Empanelment: A foundational component of primary health care
Open Access
- 31 October 2019
- journal article
- Published by F1000 Research Ltd in Gates Open Research
- Vol. 3, 1654
- https://doi.org/10.12688/gatesopenres.13059.1
Abstract
Empanelment is a foundational strategy for building or improving primary health care systems and a critical pathway for achieving effective universal health coverage. However, there is little international guidance for defining empanelment or understanding how to implement empanelment systems in low- and middle-income countries. To fill this gap, a multi-country collaborative within the Joint Learning Network for Universal Health Coverage developed this empanelment overview, proposing a people-centered definition of empanelment that reflects the responsibility to proactively deliver primary care services to all individuals in a target population. This document, building on existing literature on empanelment and representing input from 10 countries, establishes standard concepts of empanelment and describes why and how empanelment is used. Finally, it identifies key domains that may influence effective empanelment and that must be considered in deciding how empanelment can be implemented. This document is designed to be a useful resource for health policymakers, planners and decision-makers in ministries of health, as well as front line providers of primary care service delivery who are working to ensure quality people-centered primary care to everyone everywhere.Funding Information
- Bill and Melinda Gates Foundation (OPP1160823)
This publication has 11 references indexed in Scilit:
- The 5S-5M-5C schematic: transforming primary care inputs to outcomes in low-income and middle-income countriesBMJ Global Health, 2018
- Primary Health Care That Works: The Costa Rican ExperienceHealth Affairs, 2017
- Primary Health Care as a Foundation for Strengthening Health Systems in Low- and Middle-Income CountriesJournal of General Internal Medicine, 2016
- Europe’s Strong Primary Care Systems Are Linked To Better Population Health But Also To Higher Health SpendingHealth Affairs, 2013
- Registries made simple.2011
- The contribution of primary care to health and health systems in low- and middle-income countries: A critical review of major primary care initiativesSocial Science & Medicine (1982), 2010
- The Impact of Primary Healthcare on Population Health in Low- and Middle-Income CountriesThe Journal of Ambulatory Care Management, 2009
- Continuity of care: a multidisciplinary reviewBMJ, 2003
- A new primary care rostering and capitation system in Norway: lessons for Canada?1997
- Is primary care essential?The Lancet, 1994