ORCID Profile
0000-0002-7037-7933
Current Organisation
University of Queensland
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Publisher: BMJ
Date: 08-2019
DOI: 10.1136/BMJGH-2019-001467
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.
Publisher: IEEE
Date: 05-12-2021
Publisher: Elsevier BV
Date: 05-2022
Publisher: IEEE
Date: 12-2018
Publisher: Institute of Electrical and Electronics Engineers (IEEE)
Date: 2023
Publisher: Elsevier BV
Date: 2018
Publisher: IEEE
Date: 08-2019
Publisher: Institute of Physics, Polish Academy of Sciences
Date: 06-2003
Publisher: IEEE
Date: 05-12-2021
No related grants have been discovered for Thi Huyen Phuong Nguyen.