Reviving the promise of primary care: redesigning service delivery to promote core functions

<h2>Summary</h2> Although primary care can reduce morbidity, increase lifespans, and improve health equity, it is underperforming globally. As health systems adapt with evolving funding, technology, and demographic conditions, the role of primary care in achieving health for all needs to be clearly explained. Redesigning primary care around four main functions (ie, being the first choice for most health needs; detecting illnesses and risks; providing high-quality care across the life course; and linking to advanced care and social systems) can optimise its benefits within broader systems. In this Viewpoint, we reassert the core functions of primary care, describe design features that promote the core functions, and introduce models that effectively leverage these functions to address emerging health-system challenges.

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Publication Details

Journal
The Lancet Primary Care
Published
2026-05-01
DOI
https://doi.org/10.1016/j.lanprc.2026.100142
Primary Topic
Primary Care and Health Outcomes
Type
article
Field-Weighted Citation Impact
0.00
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article

Reviving the promise of primary care: redesigning service delivery to promote core functions

Lia Tadesse Gebremedhin, Margaret E. Kruk, Todd P Lewis, Michael A. Peters et al.
The Lancet Primary Care
Primary Care and Health Outcomes
article

Reviving the promise of primary care: redesigning service delivery to promote core functions

Lia Tadesse Gebremedhin, Margaret E. Kruk, Todd P Lewis, Michael A. Peters, Rodrigo Bazua-Lobato, Zulfiqar A Bhutta, Ezequiel Garcia-Elorrio
article en

Abstract

<h2>Summary</h2> Although primary care can reduce morbidity, increase lifespans, and improve health equity, it is underperforming globally. As health systems adapt with evolving funding, technology, and demographic conditions, the role of primary care in achieving health for all needs to be clearly explained. Redesigning primary care around four main functions (ie, being the first choice for most health needs; detecting illnesses and risks; providing high-quality care across the life course; and linking to advanced care and social systems) can optimise its benefits within broader systems. In this Viewpoint, we reassert the core functions of primary care, describe design features that promote the core functions, and introduce models that effectively leverage these functions to address emerging health-system challenges.

The Lancet Primary Care
Aga Khan University (PK), Harvard University (US), Johns Hopkins University (US), Mexican Social Security Institute (MX), Washington University in St. Louis (US), Hospital for Sick Children (CA), Aga Khan Development Network (PK), Secretaria de Salud (MX), Instituto de Efectividad Clínica y Sanitaria (AR), National Patient Safety Foundation (US)
Openalex Percentile: Top 7%
Primary Care and Health Outcomes
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Reviving the promise of primary care: redesigning service delivery to promote core functions — Lia Tadesse Gebremedhin, Margaret E. Kruk, et al. · The Lancet Primary Care (2026) | TGRS Research Map | TGRS