The Center's landmark 2005 paper summarized all of the evidence to date that primary care-led health systems produce greater effectiveness of health services with reductions in disparities in health across population subgroups, and at lower costs than health systems oriented toward disease-focused, specialty-dominated health systems.Īs was true of the PCPC’s cofounder, the late Dr. It is distinguished by its orientation to overall health and illness experiences of people, rather than only toward biomedical characteristics of diseases. Primary care is person- and population-focused care with provision of accessible, comprehensive, and coordinated services as its hallmarks. government, has produced most of the worldwide evidence of the benefits of primary care-led health systems, both in the United States and internationally. Over a period of 15 years, the Center, originally supported by the Bureau of Primary Health Care in the U.S. The work of the Primary Care Policy Center (PCPC) at the Johns Hopkins Bloomberg School of Public Health was critical in producing this evidence. Widely considered a seminal document for developing an ethical basis for health services worldwide, its philosophical tone and absence of specific strategies made it an easy target for manipulation in a world in which health services were becoming increasingly market-oriented, technologic, and impersonal.Īt the same time as it became evident that international lending agencies were failing to improve the availability of health services for populations that could not afford to pay for them, evidence of the importance of primary care was being developed. In 1978, the World Health Organization proposed a strategy for achieving Health For All.
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