Allocation of Financial Resources to Primary Healthcare: A Scoping Review Protocol

Somayeh Mahdiyan, Reza Rezayatmand, Mostafa Amini‑Rarani, Nasrin Shaarbafchizadeh

Abstract


Background: Countries possessing robust primary healthcare (PHC) systems typically yield superior health outcomes, reduced inequality, and diminished healthcare expenses for their citizens. Moreover, PHC demonstrates a direct correlation with the efficient utilization of resources. However, the allocation of financial resources dedicated to PHC varies significantly among countries and lacks explicit clarity. Therefore, this paper aims to conduct a review of published literature to ascertain the extent of resource allocation to PHC across diverse nations. In addition, it aims to explore associated factors, challenges, and mechanisms influencing this allocation. Methods: This scoping review protocol will adopt the Joanna Briggs Institute’s scoping review methodology, which was updated in 2020. It will leverage library studies and refer to reputable databases. The inclusion criteria will include studies conducted between January 2000 and December 2023, focusing on criteria, amounts, mechanisms, and challenges associated with financial resource allocation to PHC globally. In addition, studies must be published in either English and Persian. Studies lacking full‑text availability will be excluded from the review. Mendeley software will be utilized to organize and manage the collected studies. The study selection process will be visually depicted using the PRISMA‑SCR diagram. Conventional content analysis will be employed to analyze the studies. Conclusions: Considering the position and role of primary health care in promoting the health of society, by implementing this protocol, the data obtained from the proposed scoping review will enable the managers and officials of the health system to follow the experiences of different countries in the field of scientific and fair allocation of financial resources to PHC, reinforcing Universal Health Coverage (UHC).

 


Keywords


Financial resource allocation; primary healthcare; research protocol; resource allocation

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References


Khaiati F, Saberi M. Primary health care (PHC) remains a strategy for promoting equity in health. J Health Manag 2009;12:33-40.

Gharaee H, Tabrizi JS, Azami‑Aghdash S, Farahbakhsh M, Karamouz M, Nosratnejad S. Analysis of public‑private partnership in providing primary health care policy: An experience from Iran. J Prim Care Community Health

;10:2150132719881507.

Moosa S. Provider perspectives on financing primary health care for universal health coverage. Lancet Global Health 2022;10:e609‑10.

Massuda A. Primary health care financing changes in the Brazilian Health System: Advance or setback? Cien Saude Colet 2020;25:1181‑8.

Segall M. Planning and politics of resource allocation for primary health care: Promotion of meaningful national policy. Soc Sci Med 1983;17:1947‑60.

Lahariya C. Health & wellness centers to strengthen primary health care in India: Concept, progress, and ways forward. Indian J Pediatr 2020;87:916‑29.

Brundtland GH. Public financing for primary health care is the key to universal health coverage and strengthening health security. Lancet Global Health 2022;10:e602‑3.

Hanson K, Brikci N, Erlangga D, Alebachew A, De Allegri M, Balabanova D, et al. The Lancet Global Health Commission on financing primary health care: Putting people at the center. Lancet Global Health 2022;10:e715‑72.

Korneta P, Kludacz‑Alessandri M, Walczak R. The impact of COVID‑19 on the performance of primary health care service providers in a capitation payment system: A case study from Poland. Int J Environ Res Public Health 2021;18:1407.

Radinmanesh M, Ebadifard Azar F, Aghaei Hashjin A, Najafi B, Majdzadeh R. A review of appropriate indicators for need‑based financial resource allocation in health systems. BMC Health Serv Res 2021;21:674.

Maharaj Y, Robinson A, McIntyre D. A needs‑based approach to equitable allocation of district primary healthcare expenditure in North West Province, South Africa. South Afri Med J 2018;108:190‑6.

Okorafor OA, Thomas S. Protecting resources for primary health care under fiscal federalism: Options for resource allocation. Health PolicyPlan 2007;22:415‑26.

Burström B, Burström K, Nilsson G, Tomson G, Whitehead M, Winblad U. Equity aspects of the primary health care choice reform in Sweden–a scoping review. Int J Equity Health 2017;16:29.

Soares A. Health system financing paradigm in the state of São Paulo: A regional analysis. Rev Saude Publica 2019;53:39.

Peters MDJ, Godfrey C, McInerney P, Munn Z, Tricco AC, Khalil, H. Chapter 11: Scoping reviews (2020 version). In: Aromataris E, Munn Z, editors. JBI Manual for Evidence Synthesis. JBI; 2020.

Oduwole EO, Pienaar ED, Mahomed H, Wiysonge CS. Current tools available for investigating vaccine hesitancy: A scoping review protocol. BMJ Open 2019;9:e033245.

Peters M, Godfrey C, Khalil H, Mcinerney P, Soares C, Parker D. 2017 Guidance for the conduct of JBI scoping reviews. Joana Briggs Inst Rev Man 2017;13:141‑6.

Hsieh HF, Shannon SE. Three approaches to qualitative content analysis. Qual Health Res 2005;15:1277‑88.