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Bolouriyan A, Ghorbannia Delavar M, Khalaj M P, Nasiri T, Soleymanitabar A. Strategies for Strengthening the Primary Health Care System in Dealing With Emergency Situations: A Systematic Review. Qom Univ Med Sci J 2024; 18 : 2895.2
URL: http://journal.muq.ac.ir/article-1-3744-en.html
Strategies for Strengthening the Primary Health Care System in Dealing With Emergency Situations: A Systematic Review
Alireza Bolouriyan1 , Majid Ghorbannia Delavar2 , Mohammad Parsa Khalaj1 , Taha Nasiri3 , Alireza Soleymanitabar * 4
1- Student Research Committee, Baqiyatallah University of Medical Sciences, Tehran, Iran.
2- School of Medicine, Baqiyatallah University of Medical Sciences, Tehran, Iran.
3- Department of Health Services Management, School of Health, Baqiyatallah University of Medical Sciences, Tehran, Iran.
4- Student Research Committee, Baqiyatallah University of Medical Sciences, Tehran, Iran. , asoleimanitabar76@gmail.com
Abstract:   (665 Views)
Background and Objectives: Several pandemics and epidemics have occurred in the last two decades. Based on global experiences, emphasis has been placed on strengthening the primary health care (PHC) system for preventing or dealing with adverse events. In this study, we aim to systematically review the studies conducted in different countries on strengthening the PHC system to deal with emergency situations to provide a model for Iran’s PHC system.
Methods: In this review study, related studies published from 1990 to 2021 were first searched using related keywords in Web of Science, Scopus, PubMed, and Embase databases. Documents and reports published by international organizations or health centers of different countries were also examined. The quality of the articles and reports was examined using the STROBE checklist.
Results: Nine articles and five reports were included in the study. Four strategies for strengthening the PHC system were identified: a) Strengthening the capacity of the health system, b) Increasing public participation and public trust in the health sector, c) Ensuring access to health services, and d) Increasing the capability of healthcare workers in facing crises.
Conclusion: Developing national plans with the participation of people and different actors is one of the most important measures to strengthen the PHC system of the country. Also, special emphasis should be placed on strengthening the relationship between the health system and society.
Article number: 2895.2
Keywords: Primary health care, Public health, Health, Crisis, Systematic review
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Type of Study: Review Article | Subject: مدیریت بهداشتی
Received: 2023/05/19 | Accepted: 2023/08/27 | Published: 2024/04/29
References
1. United States General Accounting Office (GAO). Emerging infectious diseases: Asian SARS outbreak challenged international and national responses. Washington: GAO; 2004. [Link]
2. Food and Agriculture Organization of the United Nations. The global strategy for prevention and control of H5N1 highly pathogenic avian influenza. Rome: Food and Agriculture Organization of the United Nations; 2007. [Link]
3. Kieny MP, Evans DB, Schmets G, Kadandale S. Health-system resilience: Reflections on the Ebola crisis in western Africa. Bull World Health Organ. 2014; 92(12):850. [DOI:10.2471/BLT.14.149278] [PMID] [PMCID] [DOI:10.2471/BLT.14.149278]
4. van Weel C, Kassai R. Expanding primary care in South and East Asia. BMJ. 2017; 356:j634. [DOI:10.1136/bmj.j634] [PMID] [DOI:10.1136/bmj.j634]
5. World Health Organization (WHO). The world health report 2008: Primary health care-Now more than ever. 2008 [Updated 2008 October 14]. Available from: [Link]
6. World Health Organization (WHO). Primary health care, including health system strengthening. Geneva: World Health Organization; 2009. [Link]
7. Kidd M, Haq C, De Maeseneer J, Markuns J, Montenegro H, Qidwai W, et al. Improving health systems. In: Kidd M, editor. The contribution of family medicine to improving health systems: A guidebook from the World Organization of Family Doctors. London: CRC Press; 2020. [DOI:10.1201/9780429084201-2] [DOI:10.1201/9780429084201-2]
8. Art B, De Roo L, De Maeseneer J. Towards unity for health utilising community-oriented primary care in education and practice. Educ Health. 2007; 20(2):74. [PMID] [DOI:10.4103/1357-6283.101614]
9. Kruk ME, Myers M, Varpilah ST, Dahn BT. What is a resilient health system? Lessons from Ebola. Lancet. 2015; 385(9980):1910-2. [DOI:10.1016/S0140-6736(15)60755-3] [PMID] [DOI:10.1016/S0140-6736(15)60755-3]
