Perceived Access Barriers Due to Cost

Equity in access looks at the difference in perceived financial barriers to care between the highest and lowest levels of wealth.

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Timeliness

The ability of the health system to provide primary care services to patients when they need them, with acceptable and reasonable wait times and at days and times that are convenient to them.

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Safety

The practice of following procedures and guidelines in the delivery of PHC services in order to avoid harm to the people for whom care is intended.

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Efficiency

Efficiency refers to the ability of a health system to attain its desired objective(s) with the available resources, while minimizing waste and maximizing capacities to deliver care to those who need it.

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Effectiveness

Effectiveness measures whether health care and services are driven by evidence, adhere to established standards, and achieve their intended result.

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People-Centeredness

People-centeredness means organizing the health system around the comprehensive needs of people rather than individual diseases.

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First Contact Accessibility

The capacity of a primary care system to serve as the first point of contact, or a patient's entry point to the health system, for most of a person's health needs.

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Coordination

Coordination of care refers to the system's ability to oversee and manage patient care over time and across levels of care to ensure appropriate follow-up, minimize the risk of error, and prevent complications.

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Continuity

Continuity is the degree to which a patient experiences a series of discrete healthcare events as coherent and consistent with their medical needs and personal context.

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Comprehensiveness

The provision of holistic and appropriate care across promotive, preventive, curative, rehabilitative, chronic and palliative service needs.

Indicators
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Percent with perceived access barriers due to cost, by wealth quintile
Related Concepts

Delivering high-quality primary health care requires many elements of the health system working effectively together. This mapping explores how different concepts with the framework relate to one another.

Upstream elements are those that are required to develop or improve a particular concept. Absence or poor performance of an upstream element is expected to negatively impact the performance of the concept of focus.

Complementary elements are those where improvements or developments in this area will be mutually beneficial to the concept of focus but not required for improvement.

UPSTREAM CONCEPTS
COMPLEMENTARY CONCEPTS
UPSTREAM SUBDOMAINS
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Multi-Sectoral Approach
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Access
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Timeliness
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Financial Protection
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Equity in Distribution of Health Workers
Perceived Access Barriers Due to Cost
COMPLEMENTARY SUBDOMAINS
Funding & Allocation of Resources
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Spending on PHC can influence financial accessibility of services at the level of care delivery.
People-Centeredness
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Consideration of the contextual factors around the patients such as social, career, cultures, etc.
Population Health Management
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Making sure that marginalized groups are specifically managed, and not left behind.
Service Availability & Readiness
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Respect and trust despite patient (or provider) background or culture is complimentary to equitable service delivery.
Improvement Strategies

Explore the Improvement Strategies for approaches to addressing Capacity and Performance concepts that influence Impact.

Potential Funding opportunities

Interested in understanding how this topic intersects with investment opportunities from major funding streams? The Global Frameworks Mapping provides a starting point to help identify and make connections between key PHC topics, relevant funding initiatives, and investment cases.

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Walking the Talk: Reimagining Primary Health Care After COVID-19
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Universal Health Coverage
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UNDP Strategic Plan 2022-2025
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UHC in Africa: A Framework for Action
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The UNICEF Health Systems Strengthening Approach
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Supplies Partnership 2021-2030
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Strategy 2030: Achieving a Prosperous, Inclusive, Resilient, and Sustainable Asia and the Pacific
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Phase V (2021-2025)
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Operational Plan for Health, 2015–2020
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HIV and Universal Health Coverage - A guide for civil society
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HIV
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High-Performance Health-Financing for Universal Health Coverage: Driving Sustainable, Inclusive Growth in the 21st Century
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Health Sector Framework Document
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Global Financing Facility
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Catalytic Investments
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2020-2022 Strategic Initiatives