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dc.contributor.authorMacinko, Jamesen
dc.contributor.authorGuanais, Frederico C.en
dc.contributor.authorMullachery, Pricilaen
dc.contributor.authorJimenez, Geronimoen
dc.identifier.citationMacinko, J., Guanais, F. C., Mullachery, P., & Jimenez, G. (2016). Gaps In Primary Care And Health System Performance In Six Latin American And Caribbean Countries. Health Affairs, 35(8), 1513-1521.en
dc.description.abstractThe rapid demographic and epidemiological transitions occurring in Latin America and the Caribbean have led to high levels of noncommunicable diseases in the region. In addition to reduced risk factors for chronic conditions, a strong health system for managing chronic conditions is vital. This study assessed the extent to which populations in six Latin American and Caribbean countries receive high-quality primary care, and it examined the relationship between experiences with care and perceptions of health system performance. We applied a validated survey on access, use, and satisfaction with health care services to nationally representative samples of the populations of Brazil, Colombia, El Salvador, Jamaica, Mexico, and Panama. Respondents reported considerable gaps in the ways in which primary care is organized, financed, and delivered. Nearly half reported using the emergency department for a condition they considered treatable in a primary care setting. Reports of more primary care problems were associated with worse perceptions of health system performance and quality and less receipt of preventive care. Urgent attention to primary care performance is required as the region’s population continues to age at an unprecedented rate.en
dc.relation.ispartofseriesHealth Affairsen
dc.rights© 2016 Project HOPE - The People-to-People Health Foundation.en
dc.subjectPublic Healthen
dc.subjectOrganization and Delivery of Careen
dc.titleGaps In Primary Care And Health System Performance In Six Latin American And Caribbean Countriesen
dc.typeJournal Articleen
dc.contributor.schoolLee Kong Chian School of Medicine (LKCMedicine)en
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