Alma-Ata: Rebirth and revision 2 - Supporting the delivery of cost-effective interventions in primary health-care systems in low-income and middle-income countries: an overview of systematic reviews

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dc.contributor.authorLewin, Simon
dc.contributor.authorLavis, John N.
dc.contributor.authorOxman, Andrew D.
dc.contributor.authorBastias, Gabriel
dc.contributor.authorChopra, Mickey
dc.contributor.authorCiapponi, Agustin
dc.contributor.authorFlottorp, Signe
dc.contributor.authorGarcia Marti, Sebastian
dc.contributor.authorPantoja, Tomas
dc.contributor.authorRada, Gabriel
dc.contributor.authorSouza, Nathan
dc.contributor.authorTreweek, Shaun
dc.contributor.authorWiysonge, Charles S.
dc.contributor.authorHaines, Andy
dc.date.accessioned2024-01-10T13:10:59Z
dc.date.available2024-01-10T13:10:59Z
dc.date.issued2008
dc.description.abstractStrengthening health systems is a key challenge to improving the delivery of cost-effective interventions in primary health care and achieving the vision of the Alma-Ata Declaration. Effective governance, financial and delivery arrangements within health systems, and effective implementation strategies are needed urgently in low-income and middle-income countries. This overview summarises the evidence from systematic reviews of health systems arrangements and implementation strategies, with a particular focus on evidence relevant to primary health care in such settings. Although evidence is sparse, there are several promising health systems arrangements and implementation strategies for strengthening primary health care. However, their introduction must be accompanied by rigorous evaluations. The evidence base needs urgently to be strengthened, synthesised, and taken into account in policy and practice, particularly for the benefit of those who have been excluded from the health care advances of recent decades.
dc.description.funderEuropean Commission's 6th Framework INCO programme
dc.fechaingreso.objetodigital16-04-2024
dc.format.extent12 páginas
dc.fuente.origenWOS
dc.identifier.doi10.1016/S0140-6736(08)61403-8
dc.identifier.eissn1474-547X
dc.identifier.issn0140-6736
dc.identifier.pubmedidMEDLINE:18790316
dc.identifier.urihttps://doi.org/10.1016/S0140-6736(08)61403-8
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/77974
dc.identifier.wosidWOS:000259266900033
dc.information.autorucMedicina;Bastías G;S/I;491
dc.information.autorucMedicina;Pantoja T;S/I;85916
dc.information.autorucMedicina;Rada G;S/I;11470
dc.issue.numero9642
dc.language.isoen
dc.nota.accesoContenido parcial
dc.pagina.final939
dc.pagina.inicio928
dc.publisherELSEVIER SCIENCE INC
dc.revistaLANCET
dc.rightsacceso restringido
dc.subjectPRIVATE FOR-PROFIT
dc.subjectCONDITIONAL CASH TRANSFERS
dc.subjectEDUCATIONAL OUTREACH
dc.subjectHUMAN-RESOURCES
dc.subjectIMPLEMENTATION
dc.subjectQUALITY
dc.subjectMORTALITY
dc.subjectIMPROVE
dc.subjectWORKING
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titleAlma-Ata: Rebirth and revision 2 - Supporting the delivery of cost-effective interventions in primary health-care systems in low-income and middle-income countries: an overview of systematic reviews
dc.typeartículo
dc.volumen372
sipa.codpersvinculados491
sipa.codpersvinculados85916
sipa.codpersvinculados11470
sipa.indexWOS
sipa.indexScopus
sipa.trazabilidadCarga SIPA;09-01-2024
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