Cargando…
Primary healthcare policy implementation in the Eastern Mediterranean region: Experiences of six countries
Background: Primary healthcare (PHC) is essential for equitable access and cost-effective healthcare. This makes PHC a key factor in the global strategy for universal health coverage (UHC). Implementing PHC requires an understanding of the health system under prevailing circumstances, but for most c...
Autores principales: | , , , , , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Taylor & Francis
2017
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5795637/ https://www.ncbi.nlm.nih.gov/pubmed/29168411 http://dx.doi.org/10.1080/13814788.2017.1397624 |
_version_ | 1783297333654454272 |
---|---|
author | van Weel, Chris Alnasir, Faisal Farahat, Taghreed Usta, Jinan Osman, Mona Abdulmalik, Mariam Nashat, Nagwa Alsharief, Wadeia Mohamed Sanousi, Salwa Saleh, Hassan Tarawneh, Mohammed Goodyear-Smith, Felicity Howe, Amanda Kassai, Ryuki |
author_facet | van Weel, Chris Alnasir, Faisal Farahat, Taghreed Usta, Jinan Osman, Mona Abdulmalik, Mariam Nashat, Nagwa Alsharief, Wadeia Mohamed Sanousi, Salwa Saleh, Hassan Tarawneh, Mohammed Goodyear-Smith, Felicity Howe, Amanda Kassai, Ryuki |
author_sort | van Weel, Chris |
collection | PubMed |
description | Background: Primary healthcare (PHC) is essential for equitable access and cost-effective healthcare. This makes PHC a key factor in the global strategy for universal health coverage (UHC). Implementing PHC requires an understanding of the health system under prevailing circumstances, but for most countries, no data are available. Objectives: This paper describes and analyses the health systems of Bahrain, Egypt, Lebanon, Qatar, Sudan and the United Arab Emirates, in relation to PHC. Methods: Data were collected during a workshop at the WONCA East Mediterranean Regional Conference in 2017. Academic family physicians (FP) presented their country, using the WONCA framework of 11 PowerPoint slides with queries of the country demographics, main health challenges, and the position of PHC in the health system. Results: All six countries have improved the health of their populations, but currently face challenges of non-communicable diseases, aging populations and increasing costs. Main concerns were a lack of trained FPs in community settings, underuse of prevention and of equitable access to care. Countries differed in the extent to which this had resulted in coherent policy. Conclusion: Priorities were (i) advocacy for community-based PHC to policymakers, including the importance of coordination of healthcare at the community level, and UHC to respond to the needs of populations; (ii) collaboration with universities to include PHC as a core component of every medical curriculum; (iii) collaboration with communities to improve public understanding of PHC; (iv) engagement with the private sector to focus on PHC and UHC. |
format | Online Article Text |
id | pubmed-5795637 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Taylor & Francis |
record_format | MEDLINE/PubMed |
spelling | pubmed-57956372018-02-28 Primary healthcare policy implementation in the Eastern Mediterranean region: Experiences of six countries van Weel, Chris Alnasir, Faisal Farahat, Taghreed Usta, Jinan Osman, Mona Abdulmalik, Mariam Nashat, Nagwa Alsharief, Wadeia Mohamed Sanousi, Salwa Saleh, Hassan Tarawneh, Mohammed Goodyear-Smith, Felicity Howe, Amanda Kassai, Ryuki Eur J Gen Pract Background Paper Background: Primary healthcare (PHC) is essential for equitable access and cost-effective healthcare. This makes PHC a key factor in the global strategy for universal health coverage (UHC). Implementing PHC requires an understanding of the health system under prevailing circumstances, but for most countries, no data are available. Objectives: This paper describes and analyses the health systems of Bahrain, Egypt, Lebanon, Qatar, Sudan and the United Arab Emirates, in relation to PHC. Methods: Data were collected during a workshop at the WONCA East Mediterranean Regional Conference in 