Is there primary health care in the UK?

Abstract:

:In the period since the Alma-Ata Declaration, there has been much activity in many countries in drawing up strategies for primary health care (PHC). This paper argues that the UK, though a signatory to the Declaration, has failed to provide an adequate framework for such a strategy, and that, in spite of the strong record of the National Health Service (NHS) as a system of social medicine, much remains to be done in order to achieve the principles of PHC. The paper analyses the record of the NHS in these areas, as set against the principles of PHC. It argues that such a review is important, not only for the NHS itself, but for some overseas students of the NHS who, through the strong links between the NHS and their own health services and the strong tradition of the NHS as a (nearly) free health system, might consider it a suitable blueprint for their own health services. THough there are a number of elements of the NHS, such as its resource allocation mechanism, that are relevant to PHC, it is argued that, as a whole, its structure may not be a suitable model.

journal_name

Health Policy Plan

authors

Green A

doi

10.1093/heapol/2.2.129

subject

Has Abstract

pub_date

1987-06-01 00:00:00

pages

129-37

issue

2

eissn

0268-1080

issn

1460-2237

journal_volume

2

pub_type

杂志文章
  • Do national drug policies influence antiretroviral drug prices? Evidence from the Southern African Development community.

    abstract:Background:The efficacy of low- and middle-income countries’ (LMIC) national drug policies in managing antiretroviral (ARV) pharmaceutical prices is not well understood. Though ARV drug prices have been declining in LMIC over the past decade, little research has been done on the role of their national drug policies. Th...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/czw107

    authors: Liu Y,Galárraga O

    更新日期:2017-03-01 00:00:00

  • Progress in reducing child mortality and stunting in India: an application of the Lives Saved Tool.

    abstract::The Lives Saved Tool (LiST) has been used to estimate the impact of scaling up intervention coverage on undernutrition and mortality. Evidence for the model is largely based on efficacy trials, raising concerns of applicability to large-scale contexts. We modelled the impact of scaling up health programs in India betw...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/czz088

    authors: Alderman H,Nguyen PH,Menon P

    更新日期:2019-11-01 00:00:00

  • From favours to entitlements: community voice and action and health service quality in Zambia.

    abstract::Social accountability is increasingly invoked as a way of improving health services. This article presents a theory-driven qualitative study of the context, mechanisms and outcomes of a social accountability program, Citizen Voice and Action (CVA), implemented by World Vision (WV) in Zambia. Primary data were collecte...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/czx024

    authors: Schaaf M,Topp SM,Ngulube M

    更新日期:2017-07-01 00:00:00

  • Did contracting effect the use of primary health care units in Pakistan?

    abstract::For many years, Pakistan has had a wide network of Basic Health Units spread across the country, but their utilization by the population in rural and peri-urban areas has remained low. As of 2004, in an attempt to improve the utilization and performance of these public primary healthcare facilities, the government has...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/czx040

    authors: Malik MA,Van de Poel E,Van Doorslaer E

    更新日期:2017-09-01 00:00:00

  • Improving access to hospital care for the poor: comparative analysis of four health equity funds in Cambodia.

    abstract::There is a large body of evidence that user fees in the health sector create exclusion. Health equity funds attempt to improve access to health care services for the poorest by paying the provider on their behalf. This paper reviews four hospital-based health equity funds in Cambodia and draws lessons for future opera...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/czm015

    authors: Noirhomme M,Meessen B,Griffiths F,Ir P,Jacobs B,Thor R,Criel B,Van Damme W

    更新日期:2007-07-01 00:00:00

  • Renewing membership in three community-based health insurance schemes in rural India.

    abstract::Low renewal rate is a key challenge facing the sustainability of community-based health insurance (CBHI) schemes. While there is a large literature on initial enrolment into such schemes, there is limited evidence on the factors that impede renewal. This article uses longitudinal data to analyse what determines renewa...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/czw090

    authors: Panda P,Chakraborty A,Raza W,Bedi AS

    更新日期:2016-12-01 00:00:00

  • Investigating the remuneration of health workers in the DR Congo: implications for the health workforce and the health system in a fragile setting.

