Role of primary health care in ensuring access to medicines.

Abstract:

:To examine ways of ensuring access to health services within the framework of primary health care (PHC), since the goal of PHC to make universal health care available to all people has become increasingly neglected amid emerging themes of globalization, trade, and foreign policy. From a public health point of view, we argue that the premise of PHC can unlock barriers to health care services and contribute greatly to determining collective health through the promotion of universal basic health services. PHC has the most sophisticated and organized infrastructure, theories, and political principles, with which it can deal adequately with the issues of inequity, inequality, and social injustice which emerge from negative economic externalities and neo-liberal economic policies. Addressing these issues, especially the complex social and political influences that restrict access to medicines, may require the integration of different health initiatives into PHC. Based on current systems, PHC remains the only conventional health delivery service that can deal with resilient public health problems adequately. However, to strengthen its ability to do so, we propose the revitalization of PHC to incorporate scholarship that promotes human rights, partnerships, research and development, advocacy, and national drug policies. The concept of PHC can improve access; however, this will require the urgent interplay among theoretical, practical, political, and sociological influences arising from the economic, social, and political determinants of ill health in an era of globalization.

journal_name

Croat Med J

journal_title

Croatian medical journal

authors

Sambala EZ,Sapsed S,Mkandawire ML

doi

10.3325/2010.51.181

subject

Has Abstract

pub_date

2010-06-01 00:00:00

pages

181-90

issue

3

eissn

0353-9504

issn

1332-8166

journal_volume

51

pub_type

杂志文章
  • Health sector reform in the Republic of Macedonia.

    abstract:AIM:To evaluate the results of current reforms in Macedonian health sector. METHOD:Description and situation analysis, covering the period 1991-1997, are focused on demographic and vital indicators, morbidity and mortality data, elements of health care system, legislation, health insurance, health care financing, and ...

    journal_title:Croatian medical journal

    pub_type: 杂志文章

    doi:

    authors: Ivanovska L,Ljuma I

    更新日期:1999-06-01 00:00:00

  • Conscience in health care and the definitions of death.

    abstract::Brain death or neurologic death has gradually become recognized as human death over the past decades worldwide. Nevertheless, in Japan, the New York State, and the State of New Jersey, death is declared based not on brain death criteria, but on cardio-pulmonary criteria. In Japan, the 1997 Organ Transplant Law legaliz...

    journal_title:Croatian medical journal

    pub_type: 杂志文章

    doi:10.3325/cmj.2013.54.75

    authors: Kato Y

    更新日期:2013-02-01 00:00:00

  • The World Health Organization classification of lymphomas.

    abstract::The Revised European-American Classification of Lymphoid Neoplasms (REAL) classification has been validated by a multi-institutional study, and project data showed that it is both reproducible and clinically relevant. The new World Health Organization (WHO) Classification of Neoplastic Diseases of Hematopoietic and Ly...

    journal_title:Croatian medical journal

    pub_type: 杂志文章

    doi:

    authors: Jakić-Razumović J,Aurer I

    更新日期:2002-10-01 00:00:00

  • Expression of MAGE-A and NY-ESO-1 cancer/testis antigens in medullary breast cancer: retrospective immunohistochemical study.

    abstract:AIM:To immunohistochemically evaluate the expression of MAGE-A1, MAGE-A, and NY-ESO-1 cancer/testis (C/T) tumor antigens in medullary breast cancer (MBC) tumor samples and to analyze it in relation to the clinicopathological features. METHODS:This retrospective study included samples from 49 patients: 40 with typical ...

    journal_title:Croatian medical journal

    pub_type: 杂志文章

    doi:10.3325/cmj.2011.52.171

    authors: Matković B,Juretić A,Spagnoli GC,Separović V,Gamulin M,Separović R,Sarić N,Basić-Koretić M,Novosel I,Kruslin B

    更新日期:2011-04-15 00:00:00

  • Editor ad interim - prospects and reality.

    abstract:: ...

    journal_title:Croatian medical journal

    pub_type: 社论

    doi:

    authors: Glasnović A

    更新日期:2018-12-31 00:00:00

  • Parental administration of antipyretics to children with upper respiratory tract infections without consultation with a physician.

    abstract:AIM:To evaluate the administration of antipyretics to children with upper respiratory tract infections (URTI) by their parents or guardians without consultation with physicians, and compare epidemiological and clinical characteristics of patients who received antipyretics and of untreated patients. METHODS:A prospecti...

    journal_title:Croatian medical journal

    pub_type: 杂志文章

    doi:10.3325/cmj.2011.52.48

    authors: Andabaka T,Globočnik T,Vukelić D,Esposito S,Baršić B

    更新日期:2011-02-01 00:00:00

  • Today's controversies in hernia surgery.