2017. Academic family physicians (FP) presented their country, using the WONCA framework of 11 PowerPoint slides with queries of the country demographics, main health challenges, and the position of PHC in the health system. Results: All six countries have improved the health of their populations, but currently face challenges of non-communicable diseases, aging populations and increasing costs. Main concerns were a lack of trained FPs in community settings, underuse of prevention and of equitable access to care. Countries differed in the extent to which this had resulted in coherent policy. Conclusion: Priorities were (i) advocacy for community-based PHC to policymakers, including the importance of coordination of healthcare at the community level, and UHC to respond to the needs of populations; (ii) collaboration with universities to include PHC as a core component of every medical curriculum; (iii) collaboration with communities to improve public understanding of PHC; (iv) engagement with the private sector to focus on PHC and UHC. Taylor & Francis 2017-11-23 /pmc/articles/PMC5795637/ /pubmed/29168411 http://dx.doi.org/10.1080/13814788.2017.1397624 Text en © 2018 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Background Paper van Weel, Chris Alnasir, Faisal Farahat, Taghreed Usta, Jinan Osman, Mona Abdulmalik, Mariam Nashat, Nagwa Alsharief, Wadeia Mohamed Sanousi, Salwa Saleh, Hassan Tarawneh, Mohammed Goodyear-Smith, Felicity Howe, Amanda Kassai, Ryuki Primary healthcare policy implementation in the Eastern Mediterranean region: Experiences of six countries |
title | Primary healthcare policy implementation in the Eastern Mediterranean region: Experiences of six countries |
title_full | Primary healthcare policy implementation in the Eastern Mediterranean region: Experiences of six countries |
title_fullStr | Primary healthcare policy implementation in the Eastern Mediterranean region: Experiences of six countries |
title_full_unstemmed | Primary healthcare policy implementation in the Eastern Mediterranean region: Experiences of six countries |
title_short | Primary healthcare policy implementation in the Eastern Mediterranean region: Experiences of six countries |
title_sort | primary healthcare policy implementation in the eastern mediterranean region: experiences of six countries |
topic | Background Paper |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5795637/ https://www.ncbi.nlm.nih.gov/pubmed/29168411 http://dx.doi.org/10.1080/13814788.2017.1397624 |
work_keys_str_mv | AT vanweelchris primaryhealthcarepolicyimplementationintheeasternmediterraneanregionexperiencesofsixcountries AT alnasirfaisal primaryhealthcarepolicyimplementationintheeasternmediterraneanregionexperiencesofsixcountries AT farahattaghreed primaryhealthcarepolicyimplementationintheeasternmediterraneanregionexperiencesofsixcountries AT ustajinan primaryhealthcarepolicyimplementationintheeasternmediterraneanregionexperiencesofsixcountries AT osmanmona primaryhealthcarepolicyimplementationintheeasternmediterraneanregionexperiencesofsixcountries AT abdulmalikmariam primaryhealthcarepolicyimplementationintheeasternmediterraneanregionexperiencesofsixcountries AT nashatnagwa primaryhealthcarepolicyimplementationintheeasternmediterraneanregionexperiencesofsixcountries AT alshariefwadeiamohamed primaryhealthcarepolicyimplementationintheeasternmediterraneanregionexperiencesofsixcountries AT sanousisalwa primaryhealthcarepolicyimplementationintheeasternmediterraneanregionexperiencesofsixcountries AT salehhassan primaryhealthcarepolicyimplementationintheeasternmediterraneanregionexperiencesofsixcountries AT tarawnehmohammed primaryhealthcarepolicyimplementationintheeasternmediterraneanregionexperiencesofsixcountries AT goodyearsmithfelicity primaryhealthcarepolicyimplementationintheeasternmediterraneanregionexperiencesofsixcountries AT howeamanda primaryhealthcarepolicyimplementationintheeasternmediterraneanregionexperiencesofsixcountries AT kassairyuki primaryhealthcarepolicyimplementationintheeasternmediterraneanregionexperiencesofsixcountries |