Grant R, Greene D(2020 Grant R, Greene D. The health care home model: primary health care meeting public health goals. Am J Public Health [Internet]. 2012 [cited 2016 Sep 12]; 102(6):1096-103. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3483945/pdf/AJPH. 2011.300397.pdf
https://www.ncbi.nlm.nih.gov/pmc/article...
) (2012) Am J Public Health USA |
Summarize the model of nursing home and the evidence of its public health and clinical efficacy. |
Qualitative: narrative on the model of nursing home as a means to help PHC achieve the objectives of increasing access to care, reduce disparities and integrate care with public health systems. |
The model of nursing home increases access of low-income people and racial/ethnic minorities. Nursing home provides health insurance, transportation, long service hours and integration of the main specialized services. |
Jiwa M et al.(2121 Jiwa M, Othman S, Hanafi NS, Ng CJ, Khoo EM, Chia YC. Healthcare in Asia: a perspective from primary care at the gateway to a continent. Qual Prim Care [Internet] 2012 [cited 2016 Sep 12]; 20(5):17-20. Available from: http://primarycare.imedpub.com/healthcare-in-asia-a-perspective-from-primary-care-at-the-gateway-to-a-continent.pdf
http://primarycare.imedpub.com/healthcar...
) (2012) Qual Prim Care Malaysia |
Case report on the Asian health system, using the example in Malaysia. |
Qualitative: case report on the health system in Malaysia. |
The primary health system offered by the government is the main provider of health care. Most Malaysians have excellent access to health care. A significant percentage of residents in the east part of the country and the Aborigines have limited access. |
Tan L, Carr J, Reidy J(2222 Tan L, Carr J, Reid J. New Zealand evidence for the impact of primary healthcare investment in Capital and Coast District Health Board. NZMJ [Internet]. 2012 [cited 2016 Sep 12]; 125(1352):7-27. Available from: https://www.nzma.org.nz/journal/read-the-journal/all-issues/2010-2019/2012/vol-125-no-1352/article-tan
https://www.nzma.org.nz/journal/read-the...
) (2012) NZMJ New Zealand |
Provide evidence on the effectiveness of investments in primary health care in New Zealand. |
Quantitative and qualitative: the effectiveness of investments was measured through the District Health Council, the Capital Council and PHC indicators. |
The study observed increased and redistributed primary care and workforce, increased availability of general practitioners, and allocation of community workers to poorer areas. There was also a reduction in outpatient hospitalization and use of emergency services. |
Polluste K et al.(77 Polluste K, Kasiulevicius V, Veide S, Kringos DS, Boerma W, Lember M. Primary care in Baltic Countries: a comparison of progress and present systems. Health Policy [Internet]. 2013 [cited 2016 Sep 12]; 109(2):122-30. Available from: https://www.ncbi.nlm.nih.gov/pubmed/22964369
https://www.ncbi.nlm.nih.gov/pubmed/2296...
) (2013) Health Policy The Baltic States |
Monitor indicators of access to PHC, continuity of care, and aspects of patient experience to discuss the suitability of PHAMEU in comparison to primary care systems. |
Quantitative: the study used PHAMEU to monitor primary care activity in Europe (it covered the 27 Member States of the European Union, plus Turkey, Iceland, Norway, and Switzerland). |
In Lithuania, the access policy is not well defined. In the Baltic States, the organizations of physicians or patients for care contribute informally to primary care policies. For family medicine, some hours of work should be dedicated to priority appointments. For the comparison of health systems, each country should use its own forms to organize its data. |
Groenewegen PP, Jurgutis A(2323 Groenewegen PP, Jurgutis A. A future for primary care for the greek population. Qual Prim Care [Internet]. 2013 [cited 2016 Sep 12]; 21(6):369-78. Available from: http://primarycare.imedpub.com/a-future-for-primary-care-for-the-greek-population.pdf
http://primarycare.imedpub.com/a-future-...
) (2013) Qual Prim Care Greece |
Assess the situation of primary care provided to the Greek population. |
Qualitative: The assessment of primary care in Greece was conducted using the existing literature, visits to primary care centers and consultations with stakeholders. |
Governance is fragmented. There is no system of patient lists; the private payments are high. There are many physicians, but few general practitioners and nurses, and they are distributed irregularly in the country, resulting in difficult primary care access, continuity, coordination and coverage. |
Thomas SL, Wakeman J, Humphreys JS(2424 Thomas SL, Wakerman J, Humphreys JS. What core primary health care services should be available to Australians living in rural and remote communities? BMC Fam Pract [Internet]. 2014. [cited 2016 Sep 14]; 143(15):1-9. Available from: https://bmcfampract.biomedcentral.com/articles/10.1186/1471-2296-15-143
https://bmcfampract.biomedcentral.com/ar...
