Questioning the sustainability of primary health care innovation

Abstract

According to Starfield,1 the birth of contemporary interest in primary health care can be traced back to the 30th annual meeting of the World Health Assembly in 1977. This meeting set in motion a series of activities including, in the subsequent year, the Declaration of Alma-Ata.2 Drawing on the principles enunciated in this Declaration and a more recent review,3 the Australian Primary Health Care Research Institute (APHCRI) has defined primary health care as:

. . . socially appropriate, universally accessible, scientifically sound first level care provided by a suitably trained workforce supported by integrated referral systems and in a way that gives priority to those most in need, maximises community and individual self-reliance and participation and involves collaboration with other sectors. It includes health promotion, illness prevention, care of the sick, advocacy and community development.