CURRENT ASPECTS OF IMPROVING PRIMARY HEALTH CARE. REVIEW.
Topicality. Primary health care is characterized as integrated, affordable medical services that are responsible for meeting the vast majority of individual health needs, establishing stable partnerships with patients and practicing in family and community settings. These and other basic definitions of primary medical care do not define the type of doctor, but relate to a set of basic functions that provide first aid in the healthcare system, namely: accessibility, continuity, universality and compatibility. Legislative reform, technological evolution, changing public expectations and changing pressure on spending have become the basis for accelerating changes in the healthcare system. Improving primary care requires a clear approach and deep changes.
Objective. To analyze the literature data on the improvement of primary health care abroad.
Search strategy. The study examined full-text publications in English and Russian, which are devoted to improving primary health care in foreign countries. In the process of literature search, the following search engines were used: Pubmed, Web of science, Cyberleninka, Google Scholar by keywords. The time period was designated 2012-2022. 1290 publications have been identified on this topic. Of these, 41 publications corresponded to the purpose of our study.
Inclusion criteria: Publications of the level of evidence A, B: meta-analyses, systematic reviews, cohort and cross-sectional studies.
Exclusion criteria: summary reports, newspaper articles and personal messages.
Results and conclusions. The improvement of primary health care should be based on the principle that all people should receive primary health care in a fair, accessible form. The primary care team is the patient's first point of contact with the healthcare system, which is supported by a long-term relationship that ensures continuity and is aimed at providing active medical care to a person (not a disease).
Nurym Ye. Toleukadyrov1, https://orcid.org/0000-0003-2497-8444
Umytzhan S. Samarova1, https://orcid.org/0000-0003-3320-7115
Zaituna A. Khismetova1, https://orcid.org/0000-0001-5937-3045
Alida Sh. Kaskabayeva1, http://orcid.org/0000-0002-5184-214X
1 NCJSC “Semey medical university”, Semey, Republic of Kazakhstan
1. Annalyn Welp, Woodbury R.B., McCoy M.A., Teutsch S.M. Making Eye Health a Population Health Imperative: Vision for Tomorrow // Making Eye Health a Population Health Imperative. 2016. С.15-20
2. Abbasi-Moghaddam M.A. et al. Evaluation of service quality fr om patients’ viewpoint // BMC health services research. 2019. № 1 (19). С.1-7
3. Abbasi-Moghaddam M.A. et al. Evaluation of service quality from patients’ viewpoint // BMC health services research. 2019. № 1 (19). С.1-8.
4. Aggarwal A., Aeran H., Rathee M. Quality management in healthcare: The pivotal desideratum // Journal of oral biology and craniofacial research. 2019. № 2 (9). C. 180–182.
5. Alhassan R. K. et al. Comparison of Perceived and Technical Healthcare Quality in Primary Health Facilities: Implications for a Sustainable National Health Insurance Scheme in Ghana // PloS one. 2015. № 10 (10),С.1-10.
6. Allen-Duck A., Robinson J.C., Stewart M.W. Healthcare Quality: A Concept Analysis // Nursing forum. 2017. № 4 (52). C. 377–386.
7. Basu S. et al. Medicare Chronic Care Management Payments and Financial Returns to Primary Care Practices: A Modeling Study // Annals of internal medicine. 2015. №8 (163). C. 580–588.
8. Batalden M. et al. Coproduction of healthcare service // BMJ quality & safety. 2016. № 7 (25). C. 509–517.
9. Berkowitz S. A. et al. Building Equity Improvement into Quality Improvement: Reducing Socioeconomic Disparities in Colorectal Cancer Screening as Part of Population Health Management // Journal of general internal medicine. 2015. № 7 (30). C. 942–949.
10. Berwick D.M., Hackbarth A.D. Eliminating waste in US health care // JAMA. 2012. № 14 (307). C. 1513–1516.
11. Cassel C., Wilkes M. Location, Location, Location: Wh ere We Teach Primary Care Makes All the Difference // Journal of general internal medicine. 2017. № 4 (32). C. 411–415.
12. Cohen L.A. Expanding the physician’s role in addressing the oral health of adults // American journal of public health. 2013. № 3 (103). C. 408–412.
13. Contrera K.J. et al. Hearing Loss Health Care for Older Adults // Journal of the American Board of Family Medicine : JABFM. 2016. № 3 (29). C. 394–403.
14. Dinesen B. et al. Personalized Telehealth in the Future: A Global Research Agenda // Journal of medical Internet research. 2016. № 3 (18). С.31-36
15. Du S. et al. The knowledge, ability, and skills of primary health care providers in SEANERN countries: a multi-national cross-sectional study // BMC health services research. 2019. № 1 (19). С.1-8
16. Ellner A.L. et al. Health Systems Innovation at Academic Health Centers: Leading in a New Era of Health Care Delivery // Academic medicine : journal of the Association of American Medical Colleges. 2015. № 7 (90). C. 872–880.
17. Espinosa-González A.B. et al. The impact of governance in primary health care delivery: a systems thinking approach with a European panel // Health research policy and systems. 2019. № 1 (17). С.1-16
18. Espinosa-González A.B. et al. The impact of governance in primary health care delivery: a systems thinking approach with a European panel // Health research policy and systems. 2019. № 1 (17). С.1-16
19. Jamoulle M. et al. Analysis of definitions of general practice, family medicine, and primary health care: a terminological analysis // BJGP open. 2017. № 3 (1). С.1-8
20. Kalra S., Akanov Z. A., Pleshkova A. Y. Thoughts, Words, Action: The Alma-Ata Declaration to Diabetes Care Transformation // Diabetes therapy : research, treatment and education of diabetes and related disorders. 2018. № 3 (9). C. 873–876.
