Integrating public health and primary care: the response of six Asia–Pacific countries to the COVID-19 pandemic
| Autor: | Ryuki Kassai, Carlos Canhota, Leilanie Nicodemus, Neil Sharma, Felicity Goodyear-Smith, Sairat Noknoy |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Economic growth Asia Population Declaration Telehealth 03 medical and health sciences 0302 clinical medicine Health care Medicine Humans 030212 general & internal medicine education Pandemics education.field_of_study Primary Health Care business.industry SARS-CoV-2 030503 health policy & services Public health COVID-19 Mental health Knowledge sharing Workforce Public Health 0305 other medical science Family Practice business Analysis |
| Zdroj: | Br J Gen Pract |
| Popis: | Strong primary health care (PHC) is the cornerstone for universal health coverage (UHC), reinforced by the Astana Declaration of 20181 as the best means to achieve an inclusive, effective, and efficient approach to enhance people’s physical and mental health and social wellbeing. PHC includes both public health (PH) and primary care (PC). A highly performing PC system provides access to first-contact, patient-centred care that is comprehensive, and continuous over time while coordinating services.2 The World Health Organization (WHO) resolution on the primary health care draft operational framework, approved by the WHO Executive Board in January 2020, notes that a key lever is ‘Models of care that promote high-quality, people-centred primary care and essential public health functions as the core of integrated health services throughout the course of life.’ 3 Effective PHC therefore requires a coherent integration of PH and PC services, which involves a number of actions that include comprehensive PC services to a defined population, improved communication between PH and PC providers, knowledge sharing between individual- and population-focused health services, and strengthened and coordinated PC and PH surveillance functions.4 The year 2020 saw the advent of the COVID-19 pandemic, and now more than ever PH and PC measures are needed to form the foundation of the crisis response and provide continued health care to all those suffering the ongoing direct and indirect effects of this health crisis. There is a need for adaptation, flexibility, and innovation, with task shifting in the workforce to mount the response, and a move to telehealth where possible for provision of non-COVID-19 care.5 We report on the PHC approaches of six different countries in the Asia–Pacific region (Fiji, Japan, Macao (a Special Administrative Region of China), New Zealand (NZ), Philippines, and Thailand) and describe the degree to which their PH … |
| Databáze: | OpenAIRE |
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