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Title: Gaps In Primary Care And Health System Performance In Six Latin American And Caribbean Countries
Authors: Macinko, James
Guanais, Frederico C.
Mullachery, Pricila
Jimenez, Geronimo
Keywords: Public Health
Organization and Delivery of Care
Issue Date: 2016
Source: Macinko, 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.
Series/Report no.: Health Affairs
Abstract: The 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.
DOI: 10.1377/hlthaff.2015.1366
Schools: Lee Kong Chian School of Medicine (LKCMedicine) 
Rights: © 2016 Project HOPE - The People-to-People Health Foundation.
Fulltext Permission: none
Fulltext Availability: No Fulltext
Appears in Collections:LKCMedicine Journal Articles

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