Organization of primary care

Akman, Mehmet; Ayhan Başer, Duygu; Usanma Koban, Bugu; Marti Aguasca, Tino; Decat, Peter; Lefeuvre, Yann; Miller, Robin

doi:http://dx.doi.org/10.1017/S1463423622000275

Organization of primary care

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Akman M, Ayhan D, Usanma B, Marti T, Decat P, Lefeuvre Y, et al. Organization of primary care. Prim Health Care Res Dev. 2022;23(e49):1-11. DOI: 10.1017/S1463423622000275

Abstract

Strong primary care does not develop spontaneously but requires a well-developed organizational planning between levels of care. Primary care-oriented health systems are required to effectively tackle unmet health needs of the population, and efficient primary care organization (PCO) is crucial for this aim. Via strong primary care, health delivery, health outcomes, equity, and health security could be improved. There are several theoretical models on how primary care can be organized. In this position paper, the key aspects and benchmarks of PCO will be explored based on previously mentioned frameworks and domains. The aim of this position paper is to assist primary care providers, policymakers, and researchers by discussing the current context of PCO and providing guidance for implementation, development, and evaluation of it in a particular setting. The conceptual map of this paper consists of structural and process (PC service organization) domains and is adapted from frameworks described in literature and World Health Organization resources. Evidence we have gathered for this paper shows that for establishing a strong PCO, it is crucial to ensure accessible, continuous, person-centered, community-oriented, coordinated, and integrated primary care services provided by competent and socially accountable multiprofessional teams working in a setting where clear policy documents exist, adequate funding is available, and primary care is managed by dedicated units.