IPCHS

Contents tagged: centralization

June 24, 2016 Europe Practice

Strengthening governance and accountability, Creating an enabling environment

Developing an integrated e-health system in Estonia

A system-wide electronic health information system was introduced by the government and a national e-health foundation was established to guide change; development of e-health aligned with a broader government information strategy, enabling change and motivating necessary political support; early introduction of legislation provided a clear framework for activities and the Estonian Health Information System Development Plan 2005–2008 mapped out the change process; legislation coupled with aligned incentives encouraged widespread uptake of e-health by providers; partnerships with the private sector, universities and research organizations helped drive innovation; features of the electronic system (including electronic medical records, digital imaging, e-prescriptions and a patient portal) were gradually introduced and use of the system is now mandatory for providers.

centralization, e-health, integrated information system, national legislation, private partnerships

Aug. 30, 2016 Europe Practice

Strengthening governance and accountability, Reorienting the model of care, Creating an enabling environment

Establishing a unified emergency medical service in Latvia

Latvia’s 39 separate emergency service organizations were merged to form the single, centralized State Emergency Medical Service; implementing a unified structure for the provision of prehospital emergency medical services reduced fragmentation, standardized care and improved the coordination of services; formalizing provider training and education embedded new practices as the professional norm and helped ensure high-quality care delivery according to the guidelines in place; strong national leadership, along with a clear narrative and communication plan, helped gain stakeholder support for the initiative; widespread population support was secured by making services available free of charge.

centralization, emergency medical services, performance monitoring, rural communities, standardization

Sept. 7, 2016 Europe Practice

Engaging and empowering people and communities, Strengthening governance and accountability, Coordinating services within and across sectors

Establishing a Gerontology Coordination Centre to improve care for the elderly in Monaco

The Ministry of Health and Social Affairs opened the Gerontology Coordination Centre as a dedicated resource to support and provide services to elderly people aged 60 years and over; Monaco's small geographic and population size lent itself to a centralized approach. The initiative created a hub for the coordination of multiple aspects of health and social care for the elderly; services offered by the Centre are holistic, integrated, tailored to individual needs and place strong emphasis on supporting patients’ independence. Comprehensive geriatric assessments evaluating physical, mental and social needs are now available to all people aged 60 years and over; data collection performed by the Centre provides information on emerging needs within the elderly population, enabling data-driven policy responses.

centralization, elderly, health and social care, multidisciplinary team, personalized health assessments

Aug. 25, 2020 South-East Asia Publication

Strengthening governance and accountability, Reorienting the model of care, Coordinating services within and across sectors

COVID-19 care in India: the course to self-reliance

Many times we think of the integration of health systems as an urgent need. However, there are cases (and realities) where it is necessary to centralize to homogenize the action in the face of a crisis such as the SARS-CoV2 pandemic. The public health response to COVID-19 in India has been highly centralised, resulting in a homogenous strategy applied across a sixth of the world’s population.

covid-19, integrated systems, integration, primary care, central management, centralization, health systems, over-population