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Strengthening primary health care service competency

A scoping review of challenges, influencing factors, and enhancement strategies

Datos Bibliográficos

ID22086405
AutoresSen Yang (0000-0001-9953-4499, Community Health Center), Chaohui Bai (Community Health Center), Yajun Zhao (0000-0003-4289-9766, Sun Yat-sen University), Jiaojiao Wang (0000-0001-7550-2169, Yangpu Hospital of Tongji University), Hua Jin (0000-0002-2176-7556, Shanghai Medical Information Center, autor de correspondencia), Ben Harris-Roxa (0000-0003-1716-2009), Ben Harris-Roxas (The University of Sydney), Yalin Liu (0000-0003-0337-6380), Fei Shen (0000-0002-6682-1712, Community Health Center), Huaxin Zhao (Tongji University), Le Ma (0000-0001-7592-9779, Shanghai Medical Information Center), Leiyu Shi (0000-0001-9227-0849, Johns Hopkins University, autor de correspondencia), Dehua Yu (Shanghai Medical Information Center, autor de correspondencia)
Año2026
Volumen13
Páginas1732011-1732011
Fecha de publicación2026-01-09
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaFrontiers in Public Health (JOURNAL)
Identificadores de la revistaISSN: 2296-2565 • E-ISSN: 2296-2565
EditorialFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2025.1732011
PMID41584164
OpenAlexW7119904358
IdiomaEN
Citas recibidas1
Referencias citadas91

Objective: This scoping review aims to evaluate the factors influencing the service capacity of primary health care (PHC) institutions and to identify strategies for their development. Methods: We conducted a scoping review based on Arksey and O'Malley's framework and systematically searched PubMed, Web of Science, and SCOPUS for studies published from January 2014 to December 2024. Eligible research addressing PHC capacity-building interventions across diverse health systems was synthesized thematically. Results: = 28). Key challenges identified included workforce shortages, inequitable resource allocation, fragmented policy frameworks, limited integration of health information technologies, and persistent inequities in service delivery. Strategies to strengthen PHC capacity centered on workforce development, technology-enabled innovation, equitable service models, and interdisciplinary collaboration. Conclusion: Strengthening PHC capacity requires integrated approaches, including localized workforce training, technological adoption, optimized equity in service provision, and enhanced interdisciplinary cooperation. These approaches provide context-sensitive and equity-oriented pathways for building sustainable PHC systems-particularly in resource-constrained settings-supporting progress toward Universal Health Coverage and reducing global health disparities. Systematic review registration: Registration DOI: 10.17605/OSF.IO/MDR73

Health care · Health services · MEDLINE · Primary care · Primary health care · Global Maternal and Child Health · Interprofessional Education and Collaboration · Primary Care and Health Outcomes

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Obras citantes distintas1
Citas por año1
Intervalo de citas2026 - 2026 (1)
Velocidad de citacióncurrent
Altamente citadoNo
Tipos de citaNeutras: 1
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