编辑: 于世美 | 2019-07-16 |
s not only a one-way dialogue from Geneva to yourselves, but any engagement between primary health care from a workforce perspective. Just a few thoughts from myself, in relation to some of the points that Marie-Charlotte mentioned. We have less than four weeks ago completed the World Health Assembly, where primary health care and its renewal was part of every single conversation on every single day of the assembly. If we look at what governments, Member States, ministers, stakeholders, delegates, were saying in the events, is that the the work to follow up from the Astana Declaration to follow up on the Operational Framework that is necessary and to implement change is absolutely necessary, and needs to be a priority of WHO, but also of many, many partners. The evidence base that has helped us to get to this position, we saw lots of the technical papers that were prepared in advance of Astana. And each of those did ensure that we set out some of the the knowledge that we have, the priorities that are needed, and what can be done for countries at all income levels. So that evidence, the call to action from Astana is now gone through into major governance decisions at the assembly. The work D PHC &
Health Workforce 2019-06-21-14-41-51.mp4 Page
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ve been asking, as a result of this commitment to primary health care, as the foundation of universal health care bridges is fairly much a simple question. What are the workforce implications? If we want to reach all people at all ages, what workforce will we need? How will we have to pay them? What data etc. The consensus that we have is that the solution will lie in the role of a multidisciplinary team of health care professions, of associate professions, allied health workers, community workers, and a health-literate public and population that are actively involved in the concept of patient-centered, human-centered health care services and how we provide care responsive, yes to population needs and to epidemiology and demographic challenges, but also to the needs of people. And so it'
s very encouraging that as the introduction here that Marie- Charlotte was saying exactly that -it'
s the people that require health care, and it'
s people that provide it. How do we therefore link these two things together? The my sort of perspective coming out of the assembly is exactly that. We'
ve seen every put people center stage of our discussion. We'
re not necessarily talking explicitly about disease or academic ideology, we'
re talking about health and well being of people and the people that are going to connect the dots, the interaction between the healthcare system, the service, the equipment, and the needs of other people. Dr Marie-Charlotte Bouesseau 09:29 Thank you, Jim. Maybe we already have some questions from from the chat or Beatrice Bernescut 09:39 no questions as of yet. But I wanted to ask you to elaborate a little bit more on how this fundamental sea change came about, because we'
ve definitely shifted from a disease focus, fix the problem, to a people focus. Do you you have any sense of what were the factors that made that come together, that made that happen? Dr Jim Campbell 10:06 I think there'
s there'
s several - m........