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Fostering global primary care research

A capacity-building approach

Dados Bibliográficos

ID21881619
AutoresDavid Ponka (0000-0003-0902-8520, University of Ottawa, autor correspondente), Megan Coffman (Center For Policy Research), Krystle Elizabeth Fraser-Barclay (Department of Family Medicine, Georgetown Public Hospital, Georgetown, Guyana), Richard D W Fortier (0000-0001-5305-991X, University of Auckland), Adrian Howe (0000-0002-4734-3938, University of East Anglia), Amanda Howe (Primary Care, University of East Anglia Norwich Medical School, Norwich, Norfolk, UK), Martin Kidd (0000-0002-0221-1245, University of Toronto), Michael Kidd (0000-0001-7800-1810, University of Toronto), Robert P Lennon (0000-0003-0973-5890, Penn State Milton S. Hershey Medical Center), Jeremiah K A Madaki (0000-0002-6898-8428, University of Jos), Robert Mash (0000-0001-7373-0774, Stellenbosch University), Bob Mash (Family and Emergency Medicine, Stellenbosch University, Cape Town, South Africa), Sherina Mohd Sidik (0000-0001-6754-6145, Universiti Putra Malaysia), Chris van Weel (0000-0003-3653-4701, Australian National University), Kristina Zawaly (0000-0003-0370-9616, University of Auckland), Felicity Goodyear‐Smith (0000-0002-6657-9401, University of Auckland)
Ano2020
Volume5
Fascículo7
Páginase002470
Data de publicação2020-07-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoBMJ Global Health (JOURNAL)
Identificadores do periódicoISSN: 2059-7908 • E-ISSN: 2059-7908
EditoraBMJ (PUBLISHER • GB)
DOI10.1136/bmjgh-2020-002470
PMID32624501
OpenAlexW3038888978
IdiomaEN
Citações recebidas5
Referências citadas26

The Alma Ata and Astana Declarations reaffirm the importance of high-quality primary healthcare (PHC), yet the capacity to undertake PHC research—a core element of high-quality PHC—in low-income and middle-income countries (LMIC) is limited. Our aim is to explore the current risks or barriers to primary care research capacity building, identify the ongoing tensions that need to be resolved and offer some solutions, focusing on emerging contexts. This paper arose from a workshop held at the 2019 North American Primary Care Research Group Annual Meeting addressing research capacity building in LMICs. Five case studies (three from Africa, one from South-East Asia and one from South America) illustrate tensions and solutions to strengthening PHC research around the world. Research must be conducted in local contexts and be responsive to the needs of patients, populations and practitioners in the community. The case studies exemplify that research capacity can be strengthened at the micro (practice), meso (institutional) and macro (national policy and international collaboration) levels. Clinicians may lack coverage to enable research time; however, practice-based research is precisely the most relevant for PHC. Increasing research capacity requires local skills, training, investment in infrastructure, and support of local academics and PHC service providers to select, host and manage locally needed research, as well as to disseminate findings to impact local practice and policy. Reliance on funding from high-income countries may limit projects of higher priority in LMIC, and ‘brain drain’ may reduce available research support; however, we provide recommendations on how to deal with these tensions

Business · Capacity building · Economic growth · Economics · Political science · Public relations · Global Health and Surgery · Healthcare cost, quality, practices · Medicine · Primary Care and Health Outcomes

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Obras citantes distintas5
Citações por ano0,83
Intervalo de citações2020 - 2025 (6)
Velocidade de citaçãorecent
Altamente citadoNão
Tipos de citaçãoNeutras: 5
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