The Contribution of Primary Care Systems to Health Outcomes within Organization for Economic Cooperation and Development (OECD) Countries, 1970–1998
Bibliographic Data
| ID | 23366249 |
|---|---|
| Authors | James Macinko (0000-0001-8055-5441, Fundação Oswaldo Cruz), Barbara Starfield (Johns Hopkins University), Leiyu Shi (0000-0001-9227-0849, Johns Hopkins University) |
| Year | 2003 |
| Volume | 38 |
| Issue | 3 |
| Pages | 831-865 |
| Publication date | 2003-06-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Health Services Research (JOURNAL) |
| Journal identifiers | ISSN: 0017-9124 • E-ISSN: 1475-6773 |
| Publisher | Wiley (PUBLISHER • GB) |
| DOI | 10.1111/1475-6773.00149 |
| PMID | 12822915 |
| OpenAlex | W2024493505 |
| Language | EN |
| Citations received | 159 |
| References cited | 47 |
Objective. To assess the contribution of primary care systems to a variety of health outcomes in 18 wealthy Organization for Economic Cooperation and Development (OECD) countries over three decades. Data Sources/Study Setting. Data were primarily derived from OECD Health Data 2001 and from published literature. The unit of analysis is each of 18 wealthy OECD countries from 1970 to 1998 (total n =504). Study Design. Pooled, cross‐sectional, time‐series analysis of secondary data using fixed effects regression. Data Collection/Extraction Methods. Secondary analysis of public‐use datasets. Primary care system characteristics were assessed using a common set of indicators derived from secondary datasets, published literature, technical documents, and consultation with in‐country experts. Principal Findings. The strength of a country's primary care system was negatively associated with (a) all‐cause mortality, (b) all‐cause premature mortality, and (c) cause‐specific premature mortality from asthma and bronchitis, emphysema and pneumonia, cardiovascular disease, and heart disease ( p Conclusions. (1) Strong primary care system and practice characteristics such as geographic regulation, longitudinality, coordination, and community orientation were associated with improved population health. (2) Despite health reform efforts, few OECD countries have improved essential features of their primary care systems as assessed by the scale used here. (3) The proposed scale can also be used to monitor health reform efforts intended to improve primary care.
Economic growth · Economics · Environmental health · Health care · Health indicator · Per capita · Population · Population health · Poverty · Public health · Demography · Global Maternal and Child Health · Healthcare Systems and Reforms · Medicine · Nursing · Primary Care and Health Outcomes
The Effect of Policy Implementation of Basic Health Services During the Covid 19 Pandemic (Study of Implementation of Basic Health Services in West Java Province)
O Doctor, Where Art Thou? Why Fewer Students Pursue Internal Medicine
Association of Primary Care Physician Supply With Population Mortality in the United States, 2005-2015
Tradução, adaptação, validade e medidas de fidedignidade do Instrumento de Avaliação da Atenção Primária à Saúde (PCATool) no Brasil
A qualidade da atenção primária e o manejo do diabetes mellitus
Cobertura da Estratégia Saúde da Família e de citopatologia de colo uterino no Rio Grande do Sul
Agricultural Migrants’ Health and Ability to Access Care
Primary Care Comprehensiveness Can Reduce Emergency Department Visits and Hospitalization in People with Hypertension in South Korea
Users’ Perceptions of Access to and Quality of Unified Health System Services in Brazil
What part of the total care consumed by type 2 diabetes patients is directly related to diabetes? Implications for disease management programs
Policy characteristics facilitating primary health care in Thailand
Atenção Básica em Saúde
Programa Mais Médicos
Saúde da família
A Comparative Analysis of Hospital Readmissions in France and the US
A longitudinal ecological study of the influences of political, economic, and health services characteristics on under-five mortality in less-developed countries
La renovación de la atención primaria de salud en las Américas
Primary care, infant mortality, and low birth weight in the states of the USA
The Institutional Determinants of Health Insurance
Health system outcomes and determinants amenable to public health in industrialized countries
The Medical Home, Access to Care, and Insurance
Why Do Americans Have Shorter Life Expectancy and Worse Health Than Do People in Other High-Income Countries?