    abstract::For more than a century, since the introduction of modern hernia repair by Basinni, technical aspects of hernia surgery have been surrounded by controversies. The purpose of this article is to examine these controversies with special attention to (a) mechanical versus degenerative nature of hernias, (b) traditional ti...

    journal_title:Croatian medical journal

    pub_type: 杂志文章,评审

    doi:

    authors: Amid PK

    更新日期:1998-03-01 00:00:00

  • Angiotensinogen-M235T as a risk factor for myocardial infarction in Asian populations: a genetic association study and a bioinformatics approach.

    abstract:AIM:To investigate if there is an association between M235T polymorphism of angiotensinogen gene and myocardial infarction (MI) risk and perform a meta-analysis and an in silico approach. METHODS:This case-control study included 340 participants (155 MI patients and 185 controls) examined at Kashan University of Medic...

    journal_title:Croatian medical journal

    pub_type: 杂志文章,meta分析

    doi:10.3325/cmj.2016.57.351

    authors: Raygan F,Karimian M,Rezaeian A,Bahmani B,Behjati M

    更新日期:2016-08-31 00:00:00

  • Optimization of a simple, automatable extraction method to recover sufficient DNA from low copy number DNA samples for generation of short tandem repeat profiles.

    abstract:AIM:To develop an automated, high throughput extraction protocol in order to produce database eligible profiles from fingerprints and other low copy number (LCN) DNA sources. METHODS:Extraction of either purified control DNA or buccal cells, for example, with commercial kits was compared to extraction with a simple di...

    journal_title:Croatian medical journal

    pub_type: 杂志文章

    doi:

    authors: Schiffner LA,Bajda EJ,Prinz M,Sebestyen J,Shaler R,Caragine TA

    更新日期:2005-08-01 00:00:00

  • Impact of molecular medicine on pathophysiology, medical practice, and medical education.

    abstract::This article brings an overview of the influence of molecular medicine on pathophysiology, medical practice, and medical education. Various aspects of the growing impact of molecular medicine on clinical practice are discussed: diagnostic and predictive testing, gene and targeted therapy, and pharmacogenomics. Insuffi...

    journal_title:Croatian medical journal

    pub_type: 社论

    doi:

    authors: Gamulin S

    更新日期:2003-08-01 00:00:00

  • From service to commodity: corporization, competition, commodification, and customer culture transforms health care.

    abstract::Corporate medical practice, a market economy, and a consumer culture are transforming health care. The service relationships of doctors with patients are now commodities. The doctor, directed by disease management protocols (to improve outcomes, reduce costs, and standardize care), is, in effect, providing programmed ...

    journal_title:Croatian medical journal

    pub_type: 杂志文章

    doi:

    authors: Stoeckle JD

    更新日期:2000-06-01 00:00:00

  • Priority setting in general practice: health priorities of older patients differ from treatment priorities of their physicians.

    abstract:AIM:To ascertain health priorities of older patients and treatment priorities of their general practitioners (GP) on the basis of a geriatric assessment and to determine the agreement between these priorities. METHODS:The study included a sample of 9 general practitioners in Hannover, Germany, and a stratified sample ...

    journal_title:Croatian medical journal

    pub_type: 杂志文章

    doi:10.3325/cmj.2010.51.483

    authors: Voigt I,Wrede J,Diederichs-Egidi H,Dierks ML,Junius-Walker U

    更新日期:2010-12-01 00:00:00

  • Development of a multiplex single base extension assay for mitochondrial DNA haplogroup typing.

    abstract:AIM:To provide a screening tool to reduce time and sample consumption when attempting mitochondrial DNA (mtDNA) haplogroup typing. METHODS:A single base primer extension assay was developed to enable typing, in a single reaction, of twelve mtDNA haplogroup specific polymorphisms. For validation purposes a total of 147...

    journal_title:Croatian medical journal

    pub_type: 杂志文章

    doi:

    authors: Nelson TM,Just RS,Loreille O,Schanfield MS,Podini D

    更新日期:2007-08-01 00:00:00

  • Psychosomatic and depressive symptoms in civilians, refugees, and soldiers: 1993-2004 longitudinal study in Croatia.

    abstract:AIM:To evaluate psychosomatic complaints and depressive symptoms among civilians, refugees, and soldiers in the war and post-war period in Croatia. METHOD:The design of the study was longitudinal, including four repeated assessments during the war and post-war period (1993, 1995, 2000, and 2004). The baseline assessme...

