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Primary Health Care in Political and Administrative Context: A Literature Review and Research Design

机译：政治与行政语境中的初级卫生保健：文献综述与研究设计

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摘要

Little is known about specific political and administrative influences on primary health care (PHC). Building on a literature review (495 items, 1956-82), this study develops a research model describing the interacting constraints placed by a government's political and administrative structure on the formulation of PHC policies, the administration of PHC programs, and the delivery of PHC services. Some tentative conclusions about PHC policy drawn from this analysis are that 'reformist' regimes are more likely to adopt PHC programs than 'status quo' regimes and are less likely to require long-term external support; that political instability may create an opportunity for adopting PHC programs; and that such adoption is more likely where potential beneficiaries and health agencies have greater bargaining power and where health planning efforts are stronger.

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