What do Patients Value Regarding Primary Health Care? A Systematic Review of Evidence [Raboan Discussion Forum]

Center for Bioethics and Medical Humanities just held the Raboan Discussion Forum on (10/09). The title of this discussion is What do patients value regarding primary health care? A Sysmetic Review evidence. The material was presented by the speaker: drg. Agnes B Pratiwi, MPH the moderator is dr. Galuh Dyah Fatmala.

Many countries are focused on achieving universal health couferage, therefore requiring efficient resources, sustainable health financing, and strong primary care. Primary health care is very important and must be improved because it is closest to the community. Primary care is available but patients are sometimes uninterested regarding the service.

The value of patients is very important in primary care. In this study, the point of view was seen from the patient’s side. Articles used started from 2009 – 2010. For critical appraisal use JBI aprraisal chechk list. 18 relevant articles in this study 9 qualitative 9 quantitative.

The results of this study show that there is some value from the point of view of patients, doctors, interactions between doctors and patients and primary health care. The values of the patient include autonomy and privacy. Values from the doctor’s point of view include patient individuality, Apropriate communication, competence. Virtous characteristic. The interaction between doctors and patients includes, shared decision making, empowerment. The values of primary health care include accessibility, time, continuity of care and adequate.

Primary care is make patients have very high expectations of good interpersonal skills of it. Therefore, primary care provides services that pay attention to the  needs of patients. In this study, no one predicted the views of children or parents as proxy. It is also important that this primary care moves to patient-centered care.