The impact of governance in primary health care delivery: a systems thinking approach with a European panel
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Published version
Author(s)
Espinosa-González, Ana Belén
Delaney, Brendan C
Marti, Joachim
Darzi, Ara
Type
Journal Article
Abstract
Enhancing primary health care (PHC) is considered a policy priority for health systems strengthening due to PHC’s ability to provide accessible and continuous care and manage multimorbidity. Research in PHC often focuses on the effects of specific interventions (e.g. physicians’ contracts) in health care outcomes. This informs narrowly designed policies that disregard the interactions between the health functions (e.g. financing and regulation) and actors involved (i.e. public, professional, private), and their impact in care delivery and outcomes. The purpose of this study is to analyse the interactions between PHC functions and their impact in PHC delivery, particularly in providers’ behaviour and practice organisation.
Date Issued
2019-07-04
Date Acceptance
2019-04-23
Citation
Health Research Policy and Systems, 2019, 17 (65), pp.1-16
ISSN
1478-4505
Publisher
Springer Science and Business Media LLC
Start Page
1
End Page
16
Journal / Book Title
Health Research Policy and Systems
Volume
17
Issue
65
Copyright Statement
© The Author(s). 2019. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
Sponsor
National Institute of Health Research
National Institute for Health Research
Identifier
https://health-policy-systems.biomedcentral.com/articles/10.1186/s12961-019-0456-8
Grant Number
n/a
Subjects
1605 Policy and Administration
Health Policy & Services
Publication Status
Published online
Article Number
65
Date Publish Online
2019-07-04