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.

+
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.

+
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.

+
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.

+
Effectiveness

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

+
People-Centeredness

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

+
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.

+
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.

+
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.

+
Comprehensiveness

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

Indicators
+
Patient-reported experiences
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
+
Funding & Allocation of Resources
+
PHC Workforce
+
Policy and Leadership
+
Access
+
Management of Services
+
Service Availability & Readiness
+
Timeliness
+
Equity in Distribution of Health Workers
First Contact Accessibility
COMPLEMENTARY SUBDOMAINS
Information & Technology
+
Information and technology infrastructure, such as mHealth and telehealth, can facilitate access to PHC where clinics are inaccessible but sufficient technological infrastructure is in place.
Comprehensiveness
+
The ability to provide comprehensive services at the PHC level enables PHC to be the first point of contact for most care needs and builds trust and value for PHC among the population.
Continuity
+
Continuinty of care is a complimentary strategy to creating and maintaining long-standing patient-provider relationships, to situate PHC as the first point of contact to the health system.
People-Centeredness
+
Person-centeredness ensures PHC services meet the complex needs and expectations of patients and promotes trust in and demand for PHC as the first point of contact.
Population Health Management
+
Community engagement can help build awareness of and confidence in PHC services to encourage first contact access. Empanelment establishes a point of care for individuals and simultaneously holds providers and care teams accountable for actively managing the care of their panels, helping to support first contact access. Proactive service delivery mechanisms can help to facilitate primary care as the first point of contact by bringing services to the community.
Resilient Facilities and Services
+
Assessing resilience of services can help promote continuity of care and continued first-contact access to PHC during times of public health emergency.
Financial Protection
+
Financial coverage systems can support the establishment of PHC as a first point of contact through gatekeeping or empanelment structures.
Service Coverage
+
Effective service coverage of essential health services in PHC helps to position PHC as a first point of contact into the heatlh system.
Improvement Strategies

Each PHCPI Improvement Strategy is designed to help decision-makers begin to plan and enact reforms within their own context by providing additional resources and evidence on the topic, as well as practical recommendations for action.

The explainer graphic below presents a quick overview of the concept of First Contact Accessibility. View the full Improvement Strategy on Primary Care Functions to learn more.

First Contact Accessibility explainer graphic
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.

+
Walking the Talk: Reimagining Primary Health Care After COVID-19
+
Phase V (2021-2025)
+
HIV and Universal Health Coverage - A guide for civil society