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dc.creatorKrumholz, Harlan M
dc.creatorYip, Winnie
dc.creatorKeung Cheng, Kar
dc.creatorMaeseneer, Jan De
dc.creatorMeng, Qingyue
dc.creatorMossialos, Elias
dc.creatorLi, Chuang
dc.creatorLu, Jiapeng
dc.creatorZhang, Qiuli
dc.creatorRoman Xu, Dong
dc.creatorLi, Liming
dc.creatorNormand, Sharon-Lise T
dc.creatorPeto, Richard
dc.creatorLi, Jing
dc.creatorWang, Zengwu
dc.creatorYan, Hongbing
dc.creatorGao, Runlin
dc.creatorChunharas, Somsak
dc.creatorGao, Xin
dc.creatorGuerra, Raniero
dc.creatorJi, Huijie
dc.creatorKe, Yang
dc.creatorPan, Zhigang
dc.creatorWu, Xianping
dc.creatorXiao, Shuiyuan
dc.creatorXie, Xinying
dc.creatorZhang, Yujuan
dc.creatorZhu, Jun
dc.creatorZhu, Shanzhu
dc.creatorHu, Shengshou
dc.date.accessioned2020-08-07T15:19:41Z
dc.date.available2020-08-07T15:19:41Z
dc.date.created2020
dc.identifier.issn0140-6736spa
dc.identifier.otherhttps://doi.org/10.1016/S0140-6736(20)30122-7spa
dc.identifier.urihttp://hdl.handle.net/20.500.12010/11747
dc.description.abstractChina has substantially increased financial investment and introduced favourable policies for strengthening its primary health care system with core responsibilities in preventing and managing chronic diseases such as hypertension and emerging infectious diseases such as coronavirus disease 2019 (COVID-19). However, widespread gaps in the quality of primary health care still exist. In this Review, we aim to identify the causes for this poor quality, and provide policy recommendations. System challenges include: the suboptimal education and training of primary health-care practitioners, a fee-for-service payment system that incentivises testing and treatments over prevention, fragmentation of clinical care and public health service, and insufficient continuity of care throughout the entire health-care system. The following recommendations merit consideration: (1) enhancement of the quality of training for primary healthcare physicians, (2) establishment of performance accountability to incentivise high-quality and high-value care; (3) integration of clinical care with the basic public health services, and (4) strengthening of the coordination between primary health-care institutions and hospitals. Additionally, China should consider modernising its primary health-care system through the establishment of a learning health system built on digital data and innovative technologies.spa
dc.format.extent11 páginasspa
dc.format.mimetypeimage/jepgspa
dc.publisherThe Lancetspa
dc.sourcereponame:Expeditio Repositorio Institucional UJTLspa
dc.sourceinstname:Universidad de Bogotá Jorge Tadeo Lozanospa
dc.subjectPrimary health carespa
dc.subjectCOVID-19spa
dc.subjectChinaspa
dc.titleQuality of primary health care in China: challenges and recommendationsspa
dc.type.localArtículospa
dc.subject.lembSíndrome respiratorio agudo gravespa
dc.subject.lembCOVID-19spa
dc.subject.lembSARS-CoV-2spa
dc.subject.lembCoronavirusspa
dc.rights.accessrightsinfo:eu-repo/semantics/embargoedAccessspa
dc.type.hasversioninfo:eu-repo/semantics/acceptedVersionspa
dc.rights.localAcceso restringidospa
dc.identifier.doihttps://doi.org/10.1016/S0140-6736(20)30122-7spa


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