Journal article
Policy and service delivery proposals to improve primary care services in low-income and middle-income country cities
The Lancet global health, v 13(5), pp e954-e966
May 2025
PMID: 40288403
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
The landscape of primary care services in low-income and middle-income country cities is diverse and dynamic, yet the quality of care received is too often low and the financial cost to the patient high. In the second Paper in this Series, we argue that shaping the primary care market is likely to provide larger returns to scale than individual quality improvement initiatives. Among other things, the market can be shaped by regulation and targeted public investment to crowd out poor providers and motivate those that remain to improve. Additional supply-side initiatives for which there is evidence include measures to educate and motivate the workforce, skill substitution and formation of clinical primary care teams, information technology, and improving the supply of medicines and diagnostics. Demand-side measures include reducing out-of-pocket expenses and promoting health literacy and user advocacy. Research is urgently needed into access for people who are unregistered (eg, those who sleep on the streets), those in peri-urban areas and towns, and on cost-effectiveness, and sustainability of beneficial interventions.
Metrics
Details
- Title
- Policy and service delivery proposals to improve primary care services in low-income and middle-income country cities
- Creators
- Richard J Lilford - University of BirminghamBenjamin Daniels - Harvard Global Health InstituteBarbara McPake - The University of MelbourneZulfiqar A Bhutta - Aga Khan UniversityRobert Mash - Stellenbosch UniversityFrances Griffiths - University of WarwickAkinyinka Omigbodun - University of IbadanElzo Pereira Pinto, Jr - Knowledge Integration (United Kingdom)Radhika Jain - Global Business School for Health, University College London, London, UKGershim Asiki - African Population and Health Research CenterEika Webb - University Hospitals Birmingham NHS Foundation TrustKatie Scandrett - University of BirminghamPeter J Chilton - University of BirminghamJo Sartori - University of BirminghamYen-Fu Chen - University of WarwickPeter Waiswa - Makerere UniversityAlex Ezeh - Drexel UniversityCatherine Kyobutungi - African Population and Health Research CenterGabriel M Leung - University of Hong KongCristiani Machado - Escola Nacional de Saúde PúblicaKabir Sheikh - Drexel UniversitySam I Watson - University of BirminghamJishnu Das - Walsh University
- Publication Details
- The Lancet global health, v 13(5), pp e954-e966
- Publisher
- Elsevier
- Number of pages
- 13
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Community Health and Prevention
- Web of Science ID
- WOS:001480758400001
- Scopus ID
- 2-s2.0-105003304433
- Other Identifier
- 991022050852104721
UN Sustainable Development Goals (SDGs)
This publication has contributed to the advancement of the following goals:
InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health