Does the establishment of universal health coverage drive the foundation of postgraduate education for primary care physicians?

  • Indah S. Widyahening Department of Community Medicine, Faculty of Medicine Universitas Indonesia, Jakarta
  • Rodri Tanoto Department of Community Medicine, Faculty of Medicine Universitas Indonesia, Jakarta
  • Fedri Rinawan Department of Public Health, Faculty of Medicine Universitas Padjajaran, Bandung
  • Elsa P. Setiawati Department of Public Health, Faculty of Medicine Universitas Padjajaran, Bandung
  • Zorayda E. Leopando Department of Family and Community Medicine, University of the Philippines, Manila
DOI: https://doi.org/10.13181/mji.v26i2.1857
Keywords: family medicine, general practice, primary care physician, universal health coverage, postgraduate training
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Abstract

Background: Studying the formation of postgraduate training in primary care within countries which has attained Universal Health Coverage (UHC) is important to support the development of similar training in low-and middle-income countries aiming to achieve UHC by 2030. This review aims to describe the state of postgraduate training for primary care physicians in UHC-attaining countries.

Methods: A literature review of published literature and official documents from the websites of regional and global health/primary care organizations or societies such as World Health Organization (WHO), World Organization of Family Doctors (WONCA), European Forum for Primary Care, European Union of General Practitioners (GP)/Family Physicians (FP), European Academy of Teachers in GP/Family Medicine (FM), as well as the websites of GP/FP organizations in each of the respective countries. The list of UHC attained countries were identified through WHO and International Labor Organization databases.

Results: A total number of 72 UHC-attained countries were identified. Postgraduate education for primary care physicians exists in 62 countries (86%). Explicit statements that establish primary care postgraduate training were corresponded with the policy on UHC is found in 11 countries (18%). The naming of the program varies, general practice and family medicine were the commonest. In 33 countries (53%), physicians are required to undertake training to practice in primary level. The program duration ranged from 2â6 years with 3 years for the majority.

Conclusion: Although UHC is not the principal driving force for the establishment of postgraduate training for primary care physicians in many countries, most UHC-attaining countries make substantial endeavor to ensure its formation as a part of their health care reform to improve national health.

Author Biography

Indah S. Widyahening, Department of Community Medicine, Faculty of Medicine Universitas Indonesia, Jakarta
Community Medicine Department, lecturer

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Published
2017-08-18
How to Cite
1.
Widyahening IS, Tanoto R, Rinawan F, Setiawati EP, Leopando ZE. Does the establishment of universal health coverage drive the foundation of postgraduate education for primary care physicians?. Med J Indones [Internet]. 2017Aug.18 [cited 2024Apr.17];26(2):141-51. Available from: http://mji.ui.ac.id/journal/index.php/mji/article/view/1857
Issue
Vol. 26 No. 2 (2017): June
Section
Review Article

Copyright (c) 2017 Indah S. Widyahening, Rodri Tanoto, Fedri Rinawan, Elsa P. Setiawati, Zorayda E. Leopando

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