Evidence map›Paper›PMID 38096885›Full record

ReviewThe Lancet. Global health2024

Primary health care in practice: usual source of care and health system performance across 14 countries.

Kevin Croke, Mosa Moshabela, Neena R Kapoor, Svetlana V Doubova, Ezequiel Garcia-Elorrio, Damen HaileMariam, Todd P Lewis, Gloria N Mfeka-Nkabinde, Sailesh Mohan, Peter Mugo and 5 more

Abstract readReview
In one paragraph

Review in The Lancet. Global health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing 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

21 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Family and community medicine workforce training and practice in the Americas.Revista panamericana de salud publica = Pan American journal of public health · 2025
    Article
  15. Primary Care Informatics: Vitalizing the Bedrock of Health Care.Journal of medical Internet research · 2024
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors.

Kevin CrokeDepartment of Global Health and Population, Harvard T H Chan School of Public Health, Boston, MA, USA. Electronic address: kcroke@hsph.harvard.edu.
Mosa MoshabelaSchool of Nursing and Public Health, College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa.
Neena R KapoorDepartment of Global Health and Population, Harvard T H Chan School of Public Health, Boston, MA, USA.
Svetlana V DoubovaEpidemiology and Health Services Research Unit, Mexican Social Security Institute, Mexico City, Mexico.
Ezequiel Garcia-ElorrioInstitute for Clinical Effectiveness and Health Policy, Buenos Aires, Argentina.
Damen HaileMariamSchool of Public Health, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.
Todd P LewisDepartment of Global Health and Population, Harvard T H Chan School of Public Health, Boston, MA, USA.
Gloria N Mfeka-NkabindeDepartment of Family Medicine, University of KwaZulu-Natal, Durban, South Africa.
Sailesh MohanPublic Health Foundation of India, Gurugram, India; Centre for Chronic Conditions and Injuries, Gurgaon, Haryana, India; Deakin University, Geelong, VIC, Australia; Centre for Chronic Disease Control, New Delhi, India.
Peter MugoHealth Policy and Systems Department, KEMRI-Wellcome Trust Research Programme, Nairobi, Kenya.
Jacinta NzingaHealth Economics Research Unit, KEMRI-Wellcome Trust Research Programme, Nairobi, Kenya.
Dorairaj PrabhakaranPublic Health Foundation of India, Gurugram, India; Centre for Chronic Disease Control, New Delhi, India.
Ashenif TadeleEthiopian Public Health Institute, Addis Ababa, Ethiopia.
Katherine D WrightDepartment of Global Health and Population, Harvard T H Chan School of Public Health, Boston, MA, USA.
Margaret E KrukDepartment of Global Health and Population, Harvard T H Chan School of Public Health, Boston, MA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Primary health care (PHC) is central to attainment of the Sustainable Development Goals, yet comparable cross-country data on key aspects of primary care have not been widely available. This study analysed data from the People's Voice Survey, which was conducted in 2022 and 2023 in 14 countries. We documented usual source of care across countries and examined associations of usual source of care with core PHC services, quality ratings, and health system confidence. We found that 75% of respondents had a usual source of care, and that 40% of respondents accessed usual care in the public sector at primary level. 44% rated their usual source of care as very good or excellent. Access to PHC-linked screenings and treatments varied widely within and across countries. Having any usual source of care was associated with higher take-up of preventive services, greater access to treatment including mental health services, and greater health system endorsement. Strengthening links between health system users and primary care providers could improve take-up of preventive care and increase user satisfaction with health system performance.

Indexed as

InternationalityPrimary Health CareHumans

Identifiers

PMID38096885
PMCPMC10716626

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.