Improving the Accessibility of Frontline Services : For Dignified, Person-Centered Care Amidst Demographic Change
Even in mature health systems, universal access to frontline health services remains largely aspirational. Most countries in the Organization for Economic Co-operation and Development (OECD) have few general practitioners relative to specialists, a...
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| Format: | Brief |
| Language: | English |
| Published: |
World Bank, Washington, DC
2019
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| Online Access: | http://documents.worldbank.org/curated/en/449191560318862135/Improving-the-Accessibility-of-Frontline-Services-for-Dignified-Person-Centered-Care-Amidst-Demographic-Change http://hdl.handle.net/10986/31850 |
| Summary: | Even in mature health systems, universal
access to frontline health services remains largely
aspirational. Most countries in the Organization for
Economic Co-operation and Development (OECD) have few
general practitioners relative to specialists, and many
systems suffer from long wait times for primary care or
limited options outside standard office hours. Those living
in disadvantaged communities or on the margins of society,
including rural, poor, minority, mobility constrained, and
immigrant patients, can also face entrenched physical,
social, and financial barriers to accessing health services,
even in countries with universal health coverage. Universal
coverage of accessible frontline services will require
creative solutions to encourage physician entry into primary
care (see Brief 15c); task shifting to emerging cadres of
workers (see Brief 7c); creating flexible, nontraditional
care models that make it easier to access care; and reaching
populations excluded under the status quo. |
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