The role of hospitals in strengthening primary health care in the Western Pacific
Summary: Despite the imperative to strengthen primary health care (PHC) to respond to demographic and epistemological transitions, and meet commitments to achieve universal health coverage, health systems remain hospital-centric with health resources largely concentrated in urban centres. This paper...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-04-01
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| Series: | The Lancet Regional Health. Western Pacific |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666606523000160 |
| _version_ | 1797904267710824448 |
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| author | Louise Freijser Peter Annear Naveen Tenneti Katherine Gilbert Ogochukwu Chukwujekwu Indrajit Hazarika Ajay Mahal |
| author_facet | Louise Freijser Peter Annear Naveen Tenneti Katherine Gilbert Ogochukwu Chukwujekwu Indrajit Hazarika Ajay Mahal |
| author_sort | Louise Freijser |
| collection | DOAJ |
| description | Summary: Despite the imperative to strengthen primary health care (PHC) to respond to demographic and epistemological transitions, and meet commitments to achieve universal health coverage, health systems remain hospital-centric with health resources largely concentrated in urban centres. This paper examines islands of innovation that demonstrate the role hospitals can play in influencing the provision of PHC. Drawing on the literature and country case studies from the Western Pacific region, we illustrate mechanisms used to unlock hospital resources to improve PHC, with the transition towards “systems-focused hospitals”. This paper identifies four “ideal types” of roles hospitals perform to strengthen PHC in different contexts. This provides a framework to inform health systems policy by examining existing and potential roles of hospitals to support the provision of frontline services and reorient health systems towards PHC. |
| first_indexed | 2024-04-10T09:46:11Z |
| format | Article |
| id | doaj.art-2d57b097525749dea6deffea3193c57c |
| institution | Directory Open Access Journal |
| issn | 2666-6065 |
| language | English |
| last_indexed | 2024-04-10T09:46:11Z |
| publishDate | 2023-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | The Lancet Regional Health. Western Pacific |
| spelling | doaj.art-2d57b097525749dea6deffea3193c57c2023-02-17T04:55:46ZengElsevierThe Lancet Regional Health. Western Pacific2666-60652023-04-0133100698The role of hospitals in strengthening primary health care in the Western PacificLouise Freijser0Peter Annear1Naveen Tenneti2Katherine Gilbert3Ogochukwu Chukwujekwu4Indrajit Hazarika5Ajay Mahal6The Nossal Institute for Global Health, Melbourne School of Population and Global Health, University of Melbourne, Victoria, Australia; Corresponding author. The Nossal Institute for Global Health, Melbourne School of Population and Global Health, University of Melbourne, Level 2/32 Lincoln Square N, Carlton, VIC 3053, Australia.The Nossal Institute for Global Health, Melbourne School of Population and Global Health, University of Melbourne, Victoria, AustraliaThe Nossal Institute for Global Health, Melbourne School of Population and Global Health, University of Melbourne, Victoria, AustraliaThe Nossal Institute for Global Health, Melbourne School of Population and Global Health, University of Melbourne, Victoria, AustraliaWestern Pacific Regional Office, World Health Organization, Manila, PhilippinesWorld Health Organization, Country Office for Ethiopia, Addis-Ababa, EthiopiaThe Nossal Institute for Global Health, Melbourne School of Population and Global Health, University of Melbourne, Victoria, AustraliaSummary: Despite the imperative to strengthen primary health care (PHC) to respond to demographic and epistemological transitions, and meet commitments to achieve universal health coverage, health systems remain hospital-centric with health resources largely concentrated in urban centres. This paper examines islands of innovation that demonstrate the role hospitals can play in influencing the provision of PHC. Drawing on the literature and country case studies from the Western Pacific region, we illustrate mechanisms used to unlock hospital resources to improve PHC, with the transition towards “systems-focused hospitals”. This paper identifies four “ideal types” of roles hospitals perform to strengthen PHC in different contexts. This provides a framework to inform health systems policy by examining existing and potential roles of hospitals to support the provision of frontline services and reorient health systems towards PHC.http://www.sciencedirect.com/science/article/pii/S2666606523000160Primary health carePublic health systems researchDelivery of healthcare, integratedPopulation healthHospitals |
| spellingShingle | Louise Freijser Peter Annear Naveen Tenneti Katherine Gilbert Ogochukwu Chukwujekwu Indrajit Hazarika Ajay Mahal The role of hospitals in strengthening primary health care in the Western Pacific The Lancet Regional Health. Western Pacific Primary health care Public health systems research Delivery of healthcare, integrated Population health Hospitals |
| title | The role of hospitals in strengthening primary health care in the Western Pacific |
| title_full | The role of hospitals in strengthening primary health care in the Western Pacific |
| title_fullStr | The role of hospitals in strengthening primary health care in the Western Pacific |
| title_full_unstemmed | The role of hospitals in strengthening primary health care in the Western Pacific |
| title_short | The role of hospitals in strengthening primary health care in the Western Pacific |
| title_sort | role of hospitals in strengthening primary health care in the western pacific |
| topic | Primary health care Public health systems research Delivery of healthcare, integrated Population health Hospitals |
| url | http://www.sciencedirect.com/science/article/pii/S2666606523000160 |
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