Box 64.1Evidence of the Effectiveness of Primary Care Services

The effectiveness of primary care services is illustrated as follows:

  1. Community-based interventions improve access to services, reduce the use of emergency and outpatient departments at hospitals, increase the use of noninstitutional ambulatory care, and reduce the use of hospital care (especially with respect to preventable hospitalizations).
  2. Primary care is associated with improved control of routine illnesses that have serious consequences if untreated.
  3. The availability of primary care services is associated with improvement in patients' self-perceived health status.
  4. The longitudinal care afforded by primary care services is independently associated with improved patient satisfaction, reduced use of ancillary and laboratory tests, improved patient compliance, shorter length of stay, and improved recognition of patients' behavioral problems.

Source: Blumenthal, Mort, and Edwards (1995).

From: Chapter 64, General Primary Care

Cover of Disease Control Priorities in Developing Countries
Disease Control Priorities in Developing Countries. 2nd edition.
Jamison DT, Breman JG, Measham AR, et al., editors.
Copyright © 2006, The International Bank for Reconstruction and Development/The World Bank Group.

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