000171058 001__ 171058
000171058 005__ 20260505142650.0
000171058 0247_ $$2doi$$a10.1080/13814788.2026.2619226
000171058 0248_ $$2sideral$$a149134
000171058 037__ $$aART-2026-149134
000171058 041__ $$aeng
000171058 100__ $$aGefaell Larrondo, Ileana
000171058 245__ $$aStrengthening Primary Health Care in Europe: A Delphi study towards accessibility, equity and continuity of care
000171058 260__ $$c2026
000171058 5060_ $$aAccess copy available to the general public$$fUnrestricted
000171058 5203_ $$aIntroduction. Strengthening Primary Health Care (PHC) is essential for building resilient and equitable health systems, but PHC faces barriers in implementation, resource allocation, and political prioritisation. This study aimed to develop a strategic roadmap to enhance PHC by identifying core values, priorities, and actionable strategies through expert consensus.
Methods. A two-round Delphi study was conducted with 210 stakeholders from 35 countries, including PHC professionals, policymakers, and public health experts. Participants evaluated the importance, feasibility, and policy prioritisation of key PHC values. Quantitative data were analysed using descriptive statistics.
Results. The response rate was 81.4% (171/210) in round one and 73.5% (97/132) in round two. The majority of participants (89%) had a background in medicine. A consensus (>80% agreement) was reached in the first round regarding PHC values. Key recommendations included increasing investment in PHC workforce development, particularly in underserved areas; strengthening health information systems and integrating telehealth solutions; enhancing PHC governance models to support multidisciplinary collaboration and citizen-centred care; and adapting processes to improve chronic care management, end-of-life support, and standardised assessment frameworks. In the second round, when participants assessed the feasibility of these recommendations, agreement levels ranged from 61 to 92%. When asked about the policy prioritisation of these measures, agreement dropped, ranging from 22 to 51%.
Conclusions. This study highlights that PHC stakeholders perceive a critical need to align health policies with the core values of PHC, while addressing systemic barriers to implementation. Future efforts should focus on bridging the perceived gap between expert recommendations and political prioritisation to achieve sustainable PHC improvements.
000171058 540__ $$9info:eu-repo/semantics/openAccess$$aby-nc$$uhttps://creativecommons.org/licenses/by-nc/4.0/deed.es
000171058 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000171058 700__ $$aAres-Blanco, Sara
000171058 700__ $$aGuisado-Clavero, Marina
000171058 700__ $$aMira, José Joaquín
000171058 700__ $$aPérez Esteve, Clara
000171058 700__ $$aAdler, Limor
000171058 700__ $$aBensemmane, Sherihane
000171058 700__ $$aKostic, Milena
000171058 700__ $$aMortsiefer, Achim
000171058 700__ $$aPetrazzuoli, Ferdinando
000171058 700__ $$aGómez-Bravo, Raquel
000171058 700__ $$0(orcid)0000-0002-3192-7672$$aAstier-Peña, Pilar$$uUniversidad de Zaragoza
000171058 7102_ $$11007$$2610$$aUniversidad de Zaragoza$$bDpto. Medicina, Psiqu. y Derm.$$cArea Medicina
000171058 773__ $$g32, 1 (2026), 11 pp.$$pEur. j. gen. pract$$tEUROPEAN JOURNAL OF GENERAL PRACTICE$$x1381-4788
000171058 8564_ $$s2292070$$uhttps://zaguan.unizar.es/record/171058/files/texto_completo.pdf$$yVersión publicada
000171058 8564_ $$s1295068$$uhttps://zaguan.unizar.es/record/171058/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000171058 909CO $$ooai:zaguan.unizar.es:171058$$particulos$$pdriver
000171058 951__ $$a2026-05-05-13:36:47
000171058 980__ $$aARTICLE