1932

Abstract

Many high- and middle-income countries (HMICs) are experiencing a burden of comorbidity and chronic diseases. Together with increasing patient expectations, this burden is raising demand for population health–oriented innovation in health care. Using desk review and country case studies, we examine strategies applied in HMICs outside the United States to address these challenges, with a focus on and use of a new framework for analyzing primary care (PC). The article outlines how a population health approach has been supported by focusing assessment on and clustering services around social groups and multimorbidity, with support for community roles. It presents ways in which early first contact and continuity of PC, PC coordination of referral, multidisciplinary team approaches, investment in PC competencies, and specific payment and incentive models have all supported comprehensive approaches. These experiences locate PC as a site of innovation, where information technology and peer-to-peer learning networks support learning from practice.

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2017-03-20
2024-06-24
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Literature Cited

  1. 1. AHRQ (Agency Healthc. Res. Quality) 2012. National Healthcare Quality Report 2012 Rockville, MD: AHRQ [Google Scholar]
  2. 2. AHRQ (Agency Healthc. Res. Quality) 2013. National Healthcare Disparities Report AHRQ Publ. No. 13–0002 Rockville, MD:AHRQ [Google Scholar]
  3. Allin S, Rudoler D. 3.  2013. The Canadian health care system, 2013. See Ref. 106 19–27
  4. Amar Amar JJ, Echeverria Molina J. 4.  2008. Participación comunitaria para el control ciudadano de los servicios públicos domiciliarios. Rev. Derecho 29:129–52 [Google Scholar]
  5. Barnett K, Mercer SW, Norbury M, Watt G, Wyke S, Guthrie B. 5.  2012. Epidemiology of multimorbidity and implications for health care, research, and medical education: a cross-sectional study. Lancet 380:37–43 [Google Scholar]
  6. Barnett ML, Song Z, Landon BE. 6.  2012. Trends in physician referrals in the US, 1999–2009. Arch. Intern. Med. 172:2163–70 [Google Scholar]
  7. Battenburg R, Eyck A. 7.  2011. The growth and decline of health community centres in the Netherlands: a macro-historical analysis. J. Manag. Mark. Healthc. 4:242–46 [Google Scholar]
  8. 8. Belg. Health Care Knowl. Centre (KCE) 2012. Models for Citizen and Patient Involvement in Health Care Policy. Part 1: Exploration of Their Feasibility and Acceptability KCE Rep. 195C Brussels: Belg. Health Knowl. Cent. [Google Scholar]
  9. Boyle S. 9.  2011. United Kingdom (England): health system review. Health Syst. Transit. 13:11–486 [Google Scholar]
  10. Campion EW, Morrissey S. 10.  2013. A different model—medical care in Cuba. N. Engl. J. Med. 368:4297–99 [Google Scholar]
  11. Cantor J, Cohen L, Mikkelsen L, Pañares R, Srikantharajah J, Valdovinos E. 11.  2011. Community Centered Health Homes: Bridging the Gap Between Health Services and Community Prevention San Francisco: Prev. Inst. [Google Scholar]
  12. Carter E, Nunlee-Bland G, Callender C. 12.  2011. A patient-centric, provider-assisted diabetes telehealth self-management intervention for urban minorities. Perspect. Health Inf. Manag. 8:Winter1b [Google Scholar]
  13. 13. Cent. Health Serv. Res. Policy 2004. Care Plus: primary care for high needs patients. Health Policy Monitor Oct. 7. http://www.hpm.org/nz/a4/3.pdf [Google Scholar]
  14. Chappel A, Kronick R, Glied S. 14.  2011. The Value of Health Insurance: Few of the Uninsured Have Adequate Resources to Pay Potential Hospital Bills Washington, DC: Dep. Health Hum. Serv. [Google Scholar]
