2021-05-31-世界银行-在新冠疫情之后重新思考初级卫生保健（英文）_186页_22mb

Executive Summary: Reimagining Primary Health Care After COVID-19

Why PHC Reform Is Urgent Now

• The COVID-19 pandemic exposed the fragility of health systems, particularly primary health care (PHC) systems, which were often the first responders but lacked the capacity to handle both routine care and emergencies.
• PHC is the cornerstone of high-performing health systems, essential for managing future health challenges, equitable access to care, and building resilient systems.

What PHC Reform Entails

Four Key Shifts to Strengthen PHC:

1. From Dysfunctional Gate Keeping to Quality, Comprehensive Care for All

   • PHC should serve as a coordinated entry point for care, preventing unnecessary referrals and providing comprehensive services from promotion to palliative care.

2. From Fragmentation to Person-Centered Integration

   • Stakeholders must work collaboratively to deliver seamless, coordinated care across different levels of the health system.

3. From Inequities to Fairness and Accountability

   • PHC systems must ensure equitable access to services, empower marginalized populations, and be held accountable for health outcomes.

4. From Fragility to Resilience

   • PHC networks need robust capacities to prepare for and respond to health emergencies like pandemics.