    abstract::The financial remuneration of health workers (HWs) is a key concern to address human resources for health challenges. In low-income settings, the exploration of the sources of income available to HWs, their determinants and the livelihoods strategies that those remunerations entail are essential to gain a better under...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/czv131

    authors: Bertone MP,Lurton G,Mutombo PB

    更新日期:2016-11-01 00:00:00

  • The importance of gender in defining and improving quality of care: some conceptual issues.

    abstract::This paper discusses some conceptual underpinnings of research on gender and quality of health services and demonstrates the importance of training health professionals about how gender influences the health-illness-care process in men and women. It addresses the need to provide opportunities for health providers to u...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/16.suppl_1.7

    authors: Hartigan P

    更新日期:2001-09-01 00:00:00

  • Utilization of private and public health-care providers for tuberculosis symptoms in Ho Chi Minh City, Vietnam.

    abstract::In Vietnam, as in many other countries, tuberculosis (TB) control has long been organized exclusively within the public health-care system. However, recently the private health-care sector has become more important and private health-care providers currently have a role in TB care delivery in Vietnam. Through a retros...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/16.1.47

    authors: Lönnroth K,Thuong LM,Linh PD,Diwan VK

    更新日期:2001-03-01 00:00:00

  • Socioeconomic inequality in premiums for a community-based health insurance scheme in Rwanda.

    abstract::Community-based health insurance (CBHI) has gained popularity in many low- and middle-income countries, partly as a policy response to calls for low-cost, pro-poor health financing solutions. In Africa, Rwanda has successfully implemented two types of CBHI systems since 2005, one of which with a flat rate premium (200...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/czaa135

    authors: Chirwa GC,Suhrcke M,Moreno-Serra R

    更新日期:2020-12-02 00:00:00

  • Insured yet vulnerable: out-of-pocket payments and India's poor.

    abstract::Protecting households from high out-of-pocket (OOP) payments for health care is an important health system goal. High OOP payments can push households into poverty and make them vulnerable to catastrophic health expenditures. This study, based in India, aims to: (a) estimate OOP payments for health and related impover...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/czr029

    authors: Shahrawat R,Rao KD

    更新日期:2012-05-01 00:00:00

  • Distributional impact of the Malawian Essential Health Package.

    abstract::In low- and middle-income countries (LMICs), making the best use of scarce resources is essential to achieving universal health coverage. The design of health benefits packages creates the opportunity to select interventions on the basis of explicit objectives. Distributional cost-effectiveness analysis (DCEA) provide...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/czaa015

    authors: Arnold M,Nkhoma D,Griffin S

    更新日期:2020-07-01 00:00:00

  • Barriers to accessing benefits in a community-based insurance scheme: lessons learnt from SEWA Insurance, Gujarat.

    abstract::This paper seeks to examine barriers faced by members of a community-based insurance (CBI) scheme, which is targeted at poor women and their families, in accessing scheme benefits. CBI schemes have been developed and promoted as mechanisms to offer protection to poor families from the risks of ill-health, death and lo...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/czj010

    authors: Sinha T,Ranson MK,Chatterjee M,Acharya A,Mills AJ

    更新日期:2006-03-01 00:00:00

  • From public to private and back again: sustaining a high service-delivery level during transition of management authority: a Cambodia case study.

    abstract::Contracting non-governmental organizations (NGOs) has been shown to increase health service delivery output considerably over relatively short time frames in low-income countries, especially when applying performance-related pay as a stimulus. A key concern is how to manage the transition back to government-operated s...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/czp049

    authors: Jacobs B,Thomé JM,Overtoom R,Sam SO,Indermühle L,Price N

    更新日期:2010-05-01 00:00:00

  • Collaboratively reframing mental health for integration of HIV care in Ethiopia.

