Sub-national and district management: Primary Health Care
Implementing PHC
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A Results-Based Logic Model for Primary Health Care
D. E. Watson, A. Broemeling, R. J. Reid and C. Black, 2004, Centre for Health Services and Policy Research, University of British Columbia, Vancouver, Canada
PHC inputs, activities, outputs and outcomes in the Canadian system; health care management - levels and activities; health system efficiency, effectiveness and equity; sustainability; monitoring and evaluation. (34 pages, pdf 905kb) -
What are the Advantages and Disadvantages of Restructuring a Health Care System to be more Focused on Primary Care Services?
Health Evidence Network, 2004, WHO Regional Office for Europe
Patient satisfaction; equity and access; health expenditure; cost benefit analysis, decision support techniques
(18 pages, pdf 236kb) -
Framework for primary care organizations: the importance of a structural domain
W. Hogg, M. Rowan, G. Russell, R. Geneau and L. Muldoon, June 2008, International Journal for Quality in Health Care
This paper describes the importance of the health system, governance and accountability, organizational culture and adaptability, job descriptions and team work, and the availability of the correct resources necessary for primary health care. Though the research is set in Canada, the issues are of interest to developing countries. The framework diagram can be adapted.
(13 pages, pdf on web, main text pages 1-9) -
Improving Primary Health Care by Strengthening Accountability in the Health Sector
pdf, 256kb
Brinkerhoff, Derick and David Hotchkiss, 2006, Partners for Health Reform, USAID
Answerability and sanctions; types of accountability: financial accountability, performance accountability; political and democratic accountability; purposes of accountability; challenges to accountability; strengthening citizen voice; strengthening rules, oversight and compliance; strengthening management and incentive arrangements; strengthening health information; building accountability into programme design, implementation and evaluation.
(16 pages, pdf 251kb) -
Contracting for Primary Health Services; Evidence of its Effects and a Framework for Evaluation
pdf, 411kb
X. Liu, D. R. Hotchkiss, S. Bose, R. Bitran, U. Giedion, 2004, Partners for Health Reform
Types of contracting; rationales and advantages; potential pitfalls; access, equity, qulaity and efficiency; contract formality and duration; performance requirements; payment mechanisms; input, output and outcome management; preformance monitoring
(70 pages)