PRIMASYS: a health policy and systems research approach for the assessment of country primary health care systems
Abstract For the renewed global impetus on primary health care (PHC) to translate into action at a country level, it will be important to strengthen existing ways of understanding and assessing country PHC systems. The architecture and performance of primary care systems are widely acknowledged to b...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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BMC
2021-03-01
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| Series: | Health Research Policy and Systems |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12961-021-00692-3 |
| _version_ | 1818574528317489152 |
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| author | Kabir Sheikh Abdul Ghaffar |
| author_facet | Kabir Sheikh Abdul Ghaffar |
| author_sort | Kabir Sheikh |
| collection | DOAJ |
| description | Abstract For the renewed global impetus on primary health care (PHC) to translate into action at a country level, it will be important to strengthen existing ways of understanding and assessing country PHC systems. The architecture and performance of primary care systems are widely acknowledged to be crucial determinants of the health of populations in high-income countries as well as in low- and middle-income countries. There is no one-size-fits-all model of a country-level PHC system, and countries have implemented diverse models, adapted to and conditioned by their respective social, economic and political contexts. This paper applies advances in the field of health policy and systems research (HPSR) to propose an approach to the assessment of country PHC systems, using a compendium of 70 elements of enquiry requiring mixed quantitative and qualitative assessment. The approach and elements of enquiry were developed based on a review of policy and guidance documents and literature on PHC and HPSR and were finalized as part of a consultation of experts on PHC. Key features of the approach include sensitivity to context, flexibility in allowing for in-depth enquiry where necessary, systems thinking, a learning emphasis, and complementarity with existing frameworks and efforts. Implemented in 20 countries to date, the approach is anticipated to have further utility in a single country as well as in comparative assessments of PHC systems. |
| first_indexed | 2024-12-15T00:27:49Z |
| format | Article |
| id | doaj.art-7ccaec3ad3b84e6aa47187cc76e78dbc |
| institution | Directory Open Access Journal |
| issn | 1478-4505 |
| language | English |
| last_indexed | 2024-12-15T00:27:49Z |
| publishDate | 2021-03-01 |
| publisher | BMC |
| record_format | Article |
| series | Health Research Policy and Systems |
| spelling | doaj.art-7ccaec3ad3b84e6aa47187cc76e78dbc2022-12-21T22:42:07ZengBMCHealth Research Policy and Systems1478-45052021-03-011911910.1186/s12961-021-00692-3PRIMASYS: a health policy and systems research approach for the assessment of country primary health care systemsKabir Sheikh0Abdul Ghaffar1Alliance for Health Policy and Systems Research, World Health OrganizationAlliance for Health Policy and Systems Research, World Health OrganizationAbstract For the renewed global impetus on primary health care (PHC) to translate into action at a country level, it will be important to strengthen existing ways of understanding and assessing country PHC systems. The architecture and performance of primary care systems are widely acknowledged to be crucial determinants of the health of populations in high-income countries as well as in low- and middle-income countries. There is no one-size-fits-all model of a country-level PHC system, and countries have implemented diverse models, adapted to and conditioned by their respective social, economic and political contexts. This paper applies advances in the field of health policy and systems research (HPSR) to propose an approach to the assessment of country PHC systems, using a compendium of 70 elements of enquiry requiring mixed quantitative and qualitative assessment. The approach and elements of enquiry were developed based on a review of policy and guidance documents and literature on PHC and HPSR and were finalized as part of a consultation of experts on PHC. Key features of the approach include sensitivity to context, flexibility in allowing for in-depth enquiry where necessary, systems thinking, a learning emphasis, and complementarity with existing frameworks and efforts. Implemented in 20 countries to date, the approach is anticipated to have further utility in a single country as well as in comparative assessments of PHC systems.https://doi.org/10.1186/s12961-021-00692-3Primary health careHealth systemsHealth systems assessment |
| spellingShingle | Kabir Sheikh Abdul Ghaffar PRIMASYS: a health policy and systems research approach for the assessment of country primary health care systems Health Research Policy and Systems Primary health care Health systems Health systems assessment |
| title | PRIMASYS: a health policy and systems research approach for the assessment of country primary health care systems |
| title_full | PRIMASYS: a health policy and systems research approach for the assessment of country primary health care systems |
| title_fullStr | PRIMASYS: a health policy and systems research approach for the assessment of country primary health care systems |
| title_full_unstemmed | PRIMASYS: a health policy and systems research approach for the assessment of country primary health care systems |
| title_short | PRIMASYS: a health policy and systems research approach for the assessment of country primary health care systems |
| title_sort | primasys a health policy and systems research approach for the assessment of country primary health care systems |
| topic | Primary health care Health systems Health systems assessment |
| url | https://doi.org/10.1186/s12961-021-00692-3 |
| work_keys_str_mv | AT kabirsheikh primasysahealthpolicyandsystemsresearchapproachfortheassessmentofcountryprimaryhealthcaresystems AT abdulghaffar primasysahealthpolicyandsystemsresearchapproachfortheassessmentofcountryprimaryhealthcaresystems |