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Printable Handouts
Navigable Slide Index
- Introduction
- Outline
- What is primary health care?
- Why does primary health care matter? (1)
- Why does primary health care matter? (2)
- Starfield: primary care assessment tool
- Starfield's key findings 2005
- Some of what we do in primary health care
- Academic disciplines of primary health care
- Caseload of primary health care - attenders
- Caseload of primary health care - non-attenders
- The low status of academic primary health care
- Academic primary health care in 1999
- A call for a dual evidence base
- The science base of primary health care
- Huge progress in the evidence base since 2005
- Huge progress in the evidence base - CPRD
- The humanities base of primary health care
- Progress in understanding the patient experience
- Success to date
- Academic primary health care in 2018
- A call for an extended academic evidence base
- Social and cultural influences on health (1)
- Social and cultural influences on health (2)
- The T2 translational gap
- Coordinating and commissioning care
- The impact of ‘cutbacks’ in primary care
- Summary
- Thank you
Topics Covered
- What is primary health care?
- Why does primary health care matter?
- Starfield: primary care assessment tool
- Academic disciplines of primary health care
- Social and cultural influences on health
- New research priorities
Talk Citation
Greenhalgh, T. (2018, June 27). The academic basis of primary health care [Video file]. In The Biomedical & Life Sciences Collection, Henry Stewart Talks. Retrieved December 9, 2024, from https://doi.org/10.69645/RVBZ4456.Export Citation (RIS)
Publication History
Financial Disclosures
- Prof. Trisha Greenhalgh has not informed HSTalks of any commercial/financial relationship that it is appropriate to disclose.
A selection of talks on Clinical Practice
Transcript
Please wait while the transcript is being prepared...
0:00
Hello, my name is Trisha Greenhalgh.
I'm a Professor of Primary Care Health Sciences at the University of Oxford in the U.K.
I'm going to talk to you about the academic basis of primary health care.
0:15
In this lecture, I'm going to do three things.
I'm going to explain what academic primary healthcare is and why it matters.
I'm going to outline the different academic disciplines and
research methodologies that underpin academic primary healthcare.
Thirdly, I'm going to suggest some new research priorities.
0:36
People often ask me what is primary health care,
and the way I define it,
I draw on much literature here is that
primary healthcare is first contact care accessible to everyone in the community.
It's undifferentiated by age,
gender or disease modality.
It's characterized by continuity of a clinical relationship over time.
It's coordinated within and across sectors and it focuses
on both the individual and the population or community.
I liked this quote from Julian Tudor Hart who spent I think about
50 years as a practicing GP in a very deprived part of the Welsh valleys.
He said, primary healthcare is doing simple things well for large numbers of people,
few of whom feel ill.
1:26
So, why does primary health care matter?
Well, I'm going to quote from the foreword to
a book I wrote called Primary Health Care Theory and Practice
which was published in 2007 and
Julian Tudor Hart wrote that foreword and he began like this.
He said in 1974,
before a guest lecture that he was giving on primary health care,
he was shown around Johns Hopkins Hospital in
the USA and halfway along a long corridor he saw
a roughly cut cardboard sign hanging from bits of string looped
around the pipes and it said Department of Primary Care with an arrow.
So, he says "We followed the arrow and found ourselves in the emergency room."