    abstract:BACKGROUND:Integrating mental health with general medical care can increase access to mental health services, but requires helping generalists acquire a range of unfamiliar knowledge and master potentially complex diagnostic and treatment processes. METHOD:We describe a model for integrating complex specialty care wit...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/czu058

    authors: Wissow LS,Tegegn T,Asheber K,McNabb M,Weldegebreal T,Jerene D,Ruff A

    更新日期:2015-07-01 00:00:00

  • Income elasticity of health expenditures in Iran.

    abstract::Because of its policy implications, the income elasticity of health care expenditures is a subject of much debate. Governments may have an interest in subsidizing the care of those with low income. Using more than two decades of data from the Iran Household Expenditure and Income Survey, this article investigates the ...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/czs106

    authors: Zare H,Trujillo AJ,Leidman E,Buttorff C

    更新日期:2013-09-01 00:00:00

  • Financial priorities under decentralization in Uganda.

    abstract::This paper explores changes to budget allocations for health during the decentralization process in UGANDA: When the districts were given the authority to allot their own budgets, allocations for health were reduced considerably. The rationale for this by district leaders is investigated and analyzed. Their criteria f...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/16.2.187

    authors: Jeppsson A

    更新日期:2001-06-01 00:00:00

  • Stroke: the global burden.

    abstract::Stroke is a major global health problem. It is a major cause of mortality, morbidity and disability in developed and increasingly in less developed countries. Worldwide, it is the leading cause of healthy years lost in late adulthood, and evidence indicates that the burden of stroke, particularly in terms of morbidity...

    journal_title:Health policy and planning

    pub_type: 杂志文章,评审

    doi:10.1093/heapol/10.1.1

    authors: Kalache A,Aboderin I

    更新日期:1995-03-01 00:00:00

  • The North American Free Trade Agreement (NAFTA) and Mexican nursing.

    abstract::In the context of nurse migration, experts view trade agreements as either vehicles for facilitating migration or as contributing to brain-drain phenomena. Using a case study design, this study explored the effects of the North American Free Trade Agreement (NAFTA) on the development of Mexican nursing. Drawing result...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/czq024

    authors: Squires A

    更新日期:2011-03-01 00:00:00

  • Delivering a primary-level non-communicable disease programme for Syrian refugees and the host population in Jordan: a descriptive costing study.

    abstract::The Syrian conflict has caused enormous displacement of a population with a high non-communicable disease (NCD) burden into surrounding countries, overwhelming health systems' NCD care capacity. Médecins sans Frontières (MSF) developed a primary-level NCD programme, serving Syrian refugees and the host population in I...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/czaa050

    authors: Ansbro É,Garry S,Karir V,Reddy A,Jobanputra K,Fardous T,Sadique Z

    更新日期:2020-10-01 00:00:00

  • Measuring family planning quality and its link with contraceptive use in public facilities in Burkina Faso, Ethiopia, Kenya and Uganda.

    abstract::The individual impacts of several components of family planning service quality on contraceptive use have been studied, but the influence of a composite measure synthesizing these components has not been often investigated. We (1) develop a composite score for family planning service quality based on health facility d...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/czy058

    authors: Fruhauf T,Zimmerman L,Kibira SPS,Makumbi F,Gichangi P,Shiferaw S,Seme A,Guiella G,Tsui A

    更新日期:2018-09-01 00:00:00

  • 'Seeking affluent neighbourhoods?' a time-trend analysis of geographical distribution of hospitals in the Megacity of Tehran.

    abstract:Objective:Access to hospitals in megacities in low and middle income countries might be hampered by travel barriers and distance. We assessed the 'inverse care law' hypothesis: whether hospitals tended to be built in the relatively better-off areas through the time. Methods:A longitudinal time-series study (1966 to 20...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/czw172

    authors: Chavehpour Y,Rashidian A,Raghfar H,Emamgholipour Sefiddashti S,Maroofi A

