Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2020 Feb 3;86(1):9.
doi: 10.5334/aogh.2471.

Primary Care 2030: Creating an Enabling Ecosystem for Disruptive Primary Care Models to Achieve Universal Health Coverage in Low- and Middle-Income Countries

Dan Schwarz #  1   2 , David Duong #  1 , Chase Adam  3 , J K Awoonor-Williams  4 , Darren Back  5 , Abhay Bang  6 , Rani Bang  6 , Madeleine Beebe  7 , Shreya Bhatt  8 , John Campbell  9 , Magnus Conteh  10 , Dessislava Dimitrova  11 , Donika Dimovska  9 , Jean-Paul Dossou  12   13 , Timothy Evans  14 , Mazin Gadir  15 , Khaleda Islam  16 , Ronald Kasyaba  17 , Priya Kumar  3 , Catherine Levy  18 , Tran Mai Oanh  19 , Nahed Monsef  20 , Juhwan Oh  21 , Nathaniel Otoo  9 , Daniel Palazuelos  22   23 , Andy Poh  24 , Sylvana Sinha  25 , Catharine Smith  26 , Ben Stewart  27 , Cicely Thomas  9 , Beth Tritter  28 , Peter Varnum  29 , Taylor Weilnau  26 , Andrew Ellner  1
Affiliations

Primary Care 2030: Creating an Enabling Ecosystem for Disruptive Primary Care Models to Achieve Universal Health Coverage in Low- and Middle-Income Countries

Dan Schwarz et al. Ann Glob Health. .

Abstract

Background: Forty years after Alma Ata, there is renewed commitment to strengthen primary health care as a foundation for achieving universal health coverage, but there is limited consensus on how to build strong primary health care systems to achieve these goals.

Methods: We convened a diverse group of global stakeholders for a high-level dialogue on how to create an enabling ecosystem for disruptive primary care innovation. We focused our discussion on four themes: workforce innovation and strengthening; impactful use of data and technology; private sector engagement; and innovative financing mechanisms.

Findings: Here, we present a summary of our convening's proceedings, with specific recommendations for strengthening primary health care systems within each of these four domains.

Conclusions: In the wake of the Astana Declaration, there is global consensus that high-quality primary health care must be the foundation for universal health coverage. Significant disruptive innovation will be required to realize this goal. We offer our recommendations to the global community to catalyze further discourse and inform policy-making and program development on the path to Health for All by 2030.

PubMed Disclaimer

Conflict of interest statement

Darren Back declares a conflict of interest of being employed by the pharmaceutical company Pfizer Inc. No other authors have conflicts of interest to disclose.

References

    1. World Health Organization. Declaration of Astana. 2018. https://www.who.int/docs/default-source/primary-health/declaration/gcphc.... Accessed November 26, 2018.
    1. Bloom DE, Khoury A, Subbaraman R. The promise and peril of universal health care. Science. 2018; 361(6404): eaat9644 DOI: 10.1126/science.aat9644 - DOI - PMC - PubMed
    1. Bitton A, Ratcliffe HL, Veillard JH, et al. Primary health care as a foundation for strengthening health systems in low- and middle-income countries. J Gen Intern Med. 2016: 1–6. DOI: 10.1007/s11606-016-3898-5 - DOI - PMC - PubMed
    1. Bhardwaj N, Skinner D. Primary care in Cuba: Considerations for the US. J Health Care Poor and Under. 2019; 30(2): 456–67. DOI: 10.1353/hpu.2019.0041 - DOI - PubMed
    1. Dresang LT, Brebrick L, Murray D, Shallue A, Sullivan-Vedder L. Family medicine in Cuba: Community-oriented primary care and complementary and alternative medicine. J Am Board Fam Pract. 2005. July 1; 18(4): 297–303. DOI: 10.3122/jabfm.18.4.297 - DOI - PubMed