Does the establishment of universal health coverage drive the foundation of postgraduate education for primary care physicians?

Indah Suci Widyahening, Rodri Tanoto, Fedri Rinawan, Elsa P. Setiawati, Zorayda E. Leopando

Research output: Contribution to journalReview articlepeer-review

1 Citation (Scopus)

Abstract

Background: Studying the formation of postgraduate training in primary care within countries which has attained Universal Health Coverage (UHC) is important to support the development of similar training in low-and middle-income countries aiming to achieve UHC by 2030. This review aims to describe the state of postgraduate training for primary care physicians in UHC-attaining countries. Methods: A literature review of published literature and official documents from the websites of regional and global health/primary care organizations or societies such as World Health Organization (WHO), World Organization of Family Doctors (WONCA), European Forum for Primary Care, European Union of General Practitioners (GP)/Family Physicians (FP), European Academy of Teachers in GP/ Family Medicine (FM), as well as the websites of GP/FP organizations in each of the respective countries. The list of UHC attained countries were identified through WHO and International Labor Organization databases. Results: A total number of 72 UHC-attained countries were identified. Postgraduate education for primary care physicians exists in 62 countries (86%). Explicit statements that establish primary care postgraduate training were corresponded with the policy on UHC is found in 11 countries (18%). The naming of the program varies, general practice and family medicine were the commonest. In 33 countries (53%), physicians are required to undertake training to practice in primary level. The program duration ranged from 2–6 years with 3 years for the majority. Conclusion: Although UHC is not the principal driving force for the establishment of postgraduate training for primary care physicians in many countries, most UHC-attaining countries make substantial endeavor to ensure its formation as a part of their health care reform to improve national health.

Original languageEnglish
Pages (from-to)141-151
Number of pages11
JournalMedical Journal of Indonesia
Volume26
Issue number2
DOIs
Publication statusPublished - 1 Jan 2017

Keywords

  • Family medicine
  • General practice
  • Postgraduate training
  • Primary care physician
  • Universal health coverage

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