  15. Cornwall A, Shankland A. 15.  2008. Engaging citizens: lessons from building Brazil's national health system. Soc. Sci. Med. 66:102173–84 [Google Scholar]
  16. Cronholm P, Shea J, Werner R, Miller-Day M, Tufano J. 16.  et al. 2013. The patient centered medical home: mental models and practice culture driving the transformation process. J. Gen. Intern. Med. 28:91195–201 [Google Scholar]
  17. Davis K, Stremikis K, Squires D, Schoen C. 17.  2014. Mirror, Mirror on the Wall: How the Performance of the US Health Care System Compares Internationally Washington, DC: Commonw. Fund [Google Scholar]
  18. De Bakker D, Raams J, Schut E, Vrijhoef B, Wildt de J. 18.  2012. Eindrapport van de evaluatiecommissie integrale bekostiging. Integrale bekostiging van zorg: werk in uitvoering. The Hague, Neth.: ZonMw [Google Scholar]
  19. De Maeseneer JM, De Prins L, Gosset C, Heyerick J. 19.  2003. Provider continuity in family medicine: Does it make a difference for total health care costs?. Ann. Fam. Med. 1:3144–48 [Google Scholar]
  20. 20. Dep. Health Ageing 2009. Primary Health Care Reform in Australia: Report to Support Australia's First National Primary Health Care Strategy. Canberra: Commonw. Aust. [Google Scholar]
  21. Durand-Zaleski I. 21.  2013. The French health care system, 2013. See Ref. 106 45–56
  22. Flinter M. 22.  2014. Innovations in primary care: from brilliant ideas to lasting change Presented at Int. Conv. Strength. Prim. Care Pract. Improve Health: Learn. USA High- Middle-Income Ctries., Sept., Oxford, UK [Google Scholar]
  23. Frenz P, Alfaro T, Orsini M, Alaniz R, Aguilera H. 23.  et al. 2014. Learning from Promising Primary Care Practice Models for the USA. Country Case Study: Chile. Santiago: Esc. Salud Pública, Fac. Med. Univ. Chile, Santiago Train. Res. Support Cent http://www.tarsc.org/publications/documents/TARSC%20RWJF%20Chile%20Case%20Study%20final%202014.pdf [Google Scholar]
  24. Fujisawa R, Lafortune G. 24.  2008. The Remuneration of General Practitioners and Specialists in 14 OECD Countries: What Are the Factors Influencing Variation Across Countries? OECD Work. Pap. 41 Paris: OECD Publ. [Google Scholar]
  25. García-Armesto S, Abadía-Taira M, Durán A, Hernández-Quevedo C, Bernal-Delgado E. 25.  2010. Spain: health system review. Health Syst. Transit. 12:41–295 [Google Scholar]
  26. Gauld R, Blank R, Burgers J, Cohen AB, Dobrow M. 26.  et al. 2012. The World Health Report 2008—primary healthcare: How wide is the gap between its agenda and implementation in 12 high-income health systems?. Healthc. Policy 7:338–58 [Google Scholar]
  27. Giesen P, Smits M, Huibers L, Grol R, Wensing M. 27.  2011. Quality of after-hours primary care in the Netherlands: a narrative review. Ann. Intern. Med. 155:2108–13 [Google Scholar]
  28. Glazier R, Zagorski B, Rayner J. 28.  2012. Comparison of Primary Care Models in Ontario by Demographics, Case Mix and Emergency Department Use Toronto: Inst. Clin. Eval. Serv. [Google Scholar]
  29. Glenngård A. 29.  2013. Productivity and patient satisfaction in primary care—conflicting or compatible goals?. Health Policy 111:2157–65 [Google Scholar]
  30. Goodyear-Smith F, Gauld R, Cumming J, O'Keefe B, Pert H, McCormack P. 30.  2012. International learning on increasing the value and effectiveness of primary care (I LIVE PC) New Zealand. J. Am. Board Family Med. 25:Suppl. 1S39–44 [Google Scholar]
