时间标签：数据日期 2026-11-05 · 生成时间 2026-11-05 05:30（Asia/Shanghai）｜ 检索窗口 PubMed edat 2026/11/02 – 2026/11/06 ｜ 情报发生日期 2026-11-05
研究问题
However, insufficient financial commitment – whether public or private – continues to hinder implementation [13].；Swiss Medical Weekly · www.smw.ch · published under the copyright license Attribution 4.0 International (CC BY 4.0) 2 REVIEW ARTICLE Swiss Med Wkly. 2026;156:5010 Governance The WHO defines governance as the steering and rule-making functions performed by govern‐ ments and decision-makers to achieve health policy objectives.；Rationale and objectives Primary care structures are shaped by political and organisational decisions operating across mul‐ tiple levels, from national policy to practice‑level governance.
方法
Titles (n = 1586) and full texts (n = 358) were screened by two re‐ viewers.；Core components include co‑located interprofessional teams, diversified payment models (e.g. capitation, salaries, pay‑for‑performance), enhanced patient‑centredness, improved care coordination around patients, stronger emphasis on prevention and health promotion, and im‐ proved access to primary care.；Geographic scope We focused on Western countries with liberal, medico‑centric primary care systems (United States, Canada, Australia and selected European countries).
核心结论
（原文未给出可直接抽取的对应表述）
局限
However, insufficient financial commitment – whether public or private – continues to hinder implementation [13].
对本项目的价值
中等价值：属「干预策略与临床转化」方向；干预策略与临床试验栏目可用作本项目文献库与综述素材。 ｜ 价值分 2.6/5（★★★☆☆）
全文来源
出版商/仓储 OA PDF（正文 18,337 字符，题名指纹 1.0，正文内 DOI 命中，已过题名指纹 + 正文长度归属校验）
原文题录
- 中文题名：转型基层医疗：从以医生为中心模式到多专业团队的资金与治理——范围综述
- 英文标题：Transforming primary care: funding and governance in the shift from physician-centred models to interprofessional teams - a scoping review.
- 期刊与标识：Swiss medical weekly · PMID 42969079 · DOI 10.57187/5010