Health systems in crisis: Countering shockwaves and fatigue (Eurohealth)

This Eurohealth special issue provides a pre-reader for the 2023 European Health Forum Gastein, a key platform for health policy exchange, bringing together stakeholders and decision-makers from the public and private sector, civil society, and science and academia. The 2023 conference will facilitate discussion on how to ride out the current shockwaves and explore how crises can help catalyse the development of new approaches to health system problems.

Integrated care in action – primary care. Understanding how integrated care systems are redesigning primary care services

This case study shows how integrated care systems are redesigning primary care services.

Universal health coverage is a matter of equity, rights, and justice

The Coalition of Partnerships for Universal Health Coverage and Global Health calls on all countries to urgently reinvigorate progress towards health for all.

At the High Level Political Forum in July and the three UN High-level meetings on health, upcoming in September, 2023, all countries must recognise that progress in providing tuberculosis care, strengthening pandemic preparedness, and delivering the human right to health through universal health coverage are interrelated goals, requiring a concerted focus on the most vulnerable and marginalised populations.

Civil society feedback on the Zero Draft of the 2023 Political Declaration on UHC

The 2023 UN High-Level (HLM) Meeting on Universal Health Coverage (UHC) provides countries and all stakeholders with the opportunity to not just recommit to UHC but take concrete actions toward building resilient and equitable health systems. While some progress has been made since the 2019 HLM on UHC that resulted in a comprehensive Political Declaration, more than half of the world’s population still lacks access to essential health services. The situation was further exacerbated by the COVID-19 pandemic.

As the UHC2030 Co-Chairs recently stated in their reflection on the UHC Political Declaration 2023 Zero Draft, Member States must show ...

Integrated Care for Older People: Theories and Practices

As the first Chinese monograph to explicitly connect the “Yiyang Jiehe” with “integrated care for older people”, this book presents readers with a thorough overview of integrated care for older people, from theoretical content, management tools, to practices in China and international learning.

Integrated Care: Reflections on Change in Health Services

This book critically examines integrated care, looking at integration from an unconventional angle to reveal the tacit assumptions we make when we manage and change health services. Kaehne questions our premises on health services management, the motivations for change and the shortcomings of health policy in complex environments.

8 Elements of person-centred care of older people in primary healthcare: a systematic literature review with thematic analysis

Higher life expectancy in the ageing population and, consequently, anincrease in the older population bring additional challenges for healthcare pro-viders, especially in primary healthcare. The person-centred care of older people isdefined as an approach that puts older people at the centre of care and recognizesthe importance of their needs. The chapter aims to identify the key elements of per-son-centred care for older people, in primary healthcare.

Editorial: Why changes in primary care will affect integrated care

More and more emphasis in health service integration is placed on the role of primary care. What it means to have a “family doctor” may have changed over the last decades, but its key function of assessing, referring and treating patients remains the bedrock of our health systems. Or does it?

The Post–COVID-19 Case for Primary Care

Much has been written and discussed about challenges faced by the US health care system, with most of it justifiably concerning the payment system for medical services, and how that leaves an unconscionably large proportion of US residents uninsured or underinsured for quality care. Although payment systems are undoubtedly a challenge and merit substantial conversation, the structure of US health care delivery also leaves much to be desired.

Central to that problem is the paucity of primary care physicians in the US. The approximately 200 000 active primary care physicians in the US represent about 30% of all active ...

Reimagining Primary Health Care Workforce in Rural and Underserved Settings

This Discussion Paper starts at the local level and reimagines primary health care (PHC) and the PHC workforce from the perspective of people living in rural and underserved urban areas of low- and middle-income countries (LMICs). Drawing on research evidence and successful examples, it presents a “start local” health service delivery model, health system design framework, and financing models intended to ensure high-quality local comprehensive PHC is available and accessible to all. Core PHC team members (community health workers, registered nurses, specialist family physicians, and administrators) and other health practitioners are generalists in their disciplines, working together in collaborative practice ...