  31. Grol R, Engels Y, Mokkink H, Van den Hombergh P, Van den Bosch W, Van den Hoogen H. 31.  2009. De werkbelasting van de huisarts neemt af. Huisarts Wet. 46:482–86 [Google Scholar]
  32. Haggerty JL, Pineault R, Beaulieu M-D, Brunelle Y, Gauthier J. 32.  et al. 2008. Practice features associated with patient-reported accessibility, continuity, and coordination of primary health care. Ann. Fam. Med. 6:2116–23 [Google Scholar]
  33. Hale J, Phillips CJ, Jewell T. 33.  2012. Making the economic case for prevention—a view from Wales. BMC Public Health 12:460 [Google Scholar]
  34. Harun A, Harrison J, Young J. 34.  2013. Interventions to improve patient participation in the treatment process for culturally and linguistically diverse people with cancer: a systematic review. Asia-Pac. J. Clin. Oncol. 9:299–109 [Google Scholar]
  35. Harzheim E, Duncan BB, Stein AT, Cunha CRH, Goncalves MR. 35.  et al. 2006. Quality and effectiveness of different approaches to primary care delivery in Brazil. BMC Health Serv. Res. 6:156 [Google Scholar]
  36. 36. Health Counc. Neth 2004. European Primary Care. 2004/20E The Hague, Neth: Health Counc. Neth. [Google Scholar]
  37. Hogg W, Dyke E. 37.  2011. Improving measurement of primary care system performance. Can. Family Phys. 57:7758–60 [Google Scholar]
  38. Hollander MJ, Miller JA, MacAdam M, Chappell N, Pedlar D. 38.  2009. Increasing value for money in the Canadian healthcare system: new findings and the case for integrated care for seniors. Healthc Q 12:138–472 [Google Scholar]
  39. Hutchison B, Glazier R. 39.  2013. Ontario's primary care reforms have transformed the local care landscape, but a plan is needed for ongoing improvement. Health Aff 32:4695–703 [Google Scholar]
  40. Hutchison B, Levesque J-F, Strumpf E, Coyle N. 40.  2011. Primary health care in Canada: systems in motion. Milbank Q 89:2256–88 [Google Scholar]
  41. 41. IOM (Inst. Med.) 2012. For the Public's Health: Investing in a Healthier Future Washington, DC: Natl. Acad. Press [Google Scholar]
  42. Ipsos MORI. 42.  2013. The GP Patient Survey 2011–2012 London: Ipsos MORI/NHS [Google Scholar]
  43. Kalucy L, Katterl R, Jackson-Bowers E, Hordacre L. 43.  2009. Models of Patient Enrolment. Policy Issues Review. Adelaide, S. Aust.: Primary Healthc. Res. Inf. Serv. (PHC RIS) [Google Scholar]
  44. Kitreerawutiwong N, Kuruchittham V, Somrongthong R, Pongsupap Y. 44.  2010. Seven attributes of primary care in Thailand. Asia Pac. J. Public Health 22:3289–98 [Google Scholar]
  45. Kringos D, Boerma W, Bourgueil Y, Cartier T, Dedeu T. 45.  et al. 2013. The strength of primary care in Europe: an international comparative study. Br. J. Gen. Pract. 63:616e742–50 [Google Scholar]
  46. Kringos D, Klazinga N. 46.  2014. Learning from Promising Primary Care Practice Models for the USA: A Case Study from the Netherlands Amsterdam: Acad. Med. Cent., Univ. Amst., Amst., Train. Res. Support Cent http://www.tarsc.org/publications/documents/TARSC%20RWJF%20Netherlands%20case%20study%20final.pdf [Google Scholar]
  47. Kringos DS. 47.  2012. The Strength of Primary Care in Europe Utrecht, Neth.: NIVEL, Univ. Utrecht [Google Scholar]
  48. Kringos DS, Boerma WGW, Hutchinson A, van der Zee J, Groenewegen PP. 48.  2010. The breadth of primary care: a systematic literature review of its core dimensions. BMC Health Serv. Res. 10:65 [Google Scholar]
  49. Kringos DS, Boerma W, van der Zee J, Groenewegen P. 49.  2013. Europe's strong primary care systems are linked to better population health but also to higher health spending. Health Aff 32:4686–94 [Google Scholar]
