TY - JOUR
T1 - Comprehensive Primary Health Care in South America: contexts, achievements and policy implications
AU - Acosta-Ramirez, Naydu
AU - Ruiz, Jennifer
AU - Vega-Romero, Roman
AU - Labonte, Ronald
PY - 2011/10
Y1 - 2011/10
N2 - This article summarizes an extensive review of South American experiences with primary health care since the Declaration of Alma-Ata. It aims to address the following specific questions: What are the enabling and constraining historical and structural conditions for primary health care policies and practices? How has health care reform supported or undermined primary health care? What evidence exists on the effectiveness of primary health care? What strategies are common to best practices? What evidence exists on the roles of citizen participation and intersectoral action? And finally, what are the policy lessons to be learned from these experiences? Narrative synthesis was used to identify and examine patterns in the data consistent with these questions. Conditions that were found to promote successful implementation of primary health care are outlined, together with features of effective primary health care systems that help create more equitable health services and health outcomes.
AB - This article summarizes an extensive review of South American experiences with primary health care since the Declaration of Alma-Ata. It aims to address the following specific questions: What are the enabling and constraining historical and structural conditions for primary health care policies and practices? How has health care reform supported or undermined primary health care? What evidence exists on the effectiveness of primary health care? What strategies are common to best practices? What evidence exists on the roles of citizen participation and intersectoral action? And finally, what are the policy lessons to be learned from these experiences? Narrative synthesis was used to identify and examine patterns in the data consistent with these questions. Conditions that were found to promote successful implementation of primary health care are outlined, together with features of effective primary health care systems that help create more equitable health services and health outcomes.
KW - Comprehensive health care
KW - Health policy
KW - Primary health care
UR - http://www.scopus.com/inward/record.url?scp=80055026604&partnerID=8YFLogxK
U2 - 10.1590/S0102-311X2011001000002
DO - 10.1590/S0102-311X2011001000002
M3 - Article
VL - 27
SP - 1875
EP - 1890
JO - Cadernos de Saude Publica
JF - Cadernos de Saude Publica
SN - 1678-4464
IS - 10
ER -