Primary Care Evaluation Tool
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چکیده
Why evaluate primary care? Although the strengthening of primary care services is a priority of health reforms in many countries throughout the WHO European Region, the backgrounds to and reasons for the reforms vary. In western Europe, emphasis on primary care is expected to provide an answer to rising costs and changing demand resulting from demographic and epidemiological trends. Central and eastern European countries, as well as those formerly belonging to the USSR, are struggling fundamentally to improve the performance and cost effectiveness of their entire health systems. Primary care, which used to be poorly developed or nonexistent in these countries, is now being developed to improve the cost–effectiveness of the overall system and to bring adequate and responsive health services closer to the population. In many of these countries, health care reforms have been and continue to be part of profound and comprehensive changes in essential societal functions and values (1).
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