  50. Kringos DS, Boerma WGW, van der Zee J, Groenewegen PP. 50.  2013. Political, cultural and economic foundations of primary care in Europe. Soc. Sci. Med. 99:9–17 [Google Scholar]
  51. Kruk ME, Porignon D, Rockers PC, Lerberghe WV. 51.  2010. The contribution of primary care to health and health systems in low- and middle-income countries: a critical review of major primary care initiatives. Soc. Sci. Med. 70:6904–11 [Google Scholar]
  52. Kutzin J. 52.  2013. Health financing for universal coverage and health system performance: concepts and implications for policy. Bull. World Health Organ. 91:602–11 [Google Scholar]
  53. Laugesen MJ, Wada R, Chen EM. 53.  2012. Setting doctors’ Medicare fees: CMS almost always accepts the relative value update panel's advice on work values. Health Aff 31:5965–72 [Google Scholar]
  54. Lemmens L, De Bruin S, Struijs J, Baan C. 54.  2012. Patiëntparticipatie bij organisatorische besluitvorming in zorggroepen RIVM Rapp. 260434001/2012 Bilthoven, Neth: RIVM [Google Scholar]
  55. Lester H, Roland M. 55.  2009. Performance measurement in primary care. Performance Measurement for Health System Improvement: Experiences, Challenges and Prospects PC Smith, E Mossialos, I Papanicolas, S Leatherman 371–405 Cambridge, UK: Cambridge Univ. Press [Google Scholar]
  56. Loewenson R, Gilson L. 56.  2012. The health system and wider social determinants of health. Health Systems in Low- and Middle-Income Countries: An Economic and Policy Perspective RD Smith, K Hanson 219–42 Oxford, UK: Oxford Univ. Press [Google Scholar]
  57. Loewenson R, Simpson S. 57.  2014. Framework for Analysis of Primary Care Contexts, Systems and Services United Kingdom: Train. Res. Support Cent http://www.tarsc.org/publications/documents/TARSC%20RWJF%20Conceptual%20framework%20paper%20final.pdf [Google Scholar]
  58. Loewenson R, Simpson S, Nolen A. 58.  2014. Synthesis and Analysis of Evidence on Promising Primary Care Practice: Learning from High- and Middle-Income Countries to Address Challenges and Opportunities in the USA United Kingdom: Train. Res. Support Cent http://www.tarsc.org/publications/documents/PC%20Technical%20Synthesis%20TARSC%20RWJF.pdf [Google Scholar]
  59. Loewenson R, Whitehead M. 59.  2012. Robust and Equity Oriented Health Systems Venice, Italy: WHO Eur. Off. Invest. Health Dev. [Google Scholar]
  60. Lopert R, Elshaug AG. 60.  2013. Australia's “fourth hurdle” drug review comparing costs and benefits holds lessons for the united states. Health Aff 32:4778–87 [Google Scholar]
  61. Macinko J, Starfield B, Shi L. 61.  2003. The contribution of primary care systems to health outcomes within Organization for Economic Cooperation and Development (OECD) countries, 1970–1998. Health Serv. Res. 38:3831–65 [Google Scholar]
  62. Magnan S, Fisher E, Kindig D, Isham G, Wood D. 62.  et al. 2012. Achieving accountability for health and health care. Minn. Med. 97:1137–39 [Google Scholar]
  63. Marchildon GP. 63.  2013. Canada: health system review. Health Syst. Transit. 15:11–179 [Google Scholar]
  64. McDonald J, Cumming J, Harris M, Powell Davies G, Burns P. 64.  2006. Systematic Review of Comprehensive Primary Health Care Models Canberra: Aust. Primary Health Care Res. Inst., Aust. Natl. Univ., Res. Cent. Prim. Health Care Equity, Univ. N. S. W. [Google Scholar]
  65. McMurchy D. 65.  2009. What Are the Critical Attributes and Benefits of a High-Quality Primary Healthcare System? Ontario: Can. Inst. Health Res. [Google Scholar]
