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In addition to the essential dimensions mentioned above, the dimension of financial resources distribution to be assessed by health managers was included.
Health managers assigned a good performance to all essential dimensions except community orientation in private facilities (intermediate performance), and financial resources distribution, which was scored as critical by both public and private health managers.
Comprehensiveness, community orientation and financial resources distribution were significantly higher for public facilities than for private ones while accessibility and family focus were significantly higher for private facilities (Table 1 and Figure 3).
The low performance score assigned to the financial resources distribution could be due to the lack of a stable and clearly allocated source of funding for ensuring the comprehensiveness and sustainability of the strategy.
The results of this analysis carried out in six localities in Bogotá confirmed the preliminary results of the pilot assessment in one locality of the city [ 17], which found that the lowest rated dimensions were family focus, community orientation, accessibility and financial resources distribution.
The ratings assigned to the dimensions by different participants confirm the need to strengthen family focus, community orientation, financial resources distribution, and access; these are key issues to address in achieving a comprehensive PHC aimed at responding adequately to the population's health needs.
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This polar distribution is as unsurprising as it would be hard to avoid, reflecting the distribution of financial resources, medical problems and expertise.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com