About: Organisation of primary health care in the Asia-Pacific region: developing a prioritised research agenda

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An Entity of Type : schema:ScholarlyArticle, within Data Space : wasabi.inria.fr associated with source document(s)

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type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
title	Organisation of primary health care in the Asia-Pacific region: developing a prioritised research agenda
Creator	Abimbola, Seye Dodd, Rebecca Jan, Stephen Joshi, Rohina Nambiar, Devaki Palagyi, Anna Peiris, David Tian, Maoyi
source	PMC
abstract	Health system planners in low- and middle-income countries (LMIC) of the Asia-Pacific region seeking to reorient primary health care (PHC) systems to achieve universal health coverage may be hindered by lack of knowledge of what works in their setting. With limited resources for research available, it is important to identify evidence-based strategies for reorganising PHC delivery, determine where relevant evidence gaps exist and prioritise these for future study. This paper describes an approach for doing this using the best available evidence combined with consultation to establish evidence priorities. We first reviewed PHC organisational interventions in Asia-Pacific LMICs and ascertained evidence gaps. The largest gaps related to interventions to promote access to essential medicines, patient management tools, effective health promotion strategies and service planning and accountability. Evidence from Pacific Island countries was particularly scant. We then engaged an expert panel of 22 PHC stakeholders from seven Asia-Pacific LMICs in a Delphi exercise to identify priority questions for future research. Research priorities were: (1) identifying effective PHC service delivery models for chronic diseases; (2) devising sustainable models of disease integration; (3) optimising task shifting; (4) understanding barriers to care continuity; (5) projecting future PHC needs; and (6) designing appropriate PHC service packages. Notably, stakeholder-determined priorities reflected large, context-dependent system issues, while evidence gaps centred on discrete interventions. Future research on the organisation of PHC services in Asia-Pacific LMICs should incorporate codesign principles to engage researchers and national PHC system stakeholders, and innovative methods that build on existing evidence and account for system complexity.
has issue date	2019-08-16(xsd:dateTime)
bibo:doi	10.1136/bmjgh-2019-001467
bibo:pmid	31478022
has license	cc-by-nc
sha1sum (hex)	9791d7ab94765e2012facc4084c479cedbdfaf5e
schema:url	https://doi.org/10.1136/bmjgh-2019-001467
resource representing a document's title	Organisation of primary health care in the Asia-Pacific region: developing a prioritised research agenda
has PubMed Central identifier	PMC6703300
has PubMed identifier	31478022
schema:publication	BMJ Glob Health
resource representing a document's body	covid:9791d7ab94765e2012facc4084c479cedbdfaf5e#body_text
is schema:about of	named entity 'RESEARCH AGENDA' named entity 'REGION' named entity 'PRIMARY HEALTH CARE' named entity 'ORGANISATION' named entity 'DEVELOPING' named entity 'ASIA' named entity 'ANALYSIS' named entity 'scientific research' named entity 'disease burden' named entity 'Delphi' named entity 'mHealth' named entity 'Asia-Pacific' named entity 'PHC' named entity 'evidence-based' named entity 'open access' named entity 'research methods' named entity 'PHC' named entity 'middle-income' named entity 'Primary Health Care' named entity 'vaccines' named entity 'PHC' named entity 'health service' named entity 'India' named entity 'NCDs' named entity 'PHC' named entity 'Asia-Pacific' named entity 'Delphi' named entity 'decision makers' named entity 'NCD' named entity 'PHC' named entity 'research team' named entity 'PHC' named entity 'electronic health records' named entity 'intended and unintended consequences' named entity 'PHC' named entity 'PHC' named entity 'PHC' named entity 'Delphi' named entity 'PHC' named entity 'Asia-Pacific' named entity 'original research' named entity 'PHC' named entity 'China' named entity 'Asia-Pacific' named entity 'PHC' named entity 'American Samoa' named entity 'Delphi' named entity 'primary care' named entity 'mHealth' named entity 'Asia-Pacific' named entity 'data collection' named entity 'PHC' named entity 'health information systems' named entity 'essential drugs' named entity 'electronic health records' named entity 'remuneration models' named entity 'evidence-based' named entity 'NCDs' named entity 'primary research' named entity 'PHC' named entity 'PHC' named entity 'PHC' named entity 'health sector' named entity 'Delphi' named entity 'online survey software' named entity 'Asia-Pacific' named entity 'systematic review' named entity 'Delphi process' named entity 'PHC' named entity 'PHC' named entity 'virtual method' named entity 'regulatory environment' named entity 'health service' named entity 'health promotion'

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