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Primary health care in a multi-level perspective: Towards a research agenda

Author

Listed:
  • van der Geest, Sjaak
  • Speckmann, Johan D.
  • Streefland, Pieter H.

Abstract

The authors propose to view primary health care (PHC) from a multi-level perspective. Studying how PHC is conceived and implemented at different levels of social organization (e.g. in international agencies, national governments, regional centres of health care and local communities) will reveal which interests may be competing in the planning and execution of what broadly and conveniently is called 'PHC'. Mapping out these conflicting views and interests will contribute towards a better understanding of how PHC works or why it does not work and provide suggestions for a more effective and equitable PHC. Five themes are proposed for a multi-level research approach: (1) vertical versus horizontal organization of PHC; (2) the role of medical personnel in PHC; (3) the distribution of pharmaceuticals; (4) the integration of traditional medicine in PHC; and (5) family planning.

Suggested Citation

  • van der Geest, Sjaak & Speckmann, Johan D. & Streefland, Pieter H., 1990. "Primary health care in a multi-level perspective: Towards a research agenda," Social Science & Medicine, Elsevier, vol. 30(9), pages 1025-1034, January.
    • Handle: RePEc:eee:socmed:v:30:y:1990:i:9:p:1025-1034
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    Cited by:

    1. Murray, Laura R. & Garcia, Jonathan & Muñoz-Laboy, Miguel & Parker, Richard G., 2011. "Strange bedfellows: The Catholic Church and Brazilian National AIDS Program in the response to HIV/AIDS in Brazil," Social Science & Medicine, Elsevier, vol. 72(6), pages 945-952, March.
    2. Catia Milena Lopes & Annibal José Scavarda & Mauricio Nunes Macedo de Carvalho & André Luis Korzenowski, 2018. "The Business Model and Innovation Analyses: The Sustainable Transition Obstacles and Drivers for the Hospital Supply Chains," Resources, MDPI, vol. 8(1), pages 1-17, December.
    3. Hans E. Comtet & Karl-Arne Johannessen, 2021. "The Moderating Role of Pro-Innovative Leadership and Gender as an Enabler for Future Drone Transports in Healthcare Systems," IJERPH, MDPI, vol. 18(5), pages 1-15, March.

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