ArticleHealthcare policy = Politiques de sante2012
The World Health Report 2008 - Primary Healthcare: How Wide Is the Gap between Its Agenda and Implementation in 12 High-Income Health Systems?
Article in Healthcare policy = Politiques de sante, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 81 citations in OpenAlex.
- The role of family doctors in developing primary care systems in Asia: a systematic review of qualitative research conducted in middle-income countries 2010-2020.BMC primary care · 2024Pooled it
- Electronic Health Record-Driven Approaches in Primary Care to Strengthen Hypertension Management Among Racial and Ethnic Minoritized Groups in the United States: Systematic Review.Journal of medical Internet research · 2023Pooled it
- An unfinished agenda: insights from seven country case studies on strengthening primary health care in the Western Pacific Region.BMJ global health · 2025Review
- Controversies in implementing the exemption policy for the elderly healthcare services in Tanzania: experiences from the priority setting process in two selected districts.Cost effectiveness and resource allocation : C/E · 2024Article
- Bridging the gap and developing a home-based palliative care model for cancer patients.Asia-Pacific journal of oncology nursing · 2024Article
- Barriers and facilitators to primary care for people living with HIV and diabetes in Harare.African journal of primary health care & family medicine · 2024Article
- Registrars' experience with research in family medicine training programmes in South Africa.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2024Article
- Economic evaluation of a multimorbidity patient centered care model implemented in the Chilean public health system.BMC health services research · 2023Article
- Realist review of community coalitions and outreach interventions to increase access to primary care for vulnerable populations: a realist review.Archives of public health = Archives belges de sante publique · 2023Article
- General practitioners' experiences of being involved in local public health work in Norway. A qualitative study.Scandinavian journal of primary health care · 2022Article
- Review
- Assessing routine health information system performance during the tenth outbreak of Ebola virus disease (2018-2020) in the Democratic Republic of the Congo: A qualitative study in North Kivu.PLOS global public health · 2022Article
- Challenges with the pursuit of ISO 15189 accreditation in a public health laboratory in Ghana.African journal of laboratory medicine · 2022Article
- [Contrat unique, une approche innovante de financement du niveau intermédiaire du système de santé en République Démocratique du Congo : processus et défis de mise en œuvre].African journal of primary health care & family medicine · 2021Article
- Modified scoping review of the enablers and barriers to implementing primary health care in the COVID-19 context.Health policy and planning · 2021Article
- A Narrative Synthesis Review of Out-of-Pocket Payments for Health Services Under Insurance Regimes: A Policy Implementation Gap Hindering Universal Health Coverage in Sub-Saharan Africa.International journal of health policy and management · 2021Review
- The effectiveness of primary health care reforms in Greece towards achieving universal health coverage: a scoping review.BMC health services research · 2021Article
- Comparing the Quality of Primary Care between Public and Private Providers in Urban China: A Standardized Patient Study.International journal of environmental research and public health · 2021Article
- The Association Between Patient-Centered Communication and Primary Care Quality in Urban China: Evidence From a Standardized Patient Study.Frontiers in public health · 2021Article
- Hearing Screening for Residents in Long-Term Care Homes Who Live with Dementia: A Scoping Review.Journal of Alzheimer's disease : JAD · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors at 3 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe World Health Organization's 2008 report asserted that the focus on primary healthcare (PHC) within health systems should increase, with four sets of reforms required. The WHO's PHC advocacy is well founded, yet its report is a policy document that fails to address adoption and implementation questions within WHO member countries. This paper examines the prospects for the WHO PHC agenda in 12 high-income health systems from Asia, Australasia, Europe and North America, comparing performances against the WHO agenda.
methodsA health policy specialist on each of the 12 systems sketched policy activities in each of the four areas of concern to the WHO: (a) whether there is universal coverage, (b) service delivery reforms to build a PHC-oriented system, (c) reforms integrating public health initiatives into PHC settings and (d) leadership promoting dialogue among stakeholders.
findingsAll 12 systems demonstrate considerable gaps between the actual status of PHC and the WHO vision when assessed in terms of the four WHO reform dimensions, although many initiatives to enhance PHC have been implemented. Institutional arrangements pose significant barriers to PHC reform as envisioned by the WHO.
conclusionsPHC reform requires more attention from policy makers. Meanwhile, the WHO PHC report is perhaps too idealistic and fails to address the fundamentals for successful policy adoption and implementation within member countries.
Identifiers
23372580PMC3298021W2151008842What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.