ArticleBulletin of the World Health Organization2020
Hospital-provision of essential primary care in 56 countries: determinants and quality.
Article in Bulletin of the World Health Organization, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed, 33 citations in OpenAlex.
- Cost-effectiveness of three screening strategies for atrial fibrillation in Sri Lanka: a decision-tree modelling analysis using community-based prevalence data.BMJ global health · 2026Article
- Temporal Trends in Patient Choice of Outpatient Care Provider Among Vietnam's Insured Rural Residents, 2006-2020.The International journal of health planning and management · 2025Article
- Know-do gaps in the clinical management of childhood illness: evidence from three countries in sub-Saharan Africa.BMC public health · 2025Observational
- Implementation of the WHO standards to assess the quality of care for children with acute diarrhoea: findings of a multicentre study (CHOICE) in Italy.BMJ paediatrics open · 2024Observational
- Routine data in a primary care performance dashboard, Ethiopia.Bulletin of the World Health Organization · 2024Article
- User-reported quality of care: findings from the first round of the People's Voice Survey in 14 countries.The Lancet. Global health · 2024Review
- Generalisability of and lessons learned from a mixed-methods study conducted in three low- and middle-income countries to identify care pathways for atrial fibrillation.Global health action · 2023Article
- Health service quality in 2929 facilities in six low-income and middle-income countries: a positive deviance analysis.The Lancet. Global health · 2023Article
- The pathway to diagnosis and follow-up care for atrial fibrillation in Sri Lanka: a descriptive longitudinal study.NIHR open research · 2023Article
- Effect of lifting COVID-19 restrictions on utilisation of primary care services in Nepal: a difference-in-differences analysis.BMJ open · 2022Article
- Prevalence of atrial fibrillation in Northern Sri Lanka: a study protocol for a cross-sectional household survey.BMJ open · 2022Article
- Tracking progress towards universal health coverage for essential health services in China, 2008-2018.BMJ global health · 2022Article
- Article
- Health care seeking in modern urban LMIC settings: evidence from Lusaka, Zambia.BMC public health · 2022Article
- Clients satisfaction at primary healthcare facilities and its association with implementation of client service charter in Tanzania.PloS one · 2022Article
- Modified scoping review of the enablers and barriers to implementing primary health care in the COVID-19 context.Health policy and planning · 2021Article
- Patient volume and quality of primary care in Ethiopia: findings from the routine health information system and the 2014 Service Provision Assessment survey.BMC health services research · 2021Article
- Factors affecting health care users' first contact with primary health care facilities in north eastern China, 2008-2018.BMJ global health · 2021Article
- Primary health care: realizing the vision.Bulletin of the World Health Organization · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo estimate the use of hospitals for four essential primary care services offered in health centres in low- and middle-income countries and to explore differences in quality between hospitals and health centres.
methodsWe extracted data from all demographic and health surveys conducted since 2010 on the type of facilities used for obtaining contraceptives, routine antenatal care and care for minor childhood diarrhoea and cough or fever. Using mixed-effects logistic regression models we assessed associations between hospital use and individual and country-level covariates. We assessed competence of care based on the receipt of essential clinical actions during visits. We also analysed three indicators of user experience from countries with available service provision assessment survey data.
findingsOn average across 56 countries, public hospitals were used as the sole source of care by 16.9% of 126 012 women who obtained contraceptives, 23.1% of 418 236 women who received routine antenatal care, 19.9% of 47 677 children with diarrhoea and 18.5% of 82 082 children with fever or cough. Hospital use was more common in richer countries with higher expenditures on health per capita and among urban residents and wealthier, better-educated women. Antenatal care quality was higher in hospitals in 44 countries. In a subset of eight countries, people using hospitals tended to spend more, report more problems and be somewhat less satisfied with the care received.
conclusionAs countries work towards achieving ambitious health goals, they will need to assess care quality and user preferences to deliver effective primary care services that people want to use.
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