The breadth of primary care
Welfare state matters
Contribution of Primary Care to Health Systems and Health
Urbanization and sustainability under transitional economies
Health Psychology Services for People in Disadvantaged Regions of Hungary
Association of primary care physician supply with maternal and child health in China
How Can a Bundled Payment Model Incentivize the Transition from Single-Disease Management to Person-Centred and Integrated Care for Chronic Diseases in the Netherlands
The Path Analysis of Family Doctor’s Gatekeeper Role in Shanghai, China
Ações de alimentação e nutrição na atenção primária à saúde no Brasil
Focus on vulnerable populations and promoting equity in health service utilization ––an analysis of visitor characteristics and service utilization of the Chinese community health service
General practitioners may improve cervical screening equality in France
Employee Perspectives on Onsite Health Clinics in Semiconductor Company in South Korea
Association between Primary Healthcare and Medical Expenditures in a Context of Hospital-Oriented Healthcare System in China
Is gender policy related to the gender gap in external cause and circulatory disease mortality? A mixed effects model of 22 OECD countries 1973–2008
Evaluating Primary Care Delivery Systems for an Uninsured Hispanic Immigrant Population
Dual Use of Public and Private Health Care Services in Brazil
Are there differences in birth weight between neighbourhoods in a Nordic welfare state
Value-Based Health Care
Comparing the Quality of Primary Care between Public and Private Providers in Urban China
Evaluating the Price, Availability, and Affordability of Essential Medicines in Primary Healthcare Institutions
Strong primary care services, an important feature of primary health care
Factors affecting health care users’ first contact with primary health care facilities in north eastern China, 2008–2018
Can higher spending on primary healthcare mitigate the impact of ageing and non-communicable diseases on health expenditure
Effectiveness of primary care gatekeeping
Effect of Team Composition on Integrated Care Within Multidisciplinary Family Doctor Teams in China
Predictive Models for Primary Health Care
Does more investment in primary care improve health system performance
The impact of improved access to after-hours primary care on emergency department and primary care utilization
Developing recommendations and actions for integrated services delivery through primary health care teams in Canada
The development of the Primary Care Clusters Multidimensional Assessment (PCCMA)
Rethinking Primary Care Delivery Models
Exploring the Role of Volunteer Organizations in Developing Italy’s Community-Based Care Model
How to Integrate HIV and Sexual and Reproductive Health Services in Namibia, the Epako Clinic Case Study
Health care systems as determinants of health outcomes in transition countries
Evaluating Service Organization Models
Urban–rural health differences
Mental health care roles of non-medical primary health and social care services
The Global Financial Crisis and Healthcare Inequality in Japan
The Index of Vulnerability
Patient-perceived responsiveness of primary care systems across Europe and the relationship with the health expenditure and remuneration systems of primary care doctors
Differentials by Socioeconomic Status and Institutional Characteristics in Preventive Service Utilization by Older Persons in Costa Rica
Que serait une oeuvre sans son cadre
Impact of Brazil's More Doctors Program on hospitalizations for primary care sensitive cardiovascular conditions
Increasing Access to Medical Care for Hispanic Women Without Insurance
A cross-sectional study of socio-demographic factors associated with patient access to primary care in Slovenia
Primary care quality between Traditional Tibetan Medicine and Western Medicine Hospitals
Community health centers and primary care access and quality for chronically-ill patients – a case-comparison study of urban Guangdong Province, China
Challenges for gatekeeping
Advancing primary care to promote equitable health
Does healthcare inequity reflect variations in peoples’ abilities to access healthcare? Results from a multi-jurisdictional interventional study in two high-income countries
Evaluating local primary health care actions to address health inequities
Primary care priorities in addressing health equity
Trend in distribution of primary health care professionals in Jiangsu province of eastern China
Spatial accessibility and equity of primary healthcare in Zhejiang, China
Pioneering family physicians and the mechanisms for strengthening primary health care in India—A qualitative descriptive study
A implementação de Programas de Residência Médica em Medicina de Família e Comunidade em uma capital da Região Sudeste, Brasil
A expansão da Estratégia Saúde da Família no Rio de Janeiro, 2009-2012
Impacto Económico de la Medicina Familiar en los Sistemas de Salud de Iberoamérica
Pesquisa científica, atenção primária e medicina de família
Panorama da expansão dos programas de Residência Médica em Medicina de Família e Comunidade no Brasil
O serviço de teleconsultoria assíncrona na APS
Avaliação do desempenho da atenção básica no Estado de São Paulo
Estudos de Linha de Base do Projeto de Expansão e Consolidação do Saúde da Família (ELB/Proesf)
Pourquoi les systèmes de santé sont-ils organisés différemment
Carteira de Serviços da Atenção Primária à Saúde
Indicadores de monitorização e desempenho nas unidades de saúde familiar e os Objetivos do Desenvolvimento Sustentável na saúde (ODS 3)
Residência em Medicina de Família e Comunidade para a formação de recursos humanos
Determinantes sociais, condicionantes e desempenho dos serviços de saúde em países da América Latina, Portugal e Espanha
Validation of the Brazilian version of Primary Care Assessment Tool (PCAT) for Oral Health - PCATool Brazil Oral Health for Professionals
Práticas assistenciais das Equipes de Saúde da Família em quatro grandes centros urbanos
Preceptoria em Medicina de Família e Comunidade
Listas de espera em sistemas públicos
Contratualização na Atenção Primária à Saúde
Pesquisa Nacional de Saúde no Brasil
O papel do pediatra no PSF-Paidéia de Campinas (SP)
Comparação da proporção de cura por tuberculose segundo cobertura e tempo de implantação de Saúde da Família e fatores socioeconômicos e demográficos no município do Rio de Janeiro, Brasil, em 2012
Avaliação dos usuários crianças e adultos quanto ao grau de orientação para Atenção Primária à Saúde na cidade do Rio de Janeiro, Brasil
As redes de atenção à saúde
Statistical analysis with missing data
Primary Care
Pooled Time Series Analysis
The Epidemiologic Transition
The Utility of Social Capital in Research on Health Determinants
Policy relevant determinants of health
Equity in the delivery of health care in Europe and the US
Global mortality, disability, and the contribution of risk factors
Is primary care essential?
The Questionable Contribution of Medical Measures to the Decline of Mortality in the United States in the Twentieth Century
Ecological Approaches
Social Networks, Host Resistance, and Mortality
The Epidemiologic Transition
Analysis of Panel Data
Annotated Bibliography on Equity in Health, 1980-2001
Social capital, income inequality, and mortality
The fallacy of the ecological fallacy
Health indicators and the organization of health care systems in western Europe
Health care
Aspects of Medical Care Administration
The Treatment of Patients with Asthma by Specialists and Generalists
Socioeconomic status and health
World Development Report 1993
The contribution of medical care to inequalities in health
Socioeconomic factors, material inequalities, and perceived control in self-rated health
An interpretation of the decline of mortality in England and Wales during the twentieth century
| Unique citing works | 159 |
|---|---|
| Citations per year | 7,23 |
| Citation span | 2004 - 2026 (23) |
| Citation velocity | current |
| Highly cited | Yes |
| Citation types | Neutral: 140 |