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: | 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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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 |
_version_ |
1798943370356195328 |