Integrating public health and primary care: a framework for seamless collaboration


Allen L.N. Rechel B. Alton D. Pettigrew L.M. McKee M. Pinto A.D. Exley J. Turner-Moss E. Thomas K. Mallender J. Rajan D. Dedeu T. Bailey S. Goodwin N.
2024Royal College of General Practitioners

BJGP Open
2024#8Issue 41 - 9 pp.

Integration between public health and primary care is rising on the health policy agenda but the terms and concepts involved can be confusing. This article reviews the relevant literature and presents a new framework to help policymakers think through what they are aiming to achieve and why. We unpack different degrees and types of integration and show how they fit together. We argue that the merger of public health and primary care into a single entity with one aim, budget, and one multidisciplinary team isn’t necessarily the desired end-point for most health systems. Seamless collaboration will likely improve patient and health system outcomes, save resources, and improve population outcomes. We recommend that efforts to foster better collaboration should take an activity-based approach, promoting alignment of teams, training, budgets, values, and culture around specific tasks, and in proportion to need. Copyright

health policy , primary care , public health

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Global Primary Care and Future Health Systems, University of Oxford, England, United Kingdom
University of New South Wales, Sydney, Australia
European Observatory on Health Systems and Policies, London School of Hygiene & Tropical Medicine, London, United Kingdom
NHS England and Buckinghamshire, Oxfordshire and Berkshire West NHS Integrated Care Board, Oxford, United Kingdom
Health Services Research and Policy, London School of Hygiene & Tropical Medicine, London, United Kingdom
Upstream Lab, University of Toronto, ON, Canada
Faculty of Public Health group on Public Health & Primary Care, London, United Kingdom
Economics By Design, London, United Kingdom
European Observatory on Health Systems and Policies, Brussels, Belgium
World Health Organization, Regional Office for Europe, WHO European Centre for Primary Health Care, Almaty, Kazakhstan
Central Coast Research Institute for Integrated Care, University of Newcastle and Central Coast Local Health District, Gosford, Australia

Global Primary Care and Future Health Systems
University of New South Wales
European Observatory on Health Systems and Policies
NHS England and Buckinghamshire
Health Services Research and Policy
Upstream Lab
Faculty of Public Health group on Public Health & Primary Care
Economics By Design
European Observatory on Health Systems and Policies
World Health Organization
Central Coast Research Institute for Integrated Care

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