) (2014) BMC Fam Pract Australia |
Provide a model to policy makers, service providers, and users, determining which primary care services should be available to all Australians. |
Quantitative: Delphi's method was used to reach a consensus among 39 specialists (from rural, remote and/or indigenous primary health care) regarding the list of services that should be available. A Liket scale was used to prioritize the services. |
High-consensus services were: care to people with diseases and injuries, maternal and child health, disease prevention and oral health, quality and accessibility. For support to services: management/governance/leadership and coordination. Difficult recruitment and maintenance of qualified professionals, in extended infrastructure, quality assurance and accessibility. |
Bodenheimer T et al.(2525 Bodenheimer T, Ghorob A, Willard-Grace R, Grumbach K. The 10 building blocks of high-performing primary care. Ann Fam Med [Internet]. 2014 [cited 2016 Sep 14]; 12(2):166-71. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3948764/pdf/0120166.pdf
https://www.ncbi.nlm.nih.gov/pmc/article...
) (2014) Ann Fam Med USA |
Formulate essential elements of primary care, called 'the 10 building blocks' of high-performance primary care. |
Qualitative: case study; data were analyzed from health sites on 23 practices of PHC, experience of two researchers as enablers in more than 25 practices, review of existing models and studies on PHC improvements. |
The 10 building blocks were: leadership; improvements based on indicators; care services provided by team; partnership between patients and the team; population management; care continuity; quick access; understanding and coordination of care, and proposed models for the future of PHC services. |
Aguilera CCE, Brandão AL, Bocater PPM(2626 Aguilera CCE, Brandão AL, Bocater PPM. Study on evaluation of dimensions of the Family Health Strategy in the user’s perspective. Physis [Internet] 2014 [cited 2016 Sep 14]; 24(1):127-46. Available from: http://www.scielo.br/pdf/physis/v24n1/0103-7331-physis-24-01-00127.pdf
http://www.scielo.br/pdf/physis/v24n1/01...
) (2014) Physis Brazil |
Investigate the dimensions that are most valued by users of health services. |
Qualitative: focal groups and content analysis. |
The results produced in total 17 dimensions. The most frequently mentioned were: service access and availability; work process organization; relationship with health professionals; longitudinality; and link between professionals, users, and care coordination. |
Esmaeili R et al.(2727 Esmaeili R, Hadian M, Rashidian A, Shariati M, Ghaderi H. Family Medicine in Iran: Facing the Health System Challenges. Glob J Health Sci [Internet] 2015 [cited 2016 Sep 12]; 7(3):260-6. Available from: http://www.ccsenet.org/journal/index.php/gjhs/article/ view/40702/23471
http://www.ccsenet.org/journal/index.php...
) (2015) Glob J Health Sci Iran |
Understand the perspectives of Iran's political decision-makers and health system on the implementation of family medicine in urban areas of the country. |
Qualitative: interviews with policy makers of five main organizations in family physician project (27 interviews). Method: framework for data analysis. |
The perspectives indicate the family medicine project implementation will support physician visits, extended care and the creation of reference networks. They understand family medicine improves financial and geographical access to health. |
Reeve C et al.(2828 Reeve C, Humphreys J, Wakerman J, Carter M, Carroll V, Reeve D. Strengthening primary health care: achieving health gains in remote region of Australia. Med J Aust [Internet]. 2015 [cited 2016 Sep 15]; 202(9):483-7. Available from: https://www.mja.com.au/system/files/issues/202_09/ree00894.pdf
https://www.mja.com.au/system/files/issu...
) (2015) Med J Aust Australia |
Assess the impact of a service model of PHC using key performance indicators in health and the association with increased use of health care in a remote region of Australia. |
Quantitative: document analysis, evaluated according to the National Key Performance Indicators for Aboriginal and Torres Strait Islander for PHC, with non-parametric trend test, Stata version 10 (StataCorp). |
The study observed that the increase of political and structural actions resulted in increased primary care activity, thus reducing the flow of urgent services. A general increase was observed in the access to primary care services, especially by peripheral communities. |
Takamura A(2929 Takamura A. The present circumstance of primary care in Japan. Qual Prim Care [Internet]. 2015 [cited 2017 Feb 12]; 23(5):262-6. Available from: http://primarycare.imedpub.com/the-present-circumstance-of-primary-care-injapan.pdf
http://primarycare.imedpub.com/the-prese...
) (2015) Qual Prim Care Japan |
Present an investigation into the history of primary care in Japan and show current problems and situations. |
Qualitative: case report that addresses the "Primary Care in Japan" in terms of History of Primary Care, Medical System and Medical Education. |
Currently, the Japanese government is trying to introduce the General Practitioner / Family Physician (GP/FP) to improve cost-effectiveness ratio and provide better care to the population. They propose to change the medical education training model to prioritize primary care. |
Larye S, Goede H, Barten F(3030 Laryea S, Goede H, Barten F. Moving toward universal health coverage: a review of comprehensive primary health care in Suriname. Rev Panam Salud Publica [Internet] 2015 [cited 2017 Feb 20]; 37(6):415-21. Available from: http://www.scielosp.org/pdf/rpsp/v37n6/v37n6a07.pdf
http://www.scielosp.org/pdf/rpsp/v37n6/v...
) (2015) Rev Panam Salud Publica Suriname |
Provide an overview of the development and implementation of comprehensive primary health care in Suriname. |
Literature review: three articles selected and analyzed. |
There is a shortage of studies on this theme. Partial views of primary care are observed in the country and examples of practice. Focus on the service network is observed in the country side to improve rural access, training the community members for support. |