1. Primary Care 2030: Creating an Enabling Ecosystem for Disruptive Primary Care Models to Achieve Universal Health Coverage in Low- and Middle-Income Countries
- Author
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Catharine Smith, Tran Mai Oanh, Dessislava Dimitrova, Rani A Bang, David B. Duong, Timothy G Evans, Priya Kumar, Peter Varnum, Dan Schwarz, Khaleda Islam, Abhay Bang, Darren Back, Catherine Levy, Donika Dimovska, Ronald Kasyaba, Chase Adam, Madeleine Beebe, Andy Poh, John Campbell, Taylor Weilnau, Nathaniel Otoo, John Koku Awoonor-Williams, Cicely Thomas, Andrew Ellner, Magnus Conteh, Nahed Monsef, Sylvana Sinha, Daniel Palazuelos, Beth Tritter, Jean-Paul Dossou, Ben Stewart, Juhwan Oh, Mazin Gadir, and Shreya Bhatt
- Subjects
Health Personnel ,Declaration ,MEDLINE ,Primary care ,Innovative financing ,Infectious and parasitic diseases ,RC109-216 ,03 medical and health sciences ,0302 clinical medicine ,Stakeholder Participation ,Healthcare Financing ,Humans ,Disruptive innovation ,Health Workforce ,030212 general & internal medicine ,Developing Countries ,Primary Health Care ,business.industry ,030503 health policy & services ,General Medicine ,Public relations ,Private sector ,Organizational Innovation ,Expert Consensus Documents, Recommendations, and White Papers ,Low and middle income countries ,Government ,Workforce ,Universal Health Care ,Private Sector ,Business ,Public aspects of medicine ,RA1-1270 ,0305 other medical science ,Delivery of Health Care - Abstract
Background: Forty years after Alma Ata, there is renewed commitment to strengthen primary health care as a foundation for achieving universal health coverage, but there is limited consensus on how to build strong primary health care systems to achieve these goals. Methods: We convened a diverse group of global stakeholders for a high-level dialogue on how to create an enabling ecosystem for disruptive primary care innovation. We focused our discussion on four themes: workforce innovation and strengthening; impactful use of data and technology; private sector engagement; and innovative financing mechanisms. Findings: Here, we present a summary of our convening’s proceedings, with specific recommendations for strengthening primary health care systems within each of these four domains. Conclusions: In the wake of the Astana Declaration, there is global consensus that high-quality primary health care must be the foundation for universal health coverage. Significant disruptive innovation will be required to realize this goal. We offer our recommendations to the global community to catalyze further discourse and inform policy-making and program development on the path to Health for All by 2030.
- Published
- 2020