Models of global primary care post-2030

作者：Luke Allen, Kumanan Rasanathan, Robert Mash, Manuela Villar Uribe, Viviana Martínez-Bianchi, Michael Kidd · 发表于：The Lancet Primary Care · 年份：2025 · DOI：10.1016/j.lanprc.2025.100027 · 被引用次数：9 · 研究领域：Primary Care and Health Outcomes、Healthcare Policy and Management、Chronic Disease Management Strategies

Primary care is currently a central focus in global health policy; however, renewed attention has not translated into the investment needed to build systems that are fit for the future. As 2030 approaches, many health systems are converging towards primary care models that provide community-based, first-contact access, but they omit the other core functions of comprehensiveness, continuity, and coordination. In this Viewpoint, we argue that these primary care lite models are ill-equipped to manage the increasing burden of multimorbidity; harness technological disruption; and reduce health inequities. We propose a new trajectory towards hybrid models of care that anchor community-oriented outreach workers within multidisciplinary teams that are trained in family medicine. Although artificial intelligence and digital tools can magnify impact and reach, we warn that their uninformed adoption could create digital gatekeepers and deepen disparities. To future-proof primary care, policy makers should invest in integrated models that deliver robust, equitable, and person-centred care that is needed to meet future challenges.