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Gaps In Primary Care And Health System Performance In Six Latin American And Caribbean Countries (Health Affairs)

Publication Topics

Access to Health Care; Use of Health Services; Health Care Delivery System; Managed Care; Health Insurance Coverage and Programs; Managed Care; Adult; Racial and Ethnic Groups; Hispanic/Latino

Publication Type

Journal Article

Publication Date


Author 1

<a onclick="OpenPopUpPage('{7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=1194&RootFolder=*', RefreshPage); return false;" href="{7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=1194&RootFolder=*">James Macinko, Ph.D.</a>

Author 2

<a onclick="OpenPopUpPage('{7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=1263&RootFolder=*', RefreshPage); return false;" href="{7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=1263&RootFolder=*">Frederico C. Guanais</a>

Author 3

<a onclick="OpenPopUpPage('{7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=151&RootFolder=*', RefreshPage); return false;" href="{7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=151&RootFolder=*">et al</a>

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​The study assessed the extent to which populations in six Latin American and Caribbean countries receive high-quality primary care, and it examined the relationship between experiences with care and perceptions of health system performance. Authors 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.


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Journal Article: Gaps In Primary Care And Health System Performance In Six Latin American And Caribbean Countries

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Press Release

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Version: 4.0
Created at 8/9/2016 9:25 PM by i:0#.f|uclachissqlmembershipprovider|celeste
Last modified at 8/10/2016 10:08 AM by i:0#.f|uclachissqlmembershipprovider|celeste