IPCHS. Integrated People-Centred Health Services

Publications

This growing repository holds WHO documents, scientific publications, policy documents, implementation reports, presentations and others with information and insights about integrated people-centred health services. Share your publication by clicking “Add publication”.

May 24, 2016 Europe

Step-by-step guide for developing integrated health services delivery profiles

This guide sets out to describe a structure and process for developing profiles on initiatives to transform health services delivery. It has been developed in line with the health system strengthening priorities of the WHO Regional Office for Europe, calling for integrated health services delivery as taken forward in the forthcoming Regional “Framework for Action on Integrated Health Services Delivery.” The guide has been prepared for those seeking to document a description of health services delivery transformations to share technical know-how and lessons learned. In doing so, it aims to contribute to the evidence-base on health services delivery transformations across ...

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May 24, 2016 Europe

Health services delivery: a concept note

In order for health services delivery to accelerate gains in health outcomes it must continuously adapt and evolve according to the changing health landscape. At present, the case for change is a compelling one. However, despite mounting attention put to reforming health services delivery, there remains a persisting lack of consensus on its conceptualization. This paper aims to take stock of the developments in the literature on health services delivery and lessons from the firsthand experiences of countries, viewing clarity on the performance, processes and system dynamics of health services delivery a prerequisite for the rollout, scale-up and sustainability of ...

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May 24, 2016 Europe

Assessing health services delivery performance with hospitalizations for ambulatory care sensitive conditions

This document was published by the WHO Regional Office for Europe and explores means of measuring health system delivery performance. It sets out to review evidence related to ambulatory care sensitive condition hospitalizations (ACSHs) as a proxy indicator of health services delivery (HSD) performance. Based on ACSHs, this review identifies specific vantage points for HSD improvements. Explored concepts and evidence is further operationalized in a guide for country studies on ACSCs.

ACSCs are an example of acute, chronic, or vaccine-preventable conditions that can serve as markers for assessing HSD performance. Examples of ACSCs include chronic obstructive pulmonary disease (COPD), diabetes ...

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May 24, 2016 Global

10 Best resources on… intersectionality with an emphasis on low- and middle-income countries

Intersectionality has emerged as an important framework for understanding and responding to health inequities by making visible the fluid and interconnected structures of power that create them. It promotes an understanding of the dynamic nature of the privileges and disadvantages that permeate health systems and affect health. It considers the interaction of different social stratifiers (e.g. 'race'/ ethnicity, indigeneity, gender, class, sexuality, geography, age, disability/ability, migration status, religion) and the power structures that underpin them at multiple levels. In doing so, it is a departure from previous health inequalities research that looked at these forms of social stratification ...

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May 24, 2016 Global

Community participation for transformative action on women's, children's and adolescents' health

The Global strategy for women's, children's and adolescents' health (2016-2030) recognizes that people have a central role in improving their own health. We propose that community participation, particularly communities working together with health services (co-production in health care), will be central for achieving the objectives of the global strategy. Community participation specifically addresses the third of the key objectives: to transform societies so that women, children and adolescents can realize their rights to the highest attainable standards of health and well-being. In this paper, we examine what this implies in practice. We discuss three interdependent areas for action ...

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May 23, 2016 Africa South-East Asia Europe

Multi-country purchasing study

The international research consortium RESYST (Resilient & responsive Health Systems) has examined healthcare purchasing functions in some low and middle-income countries to identify factors that influence the ability of healthcare purchasers and other key actors to take strategic actions. The countries included in the study are: Kenya, India, Nigeria, South Africa, Tanzania, Thailand and Vietnam.

From a universal health coverage perspective, this research project focus on purchasing of services from healthcare providers. This core function of healthcare financing must be designed and undertaken strategically to promote quality, efficiency, equity and responsiveness in health service provision and, in doing so, purchasing facilitate ...

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May 17, 2016 Europe

GPCC Person-centred care research centre web site

This research centre web site contains a range of information, films, presentations, resources and links; from basic information on person-centred care to information on a wide range of individual research projects from health and elderly care and rehabilitation. It also contains news, events, scientific publications and implementation.

The Gothenburg University Centre for Person-centred Care (GPCC) is an interdisciplinary research centre, established in January 2010, with the support of the Swedish government's strategic investment in health and care research. Uniquely GPCC has evaluated the effects of person-centred care in controlled studies. This has established that person-centred care is capable of ...

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May 17, 2016 Europe

Person-centered care - ready for prime time

Long-term diseases are today the leading cause of mortality worldwide and are estimated to be the leading cause of disability by 2020. Person-centered care (PCC) has been shown to advance concordance between care provider and patient on treatment plans, improve health outcomes and increase patient satisfaction. Yet, despite these and other documented benefits, there are a variety of significant challenges to putting PCC into clinical practice. Although care providers today broadly acknowledge PCC to be an important part of care, in our experience we must establish routines that initiate, integrate, and safeguard PCC in daily clinical practice to ensure that ...

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May 17, 2016 Europe

Health-care improvements in a financially constrained environment

Although the European Council agreed on common values such as good quality, universally accessible care in 1996, those values are now under threat. Health expenditure in all European Union (EU) countries between 1996 and 2013 increased from 7·9% to 9·5% of gross domestic product. There is a need to adapt to a financially constrained environment.

WE CARE is an EU Seventh Framework Programme consortium tasked to propose a research and development roadmap for innovative, cost-contained, quality care. The roadmap should not only consider efficacy from clinical trials but also community effectiveness, including the appropriateness of services provided.

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May 17, 2016 Europe

Person-centred care after acute coronary syndrome, from hospital to primary care - A randomised controlled trial

Highlights

  • Person-centred care in the recovery after an acute coronary syndrome event,
  • Details of a co-created health plan to produce a partnership between patients and health care professionals,
  • The transition of care continuing the partnership from in-hospital care to primary care,
  • Improved self-efficacy by including a partnership compared to standard care alone.

Aim

To evaluate if person-centred care can improve self-efficacy and facilitate return to work or prior activity level in patients after an event of acute coronary syndrome.

Method

199 patients with acute coronary syndrome < 75 years were randomly assigned to person-centred care intervention or treatment as usual and ...

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