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The Essential Role of Primary Health Care for Health Security
Robert L Phillips1, Marci Nielsen2, Deborah J Cohen2
1From the Center for Professionalism & Value in Health Care, American Board of Family Medicine, MN Washington, DC (RLP, AWB); The Center for Professionalism & Value in Health Care, American Board of Family Medicine, PolicyPRN Consulting (MN); Departments of Family Medicine and Medical Informatics and Clinical Epidemiology, School of Medicine, Oregon Health & Science University, Portland, OR (DJC); Farley Health Policy Center, Department of Family Medicine, University of Colorado Anschutz Medical Campus, Denver, CO (LSH), Ariadne Labs, Brigham and Women's Hospital, Harvard T.H. Chan School of Public Health, Boston, MA (AB). bphillips@theabfm.org).
Abstract:
In July 2023, primary health care experts from more than 20 countries, the World Health Organization (WHO), and most agencies within the US Department of Health and Human Services (HHS) met at the National Academy of Sciences in Washington, DC, to catalyze action toward revitalizing primary care in the United States align efforts to advance primary health care worldwide, and improve health and security for all.1 This meeting was informed by the NASEM's critical primary care report, which highlighted the need for federal leadership to strengthen primary care services in the United States, especially for underserved populations, and to inform primary care systems around the world. To that end, this meeting was designed to explore the challenges and opportunities of investing in primary health care as a common good and critical for health security and resilience across the globe.2 In this issue, you will find {number} special communications from this conference that highlight the need to evolve from primary care to primary health care, the importance of primary care and public health collaboration, and the necessity for ongoing external scientific expertise to inform US federal government coordination efforts.Despite the clear consensus among global stakeholders regarding the importance of Primary Health Care to health equity, behavioral health, health security, and pandemic resilience, a year later the anticipated HHS Action Plan to guide implementation of the NASEM primary care recommendations has yet to be launched. While some agencies are moving ahead with initiatives and programs within their purview, the lack of a Primary Care Action Plan remains a missed opportunity to coalesce politically powerful stakeholders around a united and much-needed vision for a US health system centered on Primary Health Care, particularly in light of our challenges in responding to COVID-19.
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