ArticleBMJ global health2019
Primary health care financing interventions: a systematic review and stakeholder-driven research agenda for the Asia-Pacific region.
Article in BMJ global health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.
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Who cites it
19 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- 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
- Health and health system impacts of China's comprehensive primary healthcare reforms: a systematic review.Health policy and planning · 2023Pooled it
- Systematic review of cardiovascular care delivery across health systems in the Asia-Pacific: a regional roadmap for strengthening cardiovascular care.The Lancet regional health. Western Pacific · 2026Article
- Challenges and opportunities in financing urban primary healthcare in Iran: pathways to universal health coverage.BMC primary care · 2026Article
- Community participation and contracting between state and non-state actors in primary care: A scoping review of evidence.International journal for equity in health · 2025Article
- Disparities in inpatient treatment and expenditures among lung cancer patients under tiered social health insurance: a population-based study in China.International journal for equity in health · 2025Article
- Methodological analysis of a community-based training initiative using the EPIS framework: an ongoing initiative to empower 10 million bystanders in CPR and bleeding control.Trauma surgery & acute care open · 2023Article
- The development of the national tuberculosis research priority in Indonesia: A comprehensive mixed-method approach.PloS one · 2023Article
- Horizontal Integration and Financing Reform of Rural Primary Care in China: A Model for Low-Resource and Remote Settings.International journal of environmental research and public health · 2022Article
- Article
- Identifying priorities for research on financial risk protection to achieve universal health coverage: a scoping overview of reviews.BMJ open · 2022Article
- What do patients experience? Interprofessional collaborative practice for chronic conditions in primary care: an integrative review.BMC primary care · 2022Review
- Modified scoping review of the enablers and barriers to implementing primary health care in the COVID-19 context.Health policy and planning · 2021Article
- Pay for performance in primary care: the contribution of the Programme for Improving Access and Quality of Primary Care (PMAQ) on avoidable hospitalisations in Brazil, 2009-2018.BMJ global health · 2021Article
- Iran health insurance system in transition: equity concerns and steps to achieve universal health coverage.International journal for equity in health · 2021Review
- Financing primary healthcare for rural areas.Journal of family medicine and primary care · 2020Article
- Organisation of primary health care systems in low- and middle-income countries: review of evidence on what works and why in the Asia-Pacific region.BMJ global health · 2019Article
- After the Astana declaration: is comprehensive primary health care set for success this time?BMJ global health · 2019Review
- What kind of evidence do we need to strengthen primary healthcare in the 21st century?BMJ global health · 2019Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
introductionInterventions targeting the financing of primary health care (PHC) systems could accelerate progress towards universal health coverage; however, there is limited evidence to guide best-practice implementation of these interventions. This study aimed to generate a stakeholder-led research agenda in the area of PHC financing interventions in the Asia-Pacific region.
methodsWe adopted a two-stage process: (1) a systematic review of financing interventions targeting PHC service delivery in the Asia-Pacific region was conducted to develop an evidence gap map and (2) an electronic-Delphi (e-Delphi) exercise with key national PHC stakeholders was undertaken to prioritise these evidence needs.
resultsThirty-one peer-reviewed articles (including 10 systematic reviews) and 10 grey literature reports were included in the review. There was limited consistency in results across studies but there was evidence that some interventions (removal of user fees, ownership models of providers and contracting arrangements) could impact PHC service access, efficiency and out-of-pocket cost outcomes. The e-Delphi exercise highlighted the importance of contextual factors and prioritised research in the areas of: (1) interventions to limit out-of-pocket costs; (2) financing models to enhance health system performance and maintain PHC budgets; (3) the design of incentives to promote optimal care without unintended consequences and (4) the comparative effectiveness of different PHC service delivery strategies using local data.
conclusionThe research questions which were deemed most important by stakeholders are not addressed in the literature. There is a need for more research on how financing interventions can be implemented at scale across health systems. Such research needs to be pragmatic and balance academic rigour with practical considerations.
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