  66. 66. Ministry of Health 2011. Care Plus. Wellington: Ministry of Health N. Z http://www.health.govt.nz/our-work/primary-health-care/primary-health-care-services-and-projects/care-plus [Google Scholar]
  67. Moat K, Lavis J, Hutchison B. 67.  2014. Learning from Promising Primary Care Practice Models for the USA: A Canadian Case Study Hamilton, Can.: McMaster Health Forum, Train. Res. Support Cent http://www.tarsc.org/publications/documents/TARSC%20RWJF%20Canada%20Case%20study%20final.pdf [Google Scholar]
  68. Moat KA, Lavis JN. 68.  2013. 10 best resources for evidence-informed health policy making. Health Policy Plann 28:2215–18 [Google Scholar]
  69. Molla S, Yordy KD, Lohr KN, Vanselow NA. 69.  Inst. Med. Comm. Future Prim. Care 1996. Primary Care: America's Health in a New Era. Washington, DC: Natl. Acad. Press [Google Scholar]
  70. 70. NHS Choices 2016. How do I register with a GP? Last reviewed Jan. 13. NHS, London. http://www.nhs.uk/chq/Pages/1095.aspx?CategoryID=68&SubCategoryID=158 [Google Scholar]
  71. 71. NHS England 2015. Health watchdogs and authorities. Healthwatch England. Last reviewed Jan., NHS, London. http://www.nhs.uk/NHSEngland/thenhs/healthregulators/Pages/healthwatch-england.aspx [Google Scholar]
  72. Nicholson C, Jackson CL, Marley JE, Wells R. 72.  2012. The Australian experiment: how primary health care organizations supported the evolution of a primary health care system. J. Am. Board Fam. Med. 25:Suppl. 1S18–26 [Google Scholar]
  73. 73. NIVEL 2009. Registratie van huisarten Utrecht, Neth.: NIVEL [Google Scholar]
  74. 74. OECD 2010. OECD health data OECD Health Stat Database, OECD, Paris: doi: 10.1787/data-00350-en [Google Scholar]
  75. 75. OECD 2013. Health at a Glance 2013: OECD Indicators Paris: OECD https://www.oecd.org/els/health-systems/Health-at-a-Glance-2013.pdf [Google Scholar]
  76. 76. OECD 2014. OECD health system characteristics survey and secretariat's estimates OECD, Paris. http://www.oecd.org/els/health-systems/characteristics.htm [Google Scholar]
  77. 77. OHIP (Ont. Health Insur. Plan) 2014. Schedule of benefits for physician services OHIP, Ontario. http://www.ontla.on.ca/library/repository/ser/95345/201405.pdf [Google Scholar]
  78. 78. Organ. Panam. Salud. 2013. 1era innovatón en atención primaria de salud. Nov. 22, Organ. Panam. Salud., Santiago, Chile. http://www.paho.org/chi/index.php?option=com_content&view=article&id=546:1era-innovaton-en-atencion-primaria-de-salud&catid=383:chi.02-diseo-de-servicios-de-salud-acorde-con-es&Itemid=213 [Google Scholar]
  79. Pedersen KM, Andersen JS, Søndergaard J. 79.  2012. General practice and primary health care in Denmark. J. Am. Board Fam. Med. 25:Suppl. 1S34–38 [Google Scholar]
  80. Pennington A, Whitehead M. 80.  2014. Learning from Promising Primary Care Practice Models for the USA: Country Case Study UK: With a Focus on England Liverpool, Engl: Univ. Liverpool, Train. Res. Support Cent http://www.tarsc.org/publications/documents/TARSC%20RWJF%20English%20Case%20study%20final.pdf [Google Scholar]
  81. Pennington M, Visram S, Donaldson C, White M, Lhussier M. 81.  et al. 2013. Cost-effectiveness of health-related lifestyle advice delivered by peer or lay advisors: synthesis of evidence from a systematic review. Cost Eff. Resour. Alloc. 11:130 [Google Scholar]
  82. Polluste K, Kasiulevicius V, Veide S, Kringos DS, Boerma W, Lember M. 82.  2013. Primary care in Baltic countries: a comparison of progress and present systems. Health Policy 109:2122–30 [Google Scholar]