    journal_title:Croatian medical journal

    pub_type: 杂志文章

    doi:

    authors: Proroković A,Cavka M,Cubela Adorić V

    更新日期:2005-04-01 00:00:00

  • Croatian genetic heritage: Y-chromosome story.

    abstract::The aim of this article is to offer a concise interpretation of the scientific data about the topic of Croatian genetic heritage that was obtained over the past 10 years. We made a short overview of previously published articles by our and other groups, based mostly on Y-chromosome results. The data demonstrate that C...

    journal_title:Croatian medical journal

    pub_type: 杂志文章

    doi:10.3325/cmj.2011.52.225

    authors: Primorac D,Marjanović D,Rudan P,Villems R,Underhill PA

    更新日期:2011-06-01 00:00:00

  • Countertransference problems in the treatment of a mixed group of war veterans and female partners of war veterans.

    abstract:AIM:Analysis of countertransference problems in the treatment of a heterogeneous group of war veterans. METHOD:The method used in this work was psychodynamic clinical observation and analysis of countertransference phenomena in group therapy. RESULTS:In the beginning of our work, we faced with a regressive group, whi...

    journal_title:Croatian medical journal

    pub_type: 杂志文章

    doi:

    authors: Gregurek R

    更新日期:1999-12-01 00:00:00

  • Double incompatibility at human alpha fibrinogen and penta E loci in paternity testing.

    abstract::We present a paternity testing case in which a double incompatibility was found for two short tandem repeat (STR) markers, human fibrinogen alpha (FGA) and Penta E. Analysis of the trio (mother, father, and daughter) included the amplification with a battery of 15 autosomal short tandem repeats (STR) by using a commer...

    journal_title:Croatian medical journal

    pub_type: 杂志文章

    doi:

    authors: Nutini AL,Mariottini A,Giunti L,Torricelli F,Ricci U

    更新日期:2003-06-01 00:00:00

  • Identification and characterization of interleukin-13 receptor in human medulloblastoma and targeting these receptors with interleukin-13-pseudomonas exotoxin fusion protein.

    abstract:AIM:To identify and characterize the subunit structure of interleukin-13 receptor (IL-13R) in human medulloblastoma cell lines and target them with a chimeric fusion protein consisting of interleukin-13 and Pseudomonas exotoxin (termed as IL-13 cytotoxin). METHODS:Five human medulloblastoma cell lines were examined fo...

    journal_title:Croatian medical journal

    pub_type: 杂志文章

    doi:

    authors: Joshi BH,Leland P,Puri RK

    更新日期:2003-08-01 00:00:00

  • A combination of levobupivacaine and lidocaine for paravertebral block in breast cancer patients undergoing quadrantectomy causes greater hemodynamic oscillations than levobupivacaine alone.

    abstract:AIM:To test for differences in hemodynamic and analgesic properties in patients with breast cancer undergoing quadrantectomy with paravertebral block (PVB) induced with a solution of either one or two local anesthetics. METHOD:A prospective, single-center, randomized, double-blinded, controlled trial was conducted fro...

    journal_title:Croatian medical journal

    pub_type: 杂志文章,随机对照试验

    doi:10.3325/cmj.2017.58.270

    authors: Župčić M,Graf Župčić S,Duzel V,Šimurina T,Šakić L,Fudurić J,Peršec J,Milošević M,Stanec Z,Korušić A,Barišin S

    更新日期:2017-08-31 00:00:00

  • Trauma of the lacrimal drainage system: retrospective study of 32 patients.

    abstract:AIM:To assess retrospectively the results and complications of surgical techniques applied in the treatment of patients with trauma of the lacrimal drainage system. METHODS:Out of 32 patients with lacrimal drainage system trauma included in the study, 25 were treated at the University Eye Clinic, Ljubljana Medical Cen...

    journal_title:Croatian medical journal

    pub_type: 杂志文章

    doi:

    authors: Drnovsek-Olup B,Beltram M

    更新日期:2004-06-01 00:00:00

  • Challenge of goodness III: public health facing war.

    abstract::Using moral and empirical analysis, we analyzed and discussed the role of public health in prevention of war as well as its function during and after the war. The idea is to develop a theory and new strategy in the spirit of public health to improve practices in preserving and strengthening peace, to be prepared for t...

    journal_title:Croatian medical journal

    pub_type: 杂志文章,评审

    doi:

    authors: Lang S,Kovacić L,Sogorić S,Brborović O

    更新日期:2002-04-01 00:00:00

  • Medical education in Albania: current situation and perspective, with reference to primary care.

    abstract::A radical primary health care-oriented reform of the medical services in Albania is now under way, calling for adequate revision in medical education. The reform has started in 1994. In January 1997, the Department of Family Medicine at the Faculty of Medicine, University of Tirana, was established for the development...

