Evidence map›Paper›PMID 29168411›Full record

ArticleThe European journal of general practice2018

Primary healthcare policy implementation in the Eastern Mediterranean region: Experiences of six countries.

Chris van Weel, Faisal Alnasir, Taghreed Farahat, Jinan Usta, Mona Osman, Mariam Abdulmalik, Nagwa Nashat, Wadeia Mohamed Alsharief, Salwa Sanousi, Hassan Saleh and 4 more

Abstract read
In one paragraph

Article in The European journal of general practice, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed.

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  12. Maternal and Infant Health in Abu Dhabi: Insights from Key Informant Interviews.International journal of environmental research and public health · 2019
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Chris van Weela Department of Primary and Community Care , Radboud University Medical Centre , Nijmegen , The Netherlands.ORCID http://orcid.org/0000-0003-3653-4701
Faisal Alnasirc Department of Primary Care and Public Health , Imperial College , London , UK.ORCID http://orcid.org/0000-0002-5840-5081
Taghreed Farahatd Department of Family Medicine , Menoufia University , Menoufia , Egypt.
Jinan Ustae Department of Family Medicine , American University of Beirut , Beirut , Lebanon.
Mona Osmane Department of Family Medicine , American University of Beirut , Beirut , Lebanon.
Mariam Abdulmalikf Primary Health Care Corporation , Doha , Qatar.
Nagwa Nashatd Department of Family Medicine , Menoufia University , Menoufia , Egypt.
Wadeia Mohamed Alshariefg Primary Health Care Services , Dubai Health Authority , Dubai , UAE.
Salwa Sanousih Department of Family and Community Medicine , University of Gezira , Gezira , Sudan.
Hassan Salehi Department of Health System Development , WHO EMR Office , Cairo , Egypt.
Mohammed Tarawnehj WONCA East Mediterranean Region , Amman , Jordan.
Felicity Goodyear-Smithk Department of General Practice and Primary Health Care , University of Auckland , Auckland , New Zealand.ORCID http://orcid.org/0000-0002-6657-9401
Amanda Howel Department of Population Health and Primary Care , University of East Anglia , Norwich , UK.
Ryuki Kassaim Department of Community and Family Medicine , Fukushima Medical University , Fukushima , Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrimary healthcare (PHC) is essential for equitable access and cost-effective healthcare. This makes PHC a key factor in the global strategy for universal health coverage (UHC). Implementing PHC requires an understanding of the health system under prevailing circumstances, but for most countries, no data are available.

objectivesThis paper describes and analyses the health systems of Bahrain, Egypt, Lebanon, Qatar, Sudan and the United Arab Emirates, in relation to PHC.

methodsData were collected during a workshop at the WONCA East Mediterranean Regional Conference in 2017. Academic family physicians (FP) presented their country, using the WONCA framework of 11 PowerPoint slides with queries of the country demographics, main health challenges, and the position of PHC in the health system.

resultsAll six countries have improved the health of their populations, but currently face challenges of non-communicable diseases, aging populations and increasing costs. Main concerns were a lack of trained FPs in community settings, underuse of prevention and of equitable access to care. Countries differed in the extent to which this had resulted in coherent policy.

conclusionPriorities were (i) advocacy for community-based PHC to policymakers, including the importance of coordination of healthcare at the community level, and UHC to respond to the needs of populations; (ii) collaboration with universities to include PHC as a core component of every medical curriculum; (iii) collaboration with communities to improve public understanding of PHC; (iv) engagement with the private sector to focus on PHC and UHC.

Indexed as

Health PolicyCommunity Health ServicesCooperative BehaviorDelivery of Health CareHealth Services AccessibilityHumansMediterranean RegionPhysicians, FamilyPrimary Health CareUniversal Health Insuranceaccesscommunity health servicesfamily physicianshealthcare facilitieshealthcare qualityhealth servicesPrimary healthcare

Identifiers

PMID29168411
PMCPMC5795637

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.