  83. 83. Public Health Law Cent 2013. Conference report: a collaborative, cross-sectoral, and local approach to health Sept., Public Health Law Cent., St. Paul, Minn. http://publichealthlawcenter.org/sites/default/files/CACH%20Conference%20Report%20March%202014.pdf [Google Scholar]
  84. Reeve J, Irving G, Freeman G. 84.  2014. Dismantling Lord Moran's ladder: the primary care expert generalist. Br. J. Gen. Pract. 63:60634–35 [Google Scholar]
  85. Rice T, Rosenau P, Unruh LY, Barnes AJ, Saltman RB, van Gineken E. 85.  2013. United States of America: health system review. Health Syst. Transit. 15:31–431 [Google Scholar]
  86. 86. Rijksoverheid (2016). Grotere rol voor eerstelijnszorg Rijksoverheid, Neth. http://www.rijksoverheid.nl/onderwerpen/eerstelijnszorg/grotere-rol-voor-eerstelijnszorg [Google Scholar]
  87. 87. Rijksoverheid (2016). Medezeggenschap cliënten in de zorg Rijksoverheid, Neth. http://www.rijksoverheid.nl/onderwerpen/patientenrecht-en-clientenrecht/medezeggenschap-clienten-in-de-zorg [Google Scholar]
  88. Roland M, Guthrie B, Thomé DC. 88.  2012. Primary medical care in the United Kingdom. J. Am. Board Fam. Med. 25:Suppl. 1S6–11 [Google Scholar]
  89. Salgado O. 89.  2012. Foro Internacional de APS y Redes integradas Presented at Foro Int. APS Redes Integradas, March 22, Bogotá [Google Scholar]
  90. Schäfer W, Kroneman M, Boerma W, van den Berg M, Westert G. 90.  et al. 2010. The Netherlands: Health system review. Health Syst. Transit. 12:11–228 [Google Scholar]
  91. Schut E, Sorbe S, Høj J. 91.  2013. Health care reform and long term care in the Netherlands OECD Econ. Dep. Work. Pap. 1010, OECD, Paris. http://dx.doi.org/10.1787/5k4dlw04vx0n-en [Google Scholar]
  92. Simpson S. 92.  2014. Learning from Promising Primary Care Practice Models for the USA: Desk Review of Promising Primary Care Practice in High- and Middle-Income Countries United Kingdom: Train. Res. Support Cent http://www.tarsc.org/publications/documents/TARSC%20RWJF%20Int%20Desk%20Review%20April2014.pdf [Google Scholar]
  93. Smith C, Smith J, Gribbin K, Challen K, Hubbard R. 93.  2008. The impact of the 2004 NICE guidance and 2003 general medical services contract on COPD in primary care in the UK. Q. J. Med. 101:145–53 [Google Scholar]
  94. Soto M. 94.  2013. Population Health in the Affordable Care Act Era Washington, DC: Academy Health [Google Scholar]
  95. Stabile M, Thomson S, Allin S, Boyle S, Reinhard B. 95.  et al. 2012. Health care cost containment strategies used in four other high-income countries hold lessons for the United States. Health Aff 32:4643–52 [Google Scholar]
  96. Starfield B. 96.  2011. Point: the changing nature of disease: implications for health services. Med. Care 49:11971–72 [Google Scholar]
  97. Starfield B, Shi L, Macinko J. 97.  2005. Contribution of primary care to health systems and health. Milbank Q 83:3457–502 [Google Scholar]
  98. Steel D, Cylus J. 98.  2012. United Kingdom (Scotland): health system review. Health Syst. Transit. 14:91–150 [Google Scholar]
  99. Stevenson F, Cox K, Britten N, Dundar Y. 99.  2004. A systematic review of the research on communication between patients and health care professionals about medicines: the consequences for concordance. Health Expect. 7:3235–45 [Google Scholar]
  100. Stock S, Drabik A, Büscher G, Graf C, Ullrich W. 100.  et al. 2010. German diabetes management programs improve quality of care and curb costs. Health Aff 29:122197–205 [Google Scholar]
  101. Stol Y, Nelis A. 101.  2010. De maatschappelijke relevantie van biotechnologische trends 2010 Nijmegen, Neth.: Cent. Soc. Genom. [Google Scholar]