    journal_title:Croatian medical journal

    pub_type: 杂志文章

    doi:

    authors: Rrumbullaku L,Theodorakis PN,Caca P,Lionis C,Trell E

    更新日期:2002-02-01 00:00:00

  • What are the odds you will read this article?

    abstract:: ...

    journal_title:Croatian medical journal

    pub_type: 杂志文章

    doi:

    authors: Hrabač P,Trkulja V

    更新日期:2019-02-28 00:00:00

  • Dinara - new natural focus of hemorrhagic fever with renal syndrome in Croatia.

    abstract:AIM:To investigate the characteristics and determine risk factors for hantanvirus infection in natural focus of hemorrhagic fever with renal syndrome (HFRS) on the Dinara Mountain, where outbreak of disease emerged among Croatian soldiers in 1995, and to describe the features of HFRS acquired on the Dinara mountain and...

    journal_title:Croatian medical journal

    pub_type: 杂志文章

    doi:

    authors: Ledina D,Bradarić N,Borcić B,Turković B,Ivić I,Bakić J,Erceg M,Tvrtković N

    更新日期:2002-10-01 00:00:00

  • Revitalization of academic medicine in Albania.

    abstract::The Faculty of Medicine in Tirana, the only institution providing medical training in Albania, has currently developed three separate branches of study, General Medicine, Dentistry, and Pharmacy. Since the early 1990s, following the collapse of the communist regime, many faculty members have been trained abroad in dif...

    journal_title:Croatian medical journal

    pub_type: 杂志文章

    doi:

    authors: Roshi E,Burazeri G

    更新日期:2005-02-01 00:00:00

  • Overuse injuries in female athletes.

    abstract::The last three decades have witnessed a tremendous increase in female sports participation at all levels. However, increased sports participation of female athletes has also increased the incidence of sport-related injuries, which can be either acute trauma or overuse injuries. Overuse injuries may be defined as an im...

    journal_title:Croatian medical journal

    pub_type: 杂志文章,评审

    doi:10.3325/cmj.2007.6.767

    authors: Ivković A,Franić M,Bojanić I,Pećina M

    更新日期:2007-12-01 00:00:00

  • Ventricular assist device selection: which one and when?

    abstract::Advances in mechanical circulatory support have significantly expanded the treatment options for patients with heart failure, whether acute or chronic. There are numerous devices available that offer patients short-, intermediate-, and long-term duration of support depending on their clinical needs and cardiac recover...

    journal_title:Croatian medical journal

    pub_type: 杂志文章,评审

    doi:10.3325/cmj.2014.55.596

    authors: Stulak JM,Lim JY,Maltais S

    更新日期:2014-12-01 00:00:00

  • An integrated framework of personalized medicine: from individual genomes to participatory health care.

    abstract::Promising research developments in both basic and applied sciences, such as genomics and participatory health care approaches, have generated widespread interest in personalized medicine among almost all scientific areas and clinicians. The term personalized medicine is, however, frequently used without defining a cle...

    journal_title:Croatian medical journal

    pub_type: 杂志文章

    doi:10.3325/cmj.2012.53.301

    authors: Evers AW,Rovers MM,Kremer JA,Veltman JA,Schalken JA,Bloem BR,van Gool AJ

    更新日期:2012-08-01 00:00:00

  • Unusual presentation of anaplastic large cell lymphoma with clinical course mimicking fever of unknown origin and sepsis: autopsy study of five cases.

    abstract:AIM:To describe a subset of cases with the unusual clinical and histomorphological presentation of anaplastic large cell lymphoma (ALCL) mimicking fever of unknown origin (FUO) and sepsis. METHODS:A pathology database was searched using full term Systematized Nomenclature of Medicine codes for ALCL to identify 23ALCL ...

    journal_title:Croatian medical journal

    pub_type: 杂志文章

    doi:10.3325/cmj.2008.5.660

    authors: Mosunjac MB,Sundstrom JB,Mosunjac MI

    更新日期:2008-10-01 00:00:00

  • Graffiti - visual memory of Croatian history.

    abstract::Throughout the Middle Ages a unique Croatian Glagolitic script co-existed with Latin and western Cyrillic scripts, thus creating an open, large, and tolerant cultural environment. Many works common to European cultural heritage were translated into Croatian (Church Slavonic) language and preserved in the Glagolitic sc...

    journal_title:Croatian medical journal

    pub_type: 历史文章,杂志文章

    doi:

    authors: Fatović-Ferencić S,Duerrigl MA

    更新日期:1999-12-01 00:00:00