Resumen

MORALES MIJAHUANCA, María Elizabeth et al. First level of health care and its implications for public policy: a systematic review. Telos [online]. 2025, vol.27, n.1, pp.293-312.  Epub 03-Jul-2025. ISSN 1317-0570.  https://doi.org/10.36390/telos271.12.

The aim of this study is to analyse the first level of health care in Peru and international and its implications for public policy. Methodology, the approach is qualitative, a documentary analysis was conducted, which was the result of a search in the databases of Scopus, Web Of Sciencie and Scielo, the article is a systematic review, followed the PRISMA Methodology, the inclusion criteria were studies between 2015 and 2024 that analyse the First Level of Health Care. The results show that 97.1% and 77.78%, in 2021 and 2022, the PNAS centres had insufficient installed capacity, which translates into obsolete equipment and a precarious, inoperative and insufficient infrastructure and a gap of 1,791 PNAS centres, which represents 44% of the total of 4,041 required, and few medical personnel. It is concluded that there is a need to strengthen infrastructure and medical equipment, as well as the absence of doctors at the first level of health care, which hinders the fulfilment of public health policies. The limitations of the study are the limited availability of recent data on the subject.

Palabras clave : first level of health care; public policies; primary health care and Peru.

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