10. Rentschler J, Klaiber C, Tariverdi M, Desjonqueres C, Mercadante J. Frontline: Preparing healthcare systems for shocks from disasters to pandemics. Washington: World Bank; 2021. [DOI:10.1596/35429] [DOI:10.1596/35429]
11. Veillard J, Cowling K, Bitton A, Ratcliffe H, Kimball M, Barkley S, et al. Measurement for performance improvement in low- and middle-income countries: The primary health care performance initiative (PHCPI) experience of conceptual framework development and indicator selection. Milbank Q. 2017; 95(4):836-83. [DOI:10.1111/1468-0009.12301] [PMID] [PMCID] [DOI:10.1111/1468-0009.12301]
12. Masotti P, Green ME, Birtwhistle R, Gemmill I, Moore K, O'Connor K, et al. pH1N1-A comparative analysis of public health responses in Ontario to the influenza outbreak, public health and primary care: Lessons learned and policy suggestions. BMC Public Health. 2013; 13:687. [DOI:10.1186/1471-2458-13-687] [PMID] [PMCID] [DOI:10.1186/1471-2458-13-687]
13. Bocquet J, Winzenberg T, Shaw KA. Epicentre of influenza - the primary care experience in Melbourne, Victoria. Aust Fam Physician. 2010; 39(5):313-6. [PMID]
14. Sarikaya O, Erbaydar T. Avian influenza outbreak in Turkey through health personnel's views: A qualitative study. BMC Public Health. 2007; 7:330. [DOI:10.1186/1471-2458-7-330] [PMID] [PMCID] [DOI:10.1186/1471-2458-7-330]
15. Downar J, Seccareccia D; Associated Medical Services Inc. Educational fellows in care at the end of life. Palliating a pandemic: All patients must be cared for. J Pain Symptom Manage. 2010; 39(2):291-5. [DOI:10.1016/j.jpainsymman.2009.11.241] [PMID] [PMCID] [DOI:10.1016/j.jpainsymman.2009.11.241]
16. Miller NP, Milsom P, Johnson G, Bedford J, Kapeu AS, Diallo AO, et al. Community health workers during the Ebola outbreak in Guinea, Liberia, and Sierra Leone. J Glob Health. 2018; 8(2):020601. [DOI:10.7189/jogh.08.020601] [PMID] [PMCID]
17. Bergeron SM, Cameron S, Armstrong-Stassen M, Pare K. Diverse implications of a national health crisis: A qualitative exploration of community nurses' SARS experiences. Can J Nurs Res. 2006; 38(2):42-54. [PMID]
18. Siekmans K, Sohani S, Boima T, Koffa F, Basil L, Laaziz S. Community-based health care is an essential component of a resilient health system: Evidence from Ebola outbreak in Liberia. BMC Public Health. 2017; 17(1):84. [DOI:10.1186/s12889-016-4012-y] [PMID] [PMCID] [DOI:10.1186/s12889-016-4012-y]
19. Mitchell S, Maynard V, Lyons V, Jones N, Gardiner C. The role and response of primary healthcare services in the delivery of palliative care in epidemics and pandemics: A rapid review to inform practice and service delivery during the COVID-19 pandemic. Palliat Med. 2020; 34(9):1182-92. [DOI:10.1177/0269216320947623] [PMID] [PMCID] [DOI:10.1177/0269216320947623]
20. Phillips CB, Patel MS, Glasgow N, Pearce C, Dugdale P, Davies A, et al. Australian general practice and pandemic influenza: Models of clinical practice in an established pandemic. Med J Aust. 2007; 186(7):355-8. [DOI:10.5694/j.1326-5377.2007.tb00937.x] [PMID] [DOI:10.5694/j.1326-5377.2007.tb00937.x]
21. World Health Organization (WHO). WHO benchmarks for International Health Regulations (IHR) capacities. Geneva: World Health Organization; 2019. [Link]
22. Michala LJ, Lindencrone H, Brown CS, Ian Shaw AH, Nguyen-Van-Tam J. Recommendations for good practice in pandemic preparedness, in identified through evaluation of the response to pandemic (H1N1) 2009. Copenague: World Health Organization; 2009. [Link]
23. World Health Organization (WHO). Strengthening the health system response to COVID-19: Technical guidance# 1: Maintaining the delivery of essential health care services while mobilizing the health workforce for the COVID-19 response, 18 April 2020. 2020 [Updated 2020 June 21]. Available from: [Link]
24. Chotchoungchatchai S, Marshall AI, Witthayapipopsakul W, Panichkriangkrai W, Patcharanarumol W, Tangcharoensathien V. Primary health care and sustainable development goals. Bull World Health Organ. 2020; 98(11):792-800. [DOI:10.2471/BLT.19.245613] [PMID] [PMCID] [DOI:10.2471/BLT.19.245613]
25. Gutiérrez-Velasco L, Liébana-Presa C, Abella-Santos E, Villar-Suárez V, Fernández-Gutiérrez R, Fernández-Martínez E. Access to information and degree of community awareness of preventive health measures in the face of COVID-19 in Spain. Healthcare. 2021; 9(2):104. [DOI:10.3390/healthcare9020104] [PMID] [PMCID] [DOI:10.3390/healthcare9020104]
26. Aldila D, Ndii MZ, Samiadji BM. Optimal control on COVID-19 eradication program in Indonesia under the effect of community awareness. Math Biosci Eng. 2020; 17(6):6355-89. [DOI:10.3934/mbe.2020335] [PMID] [DOI:10.3934/mbe.2020335]
27. Sheppard B. Texas ice storm a wakeup call. Green Left Wkly. 2021; 1298:15. [Link]
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