollardRomero, Román VegaLabonté, Ronaldinfo:eu-repo/semantics/openAccess2024-03-06T15:28:20Zoai:ojs.teste-cadernos.ensp.fiocruz.br:article/4704Revistahttps://cadernos.ensp.fiocruz.br/ojs/index.php/csphttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/oaicadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2024-03-06T13:05:25.575755Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)true
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
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/4704
url https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/4704
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/4704/9601
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/4704/9602
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
application/pdf
dc.publisher.none.fl_str_mv Reports in Public Health
Cadernos de Saúde Pública
publisher.none.fl_str_mv Reports in Public Health
Cadernos de Saúde Pública
dc.source.none.fl_str_mv Reports in Public Health; Vol. 27 No. 10 (2011): October
Cadernos de Saúde Pública; v. 27 n. 10 (2011): Outubro
1678-4464
0102-311X
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
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