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A framework for community-oriented primary healthcare
1University of British Columbia School of Population and Public Health.
Healthcarepapers
|July 31, 2012
Summary
This commentary proposes a six-requirement framework to accelerate transformative change in community-oriented primary healthcare (COPHC). Key actions include increased funding for prevention and improved data for tracking progress.
Area of Science:
- Public Health
- Healthcare Management
- Primary Care Research
Background:
- Community-oriented primary healthcare (COPHC) requires transformative change.
- Existing frameworks can be enhanced with a population health perspective.
Purpose of the Study:
- To present a complementary framework for accelerating transformative change in COPHC.
- To outline key requirements and actionable strategies for COPHC transformation.
Main Methods:
- A population health perspective is adopted.
- A six-requirement framework is proposed, building on prior work.
- Recommendations for accelerating change are identified.
Main Results:
- The proposed framework includes: geographical population focus, patient/community engagement, comprehensive services, inter-professional teams, performance measurement, and financing innovation.
- Accelerating change requires increased funding for chronic disease prevention, facilitated collaboration, development of indicators/databases, and public reporting.
Conclusions:
- Implementing the proposed framework and strategies can drive significant transformation in COPHC.
- The Canada Health Transfer's annual uplift is a potential funding source for these initiatives.
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