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”.

July 5, 2017 Americas

What do we mean when we talk about the Triple Aim? A systematic review of evolving definitions and adaptations of the framework at the health system level

Notwithstanding important contributions of the Triple Aim, uncristal enthusiasm regarding the implications of the framework may be leading to  inconsistent use, particularly when apploed at the health system level, which goes beyond he original positioning of the framework as a strategic organizing principle to guide improvement initiatives at the organizational or local community level. This article identified uses of the Triple Aim that extended beyond its original intention to focus on uses at the whole health system level, to assess convergence and divergence with the original definition. They also attempted to identify consistencies in the way the Triple Aim was ...

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July 4, 2017 South-East Asia

Partnerships in mental healthcare service delivery in low-resource settings: developing an innovative network in rural Nepal

Mental illnesess are the largest contributors to the global burden of non-communicable diseases. However, there is extremly limited access to high quality, culturally-sensitive, and contextually-appropriate mental healthcare services. This situation persists despite the availability of interventions with proven efficacy to improve patient outcomes. A partnerships network is necessary for successful program adaptation and implementation

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July 4, 2017 Africa

Integration of community home based care programmes within national primary health care revitalisation strategies in Ethiopia, Malawi, South-Africa and Zambia: a comparative assessment

In 2008, the WHO facilitated the primary health care (PHC) revitalisation agenda. The purpose was to strengthen African health systems in order to address communicable and non-communicable diseases. The aim of this study was to assess the position of civil society-led community unity home based care programmes (CHBC), which serve the needs of patients with HIV, within this agenda. It examined how their roles and place in health systems evolved, and the prospects for these programmes in national policies and strategies to revitalise PHC, as new health care demands arise. 

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July 4, 2017 Americas Western Pacific

“On the Margins and Not the Mainstream": Case Selection for the Implementation of Community based Primary Health Care in Canada and New Zealand

Healthcare system reforms are pushing beyond primary care to more holistic, integrated models of community based primary health care (CBPHC) to better meet the needs of the population. In order to scale up and spread successful models of care it is important to study what works and why. The first step is to select "appropiate" cases to study. In this commentary, this study reflect the difficulty in identifying "successful" models to study, the value of drawing on clinical and organisational networks and experts, and the association between policy context and ease of case selection. Such insights have important implications for ...

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July 4, 2017 Western Pacific

The Vanguard of Community-based Integrated Care in Japan: The Effect of a Rural Town on National Policy

Japan has the largest percentage of elderly people in the world. In 2012 the government implemented a community-based integrated care system which provides seamless community helahtcare resources for elderly people with chronic diseases and disabilities. This paper explains the establishment and outcomes of Japan´s first community-based integrated care system in the rural town because the history of Mitsugi could inform policy making in other countries with aging populations. 

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July 4, 2017 Europe

Exploring Integration of Care for Children Living with Complex Care Needs Across the European Union and European Economic Area

The United Nations Convention on the Rights of the Child (to which all european Union (EU) and European Economic Area (EEA) Member States are signatories) defines the highest attainable standard of healthcare as a fundamental right of every child. This study is embedded in the various peculiarities of national healthcare systems and the ethical and legal concerns bound to the sharing of child health data, being his aim to report on the development of surveys to explore integration of care for children living with complex needs across the European Union (EU) and European Economic Area (EEA)

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July 4, 2017 Europe

Case Management for Patients with Complex Multimorbidity: Development and Validation of a Coordinated Intervention between Primary and Hospital Care

In the past few years, healthcare systems have been facing a growing demand related to the high prevalence of chronic diseases. Case management programs have emerged as an integrated care approach for the management of chronic desease. Nevertheless, there is little scientific evidence on the impact of using case management program for patients with complex multimorbidity regarding hospital resource utilisation. 

This study tested wheter improved continuity of care resulting from the integration of community-based and hospital services reduced the use of hospital resources amongst patientes with complex multimorbidity. 

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July 1, 2017 Global

The Effective Use of Psychiatric Mental Health Nurses in Integrated Care: Policy Implications for Increasing Quality and Access to Care

In the last ten years primary care providers have been encouraged to implement integrated models of care where individuals' medical and mental health needs are addressed holistically. Many integrated models use Psychiatric Mental Health (PMH) nurses as case managers and select exemplars use PMH Advanced Practice Nurses (APNs) as providers. However, the potential value of PMH nurses in integrated health care remains unrealized by health care planners and payers, limiting access to services for the populations most in need of comprehensive care approaches. This current situation is partially fueled by insufficient knowledge of the roles and skill sets of PMH ...

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July 1, 2017 Europe

The Impact of Integrated Psychological Services in a Safety Net Primary Care Clinic on Medical Utilization

The integration of phychological and behavioral health services into safety net primary care clinics has been viewed as a step toward reducing disparities in mental health treatment and addressing behavioral factors in chronic diseases. Though it is posited that integrated behavioral health (IBI) reduces preventable medical costs, this premise has yet to be tested in a safety net primary care clinic. 

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July 1, 2017 Europe

Hospital-at-home Integrated Care Programme for the management of disabling health crises in older patients: comparison with bed-based Intermediate Care

This study analysed the clinical impact of a home-based intermediate Care model in the Catalan health system, comparing it with usual bed-based care to check if the extended CGA-based hospital-at-home programme has an association with shorter stay and favourable clinical outcomes and if is needed to do studies to test this intervention to the whole Catalan integrated care system. 

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