Open AccessOutpatient Pediatric Special Care. Developing health policies at the primary level of care
Author(s) -
Pablo Justich,
Pablo Cafiero,
Aníbal Bordónc,
Diego Marquianic,
Pablo Manjarin,
Marcella Williams
Publication year - 2019
Publication title -
archivos argentinos de pediatría
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.236
H-Index - 19
eISSN - 1668-3501
pISSN - 0325-0075
DOI - 10.5546/aap.2019.eng.e606
Subject(s) - medicine , primary care , primary health care , health care , population , gerontology , humanities , family medicine , environmental health , political science , philosophy , law
In 1978, the World Health Organization defined primary health care as the cornerstone of global health. In recent years, the usual causes of mortality (infections, deficiency diseases) now include chronic and degenerative diseases. It is now possible to provide tertiary care to patients without adequate resources for their survival after discharge. The health system has not been able to adapt to such change and has maintained a fragmented, reactive, disease-centered model. "Selective primary care" is useful to redirect primary care bases according to the characteristics of the population. A set of specific measures, targeted at a population with specific vulnerabilities, leverages the power of primary health care. Here we describe the "Outpatient Pediatric Special Care" model of care implemented at the Center for Health and Community Action no. 5, in the Autonomous City of Buenos Aires.