Home Research Research Library Primary care financing: a systematic assessment of research priorities in low- and middle-income countries Primary care financing: a systematic assessment of research priorities in low- and middle-income countries 2019 Author(s) Goodyear-Smith, Felicity, Bazemore, Andrew W, Coffman, Megan, Fortier, Richard D W, Howe, Amanda, Kidd, Michael R, Phillips, Robert L, Rouleau, Katherine, and van Weel, Chris Volume BMJ Global Health Source BMJ Global Health Introduction Financing of primary healthcare (PHC) is the key to the provision of equitable universal care. We aimed to identify and prioritise the perceived needs of PHC practitioners and researchers for new research in low- and middle-income countries (LMIC) about financing of PHC. Methods Three-round expert panel consultation using web-based surveys of LMIC PHC practitioners, academics and policy-makers sampled from global networks. Iterative literature review conducted in parallel. First round (PreDelphi survey) elicited possible research questions to address knowledge gaps about financing. Responses were independently coded, collapsed and synthesised to two lists of questions. Round 2 (Delphi Round 1) invited panellists to rate importance of each question. In Round 3 (Delphi Round 2), panellists ranked questions in order of importance. Results A diverse range of PHC practitioners, academics and policy-makers in LMIC representing all global regions identified 479 knowledge gaps as potentially critical to improving PHC financing. Round 2 provided 31 synthesised questions on financing for rating. The top 16 were ranked in Round 3e to produce four prioritised research questions. Conclusions This novel exercise created an expansive and prioritised list of critical knowledge gaps in PHC financing research questions. This offers valuable guidance to global supporters of primary care evaluation and implementation, including research funders and academics seeking research priorities. The source and context specificity of this research, informed by LMIC practitioners and academics on a global and local basis, should increase the likelihood of local relevance and eventual success in implementing the findings. ABFM Research Read all 2026 Demonstrating the Reliability and Structural Validity of Creating Patient-Level and Clinician-Level Scores on the Person Centered Primary Care Measure Go to Demonstrating the Reliability and Structural Validity of Creating Patient-Level and Clinician-Level Scores on the Person Centered Primary Care Measure 2026 Reflections on Family Medicine’s First Year of Program Signals and Other New ERAS Features Go to Reflections on Family Medicine’s First Year of Program Signals and Other New ERAS Features 2026 Estimation of Mortality via the Neighborhood Atlas and Reproducible Area Deprivation Indices Go to Estimation of Mortality via the Neighborhood Atlas and Reproducible Area Deprivation Indices 2026 Primary Care Physician Continuity Is a Consistent Measure Associated with Lower Costs and Hospitalizations Go to Primary Care Physician Continuity Is a Consistent Measure Associated with Lower Costs and Hospitalizations
Author(s) Goodyear-Smith, Felicity, Bazemore, Andrew W, Coffman, Megan, Fortier, Richard D W, Howe, Amanda, Kidd, Michael R, Phillips, Robert L, Rouleau, Katherine, and van Weel, Chris Volume BMJ Global Health Source BMJ Global Health
ABFM Research Read all 2026 Demonstrating the Reliability and Structural Validity of Creating Patient-Level and Clinician-Level Scores on the Person Centered Primary Care Measure Go to Demonstrating the Reliability and Structural Validity of Creating Patient-Level and Clinician-Level Scores on the Person Centered Primary Care Measure 2026 Reflections on Family Medicine’s First Year of Program Signals and Other New ERAS Features Go to Reflections on Family Medicine’s First Year of Program Signals and Other New ERAS Features 2026 Estimation of Mortality via the Neighborhood Atlas and Reproducible Area Deprivation Indices Go to Estimation of Mortality via the Neighborhood Atlas and Reproducible Area Deprivation Indices 2026 Primary Care Physician Continuity Is a Consistent Measure Associated with Lower Costs and Hospitalizations Go to Primary Care Physician Continuity Is a Consistent Measure Associated with Lower Costs and Hospitalizations
2026 Demonstrating the Reliability and Structural Validity of Creating Patient-Level and Clinician-Level Scores on the Person Centered Primary Care Measure Go to Demonstrating the Reliability and Structural Validity of Creating Patient-Level and Clinician-Level Scores on the Person Centered Primary Care Measure
2026 Reflections on Family Medicine’s First Year of Program Signals and Other New ERAS Features Go to Reflections on Family Medicine’s First Year of Program Signals and Other New ERAS Features
2026 Estimation of Mortality via the Neighborhood Atlas and Reproducible Area Deprivation Indices Go to Estimation of Mortality via the Neighborhood Atlas and Reproducible Area Deprivation Indices
2026 Primary Care Physician Continuity Is a Consistent Measure Associated with Lower Costs and Hospitalizations Go to Primary Care Physician Continuity Is a Consistent Measure Associated with Lower Costs and Hospitalizations