  102. Struijs J, Mohnen S, Molema S, de Jong-van Til J, Baan C. 102.  2012. Effect van integrale bekostiging op curatieve zorkosten. Een analyse voor diabeteszorg en vasculair risicomanagement op basis van registratiebestanden vektis, 2007–2010 Bilthoven, Neth: Rijksinst. Volksgezond. Milieu [Google Scholar]
  103. Strumpf E, Levesque J-F, Coyle N, Hutchison B, Barnes M, Wedel RJ. 103.  2012. Innovative and diverse strategies toward primary health care reform: lessons learned from the Canadian experience. J. Am. Board Fam. Med. 25:Suppl. 1S27–33 [Google Scholar]
  104. 104. Subsecr. Redes Asist 2013. Orientaciones para la implementacion del modelo de atencion integral de salud familiar y comunitaria dirigido a equipos de salud. Santiago: Minist. Salud, Subsecr. Redes Asist., Div. Aten. Prim. [Google Scholar]
  105. 105. Supt. Salud 2013. Estudio de opinión a usuarios del sistema de salud, reforma y posicionamiento de la superintendencia de salud. Santiago: Supt. Salud [Google Scholar]
  106. Thomson S, Osborn R, Squires D, Jun M. 106.  2013. International Profiles of Health Care Systems, 2013 Australia, Canada, Denmark, England, France, Germany, Italy, Japan, the Netherlands, New Zealand, Norway, Sweden, Switzerland, and the United States Washington, DC: Commonw. Fund [Google Scholar]
  107. Timmins N. 107.  2013. The Four UK Health Systems. Learning From Each Other. London: Kings Fund http://www.kingsfund.org.uk/sites/files/kf/field/field_publication_summary/four-uk-health-systems-jun13.pdf [Google Scholar]
  108. 108. US DHHS RAC (US Dep. Health Hum. Serv. Rural Assist. Cent.) 2014. Consumer operated and oriented plan (co-op) program US DHHS, Washington, DC [Google Scholar]
  109. Varona P, Bonet M, García R, Chang M, Ramon S. 109.  Natl. Prov. Coord. Group 2014. Implementation of chronic disease risk factor surveillance in 12 Cuban municipalities. MEDICC Rev. 16:143–47 [Google Scholar]
  110. Vergara C. 110.  2012. Desafíos para la creación de una comunidad de buenas prácticas en aps y sus sistemas. Experiencia en Chile. Presented at Congr. Reg. Inf. Cienc. Salud, Oct. 22 Washington, DC: [Google Scholar]
  111. Wathen B, Dean T. 111.  2004. An evaluation of the impact of NICE guidance on GP prescribing. Br. J. Gen. Pract. 54:103–7 [Google Scholar]
  112. Watt G. 112.  2014. A landmark study of collective action by general practices. Br. J. Gen. Pract. 64:622218–19 [Google Scholar]
  113. Westert G, Wammes J. 113.  2013. The Dutch health care system, 2013. See Ref. 106 84–93
  114. 114. WHO (World Health Organ.) 2010. Putting Our Own House in Order: Examples of Health-System Action on Socially Determined Health Inequalities Copenhagen: WHO Reg. Off. Eur. [Google Scholar]
  115. 115. WHO (World Health Organ.) 2012. WHO Regional Office for Europe Meeting on Strengthening Primary Care Contribution to the Prevention and Control of Non-Communicable Diseases Copenhagen: WHO Reg. Off. Eur. [Google Scholar]
  116. 116. WHO (World Health Organ.) 2013. World Health Statistics 2013 Geneva: WHO [Google Scholar]
  117. 117. WHO (World Health Organ.) 2015. Framework on integrated, people-centred health services Rep. by Secr. WHO Exec. Board EB138/37 138th Sess., Dec. 18. Provisional Agenda Item 10.1, Geneva [Google Scholar]
  118. 118. World Bank 2014. Country data World Bank Washington, DC: http://data.worldbank.org/country [Google Scholar]
  119. 119. World Health Assembly 2013. Primary health care, including health system strengthening Rep. by Secr. World Health Assembly, 62nd, A62/8, Geneva [Google Scholar]
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