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Walking the Talk : Reimagining Primary Health Care After COVID-19 (Inglês)

The world has waited long enough for high-performing primary health care (PHC). It’s time to deliver. Forty years ago, leaders embraced the promise of health for all through PHC. That vision has inspired generations. But for nearly half a century, countries have struggled to walk the talk on PHC. We have not built health systems anchored in strong PHC where they were needed most. Today, COVID-19 (coronavirus) has brought the reckoning for that shared failure—but also the chance to do the job right at last. The pandemic has shown policy makers and ordinary citizens why health systems matter and what happens when they fail. By doing so, it has also created a once- in-a-generation chance for structural health-system change. Bold reforms now can prepare health systems for future crises and bring goals like universal health coverage (UHC) within reach. PHC holds the key to these transformations. But to fulfill that promise, the walk has to finally match the talk. This report charts an agenda toward reimagined, fit-for-purpose PHC. It asks three questions about health-systems reform built around PHC: "Why?", "What?", and "How?" Since PHC has been around for decades, why write a thick report about it now? The answer is that the characteristics of high-performing PHC are exactly those that are most critical for managing the pressures coming to bear on health systems in the post-COVID world. The challenges include future infectious outbreaks and other emergent threats, but also long-term structural trends that are reshaping the environments in which systems operate in non-crisis times. This report highlights three sets of megatrends that will increasingly affect health systems in the decades ahead: demographic and epidemiological shifts; changes in technology; and citizens’ evolving expectations for health care.


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    Wang,Huihui, Ndebele,Lydia, Pate,Muhammad Ali, Zhao,Feng, Baris,Enis, Silverman,Rachel Lea, Özçelik,Ece, Villar Uribe,Manuela, Cafagna,Gianluca, Secci,Federica, Duran,Denizhan, Alkenbrack,Sarah, Oroxom,Roxanne Guislaine, Umar-Sadiq,Muntaqa, Strasser,Roger Peter

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    Walking the Talk : Reimagining Primary Health Care After COVID-19

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    primary health care; men who have sex with men; access to basic health care; health systems; maternal and child health; development assistance for health; approach to policy making; information and communication technology; disability-adjusted life; health management information systems; severe acute respiratory syndrome; national public health authority; health system reform; Public Financial Management; essential health services; million people; access to fund; health care cost; ministries of health; ministries of finance; global health; efficient resource allocation; burden of disease; personal protective equipment; quality of care; international health community; Population and Health; point of care; results-based financing; provider payment mechanisms; general government expenditure; national health system; democracy and governance; medical education reform; inequity in health; foster transparency; change in technology; Universal Health Care; billion people; public health surveillance; capacity building need; health for all; health sector planning; health system management; value added tax; health service provider; social health insurance; health care expenditure; health and environment; millennium development goal; antenatal care services; health care organization; health technology assessment; treatment for tuberculosis; private sector entities; public sector agency; disease control program; health maintenance organization; integrated health care; privileges and immunity; Human Immunodeficiency Virus; health care policy; Health care policies; healthy life expectancy; low health expenditure; geographical information system; adherence to treatment; fee for service; community health worker; government health expenditure; public health administration; Health Worker Performance; Health Care Delivery; shortage of supply; multidrug resistant tuberculosis; conditional cash transfer; health workforce; primary care; financial protection; human capital; service coverage; population health; medical degree; Health Workers; care model; noncommunicable diseases; health leader; government revenue; health needs; geographic location; original work; health finance; equitable access; benefit package; economic crisis; health emergency; health gain; accountability framework; resource mobilization; ordinary citizens; general practice; accreditation system; family health; family medicine



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