The document discusses primary health care and outlines four dimensions of primary health care reforms. It summarizes chapters from the World Health Report 2008, including on challenges of a changing world, advancing universal health coverage, and putting people first in primary care. It also discusses definitions of "primary care" and characteristics like being based in a specific territory and community. Chapter 4 on public policies emphasizes systems policies, public health policies, and policies across other sectors to strengthen primary care and achieve its goals. Future challenges mentioned include new information technologies, globalization, organizational models, and political/pharmacological advances.

1. PRIMARY HEALTH CARE
NOW MORE THAN EVER?

2. LES QUATRE DIMENSIONS

3. Introduction and Overview
 Responding to the challenges of a
changing world
 Growing expectations for better
performance
 From the packages of the past to the
reforms of the future
 Four sets of PHC reforms
 Seizing opportunities

4. The World Health Report 2008
 Chapter 1. The challenges of a changing world
 Chapter 2. Advancing and sustaining universal
coverage
 Chapter 3. Primary care: putting people first
 Chapter 4. Public policies for the public’s health
 Chapter 5. Leadership and effective government
 Chapter 6. The way forward

5. LA DEFINICIÓ D’ “ATENCIÓ
PRIMÀRIA”….
 No apareix en l’informe de l’OMS 2008
 Significa conceptes diferents en entorns
diversos
 En el nostre país en tenim una visió
concreta
 Sinònim de “medicina extrahospitalària”
o de “medicina de família”?

6. Algunes característiques de
l’Atenció Primària
 Basada en un territori concret
 Beneficia a una determinada comunitat
 La cartera de serveis varia entre els
territoris i entre els estats
 El finançament pot ser divers (“free at
the point of delivery”?)
 La cobertura és la clau de la seva
accessibilitat

10. Chapter 4. Public policies for
the public’s health
 systems policies – the arrangements that are needed across
health systems’ building blocks to support universal coverage
and effective service delivery;
 public-health policies – the specificactions needed to address
priority health problems through cross-cutting prevention and
health promotion; and
 policies in other sectors – contributions to health that can be
made through intersectoral collaboration.
The chapter explains how these different public
policies can be strengthened and aligned with
the goals pursued by PHC.

11. Reptes de futur
 Tecnologies de la informació (internet)
 Globalització (competència mundial?)
 Nous models organitzatius
 Noves estructures polítiques (hospital
transfronterer, vegueries…)
 Avenços farmacològics (genèrics o no)