Gaps in primary care and health system performance in six latin American and Caribbean countries

James Macinko, Frederico C. Guanais, Pricila Mullachery, Geronimo Jimenez

Research output: Contribution to journalArticle

Abstract

The rapid demographic and epidemiological transitions occurring in Latin America and the Caribbean have led to high levels of noncommunicable diseases in the region. In addition to reduced risk factors for chronic conditions, a strong health system for managing chronic conditions is vital. This study assessed the extent to which populations in six Latin American and Caribbean countries receive highquality primary care, and it examined the relationship between experiences with care and perceptions of health system performance. We applied a validated survey on access, use, and satisfaction with health care services to nationally representative samples of the populations of Brazil, Colombia, El Salvador, Jamaica, Mexico, and Panama. Respondents reported considerable gaps in the ways in which primary care is organized, financed, and delivered. Nearly half reported using the emergency department for a condition they considered treatable in a primary care setting. Reports of more primary care problems were associated with worse perceptions of health system performance and quality and less receipt of preventive care. Urgent attention to primary care performance is required as the region's population continues to age at an unprecedented rate.

Original languageEnglish (US)
Pages (from-to)1513-1521
Number of pages9
JournalHealth Affairs
Volume35
Issue number8
DOIs
StatePublished - 2016

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Primary Health Care
El Salvador
Population
Panama
Delivery of Health Care
Jamaica
Preventive Medicine
Colombia
Latin America
Health
Population Dynamics
Mexico
Health Services
Brazil
Hospital Emergency Service
Surveys and Questionnaires

ASJC Scopus subject areas

  • Health Policy

Cite this

Gaps in primary care and health system performance in six latin American and Caribbean countries. / Macinko, James; Guanais, Frederico C.; Mullachery, Pricila; Jimenez, Geronimo.

In: Health Affairs, Vol. 35, No. 8, 2016, p. 1513-1521.

Research output: Contribution to journalArticle

Macinko, James ; Guanais, Frederico C. ; Mullachery, Pricila ; Jimenez, Geronimo. / Gaps in primary care and health system performance in six latin American and Caribbean countries. In: Health Affairs. 2016 ; Vol. 35, No. 8. pp. 1513-1521.
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