    更新日期:2017-06-01 00:00:00

  • Predictors of nursing leadership in Uganda: a cross-sectional study.

    abstract::Evidence regarding the role of nurses-in-leadership and how to engage nurses in policy decisions is minimal in sub-Saharan Africa. The purpose of this study was: (1) to assess the leadership practices of nurses-in-leadership in Uganda (by self-report) and from the perspective of 'followers' (direct-report, peers, co-w...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/czaa100

    authors: Nanyonga RC,Bosire EN,Heller DJ,Bradley E,Reynolds NR

    更新日期:2020-11-01 00:00:00

  • The distribution of net benefits under the National Health Insurance programme in Taiwan.

    abstract::The redistributive effects of a social insurance programme are determined by how the programme is paid for-who pays and how much do they pay?-and how the benefits are distributed. As a result, the redistributive effects of a social health insurance programme should be evaluated on the basis of its net benefit-the diff...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/czl037

    authors: Huang N,Yip W,Chou YJ,Wang PJ

    更新日期:2007-01-01 00:00:00

  • Supporting mental health in South African HIV-affected communities: primary health care professionals' understandings and responses.

    abstract::How do practitioners respond to the mental distress of HIV-affected women and communities? And do their understandings of patients' distress matter? The World Health Organization (WHO) along with advocates from the Movement for Global Mental Health (MGMH) champion a primary mental health care model to address burgeoni...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/czu092

    authors: Burgess RA

    更新日期:2015-09-01 00:00:00

  • Risk factors for neonatal mortality in rural areas of Bangladesh served by a large NGO programme.

    abstract::Neonatal deaths account for about half of all deaths among children under 5 years of age in Bangladesh, making prevention a major priority. This paper reports on a study of neonatal deaths in 12 areas of Bangladesh served by a large NGO programme, which had high coverage of reproductive health outreach services and re...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/czl024

    authors: Mercer A,Haseen F,Huq NL,Uddin N,Hossain Khan M,Larson CP

    更新日期:2006-11-01 00:00:00

  • Improving government health services through contract management: a case from Cambodia.

    abstract::Most government health facilities in Cambodia perform poorly, due to lack of funds, inadequate management and inefficient use of resources, but mostly due to poor motivation of staff. This paper describes contracting as a possible tool for Ministries of Health to improve health service delivery more rapidly than the m...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/18.1.74

    authors: Soeters R,Griffiths F

    更新日期:2003-03-01 00:00:00

  • Using social network analysis to examine the decision-making process on new vaccine introduction in Nigeria.

    abstract::The decision-making process to introduce new vaccines into national immunization programmes is often complex, involving many stakeholders who provide technical information, mobilize finance, implement programmes and garner political support. Stakeholders may have different levels of interest, knowledge and motivations...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/czs037

    authors: Wonodi CB,Privor-Dumm L,Aina M,Pate AM,Reis R,Gadhoke P,Levine OS

    更新日期:2012-05-01 00:00:00

  • The evolution, etiology and eventualities of the global health security regime.

    abstract:BACKGROUND:Attention to global health security governance is more important now than ever before. Scientists predict that a possible influenza pandemic could affect 1.5 billion people, cause up to 150 million deaths and leave US$3 trillion in economic damages. A public health emergency in one country is now only hours ...

    journal_title:Health policy and planning

    pub_type: 历史文章,杂志文章

    doi:10.1093/heapol/czq037

    authors: Hoffman SJ

    更新日期:2010-11-01 00:00:00

  • Who benefits from healthcare spending in Cambodia? Evidence for a universal health coverage policy.

    abstract::Cambodia's healthcare system has seen significant improvements in the last two decades. Despite this, access to quality care remains problematic, particularly for poor rural Cambodians. The government has committed to universal health coverage (UHC) and is reforming the health financing system to align with this goal....

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/czz011

    authors: Asante AD,Ir P,Jacobs B,Supon L,Liverani M,Hayen A,Jan S,Wiseman V

    更新日期:2019-10-01 00:00:00