Integrating primary care and public health: learning from the Brazilian way
Integrating primary care and public health: learning from the Brazilian way
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DOI：
10.1080/17571472.2012.11493350
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发表时间：
2012-01-01
期刊：
影响因子：
--
通讯作者：
Harris, Matthew
中科院分区：
文献类型：
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作者：
Harris, Matthew
经过长期的垂直规划、专业化和分解的历史之后，全科医生现在被敦促承担更广泛的委托和公共卫生责任。支持结构尚未到位，初级保健与良好公共卫生实践的整合是一个新领域。创新可以在意想不到的地方找到。巴西政府拥有 20 年的全国性、综合性、综合性社区卫生计划的历史，该计划无缝地连接了社区和初级保健之间以及初级保健和公共卫生之间的两个重要界面。这种方法的一些要素可以移植到英国，并可能改善临床护理、节省成本、加深对当地流行病学变化的了解，从而促进调试。了解这种方法是迈向集成调试新方法的第一步，该方法跨越而不是强化传统的临床领域。
After a long history of vertical programming, specialisation and disintegration, general practitioners are now being urged to take on wider commissioning and public health responsibilities. The support structures are not in place, and integration of primary care with good public health practice is new territory. Innovation can be found in unlikely places. The Brazilian government has a 20-year history of a nationwide, integrated, comprehensive, community health programme that seamlessly bridges two important interfaces - between the community and primary care, and between primary care and public health. Some elements of this approach could be translated into the UK and would likely bring about improved clinical care, cost savings, improved understanding of local epidemiological variations and therefore commissioning. Understanding this approach is the first step to a new way of integrated commissioning, spanning and not reinforcing traditional clinical domains.