21. Kim C.E. et al. Quality of medical service, patient satisfaction and loyalty with a focus on interpersonal-based medical service encounters and treatment effectiveness: a cross-sectional multicenter study of complementary and alternative medicine (CAM) hospitals // BMC complementary and alternative medicine. 2017. № 1 (17). С.1-12
22. Kroenke K., Unutzer J. Closing the False Divide: Sustainable Approaches to Integrating Mental Health Services into Primary Care // Journal of general internal medicine. 2017. № 4 (32). C. 404–410.
23. Kruk M. E. et al. High-quality health systems in the Sustainable Development Goals era: time for a revolution // The Lancet. Global health. 2018. № 11 (6). C. e1196–e1252.
24. Kruk M.E., Nigenda G., Knaul F.M. Redesigning primary care to tackle the global epidemic of noncommunicable disease // American journal of public health. 2015. № 3 (105). C. 431–437.
25. Kumetz E.A., Goodson J.D. The undervaluation of evaluation and management professional services: the lasting impact of current procedural terminology code deficiencies on physician payment // Chest. 2013. № 3 (144). C. 740–745.
26. Kuo Y.F. et al. Potentially Preventable Hospitalizations in Medicare Patients With Diabetes: A Comparison of Primary Care Provided by Nurse Practitioners Versus Physicians // Medical care. 2015. № 9 (53). C. 776–783.
27. Laugesen M.J., Wada R., Chen E.M. In setting doctors’ Medicare fees, CMS almost always accepts the relative value update panel’s advice on work values // Health affairs (Project Hope). 2012. № 5 (31). C. 965–972.
28. Mafi J.N. et al. Comparing Use of Low-Value Health Care Services Among U.S. Advanced Practice Clinicians and Physicians // Annals of internal medicine. 2016. № 4 (165). C. 237–244.
29. McWilliams J.M. et al. Early Performance of Accountable Care Organizations in Medicare // The New England journal of medicine. 2016. № 24 (374). C. 2357–2366.
30. Mosadeghrad A.M. Healthcare service quality: towards a broad definition // International journal of health care quality assurance. 2013. № 3 (26). C. 203–219.
31. Obermeyer Z., Emanuel E.J. Predicting the Future - Big Data, Machine Learning, and Clinical Medicine // The New England journal of medicine. 2016. № 13 (375). C. 1216–1219.
32. Pearl R. Kaiser Permanente Northern California: current experiences with internet, mobile, and video technologies // Health affairs (Project Hope). 2014. № 2 (33). C. 251–257.
33. Petterson S.M. et al. Projecting US primary care physician workforce needs: 2010-2025 // Annals of family medicine. 2012. № 6 (10). C. 503–509.
34. Porter M.E., Pabo E.A., Lee T.H. Redesigning primary care: a strategic vision to improve value by organizing around patients’ needs // Health affairs (Project Hope). 2013. № 3 (32). C. 516–525.
35. Rifkin S.B. Alma Ata after 40 years: Primary Health Care and Health for All-from consensus to complexity // BMJ global health. 2018. № Suppl 3 (3).
36. Sandberg S.F. et al. Hennepin Health: a safety-net accountable care organization for the expanded Medicaid population // Health affairs (Project Hope). 2014. № 11 (33). C. 1975–1984.
37. Sanders D. et al. From primary health care to universal health coverage-one step forward and two steps back // Lancet (London, England). 2019. № 10199 (394). C. 619–621.
38. Sepah S.C., Jiang L., Peters A.L. Long-term outcomes of a Web-based diabetes prevention program: 2-year results of a single-arm longitudinal study // Journal of medical Internet research. 2015. № 4 (17). C. e92.
39. Shrank W.H. Primary Care Practice Transformation and the Rise of Consumerism // Journal of general internal medicine. 2017. № 4 (32). C. 387–391.
40. Ssemugabo C. et al. Doctors experiences on the quality of care for pesticide poisoning patients in hospitals in Kampala, Uganda: a qualitative exploration using donabedian’s model // BMC health services research. 2020. № 1 (20).
41. White F. Primary health care and public health: foundations of universal health systems // Medical principles and practice : international journal of the Kuwait University, Health Science Centre. 2015. № 2 (24). C. 103–116.
Number of Views: 86
Category of articles:
Reviews
Bibliography link
Toleukadyrov N.Ye., Samarova U.S., Khismetova Z.A., Kaskabayeva A.Sh. Current aspects of improving primary health care. Review // Nauka i Zdravookhranenie [Science & Healthcare]. 2022, (Vol.24) 6, pp. 204-211. doi 10.34689/SH.2022.24.6.025Related publications:
INTERRELATION OF INTRAABDOMINAL HYPERTENSION AND MARKERS OF GASTROINTESTINAL TRACT INJURY IN PATIENTS WITH MULTIORGAN DYSFUNCTION
DRUG-INDUCED LIVER INJURY AND GENDER DIFFERENCES
QUALITY OF LIFE IN PRIMARY BILIARY CHOLANGITIS AND ITS ASSESSMENT
DIAGNOSTIC AND THERAPEUTIC LAPAROSCOPY FOR ABDOMINAL INJURIES. REVIEW
METHODS FOR SCHOOL-AGE CHILDREN NUTRITIONAL STATUS ASSESSMENT: FOCUS ON ANTHROPOMETRIC PARAMETERS. A REVIEW.