IPCHS. Integrated People-Centred Health Services

Contents

Contents tagged: chronic conditions

June 29, 2020 Global Publication

Defining Coordinated Care for People with Rare Conditions: A Scoping Review

To coordinate care effectively for rare conditions, we need to understand what coordinated care means. This review aimed to define coordinated care and identify components of coordinated care within the context of rare diseases; by drawing on evidence from chronic conditions. Coordinated care is multi-faceted and has both generic and context-specific components. Findings can help to develop and eventually test different ways of coordinating care for people with rare and common chronic conditions.

Sept. 28, 2020 Europe Publication

Evaluating Large-Scale Integrated Care Projects: The Development of a Protocol for a Mixed Methods Realist Evaluation Study in Belgium

The twelve Integrated Care Program pilot projects (ICPs) created by the government plan ‘Integrated Care for Better Health’ aim to achieve four outcome types (the Quadruple Aim) for people with chronic diseases in Belgium: improved population health, improved patient and provider experiences and improved cost efficiency. The Belgian plan is based on the model of integrated care by the World Health Organization. The objective of this study is to deliver policy recommendations on strategies and best practices to improve care integration in Belgium and to implement a sustainable monitoring system that serves both policy makers and the stakeholders within the ICPs.

March 17, 2021 Europe Multimedia

Integrated Care in Europe: Keys, Challenges and Best Practices

The innovation center of the city council of Valencia, Las Naves,  in coordination with the Covenant on Demographic Change, organized the event “INTEGRATED CARE IN EUROPE: KEYS, CHALLENGES AND BEST PRACTICES” to spread the knowledge of Integrated Care and its benefits on the elderly.

The catastrophic events of the passed year have led to a neglect of chronic conditions. A decline has been detected in the physical, mental, and emotional health of our older citizens in Europe. Now more than ever, there is a need for an integrated approach to care, shifting the focus from a silo-based approach to social and health care delivery. Within the ValueCare project, the aim is to provide older adults with an intervention focused on value-based integrated care and improve the lives of not only these older participants, but also of their caregivers and the social and medical professionals who treat them.

The webinar organized ...

May 20, 2021 Eastern Mediterranean Publication

Development of a model to deliver primary health care in Qatar

Healthcare providers around the world are seeking to manage the rising burden of chronic conditions against a backdrop of both growing and ageing populations as well as greater expectations of health services. This paper describes the development of an integrated primary care model ‘the family medicine model (FMM)’ to deliver primary healthcare in Qatar to better address some of the healthcare challenges faced. The proposed model is an innovative approach which utilises and integrates these components to deliver holistic primary care. It is anticipated that its introduction will help redesign and integrate the way primary healthcare is delivered to the population of Qatar in helping patients manage their own health and reduce the numbers that need to be admitted to secondary care, improving patients’ independence and well-being as well as dramatically reducing the cost to the overall health system.

Sept. 28, 2022 Americas News

Countries of the Americas Seek to Ensure Uninterrupted Care by Reducing Fragmentation of Health Systems

Ministers of Health of the Region of the Americas agreed on a new policy to address the fragmentation of health systems, a problem that affects the organization, management, and delivery of care in almost the entire Region. The Policy on Integrated Care for Improved Health Outcomes was adopted by the 30th Pan American Sanitary Conference of the Pan American Health Organization (PAHO), which meets this week in Washington, DC.

Nov. 29, 2022 Europe Publication

Examining the knowledge work of person-centred care: Towards epistemic reciprocity

It is increasingly recognised that when healthcare staff fails to give adequate credence to patients' illness-related knowledge work, this epistemic injustice undermines person-centred care. Therefore, we set out to examine the experiences of people with long-term conditions with knowledge work in healthcare settings to identify changes needed to strengthen person-centred primary care.

Highlights

•Qualitative study to explore the knowledge work of person-centred primary care.

•Consultations need broad exploration, reflexive listening and reciprocal enquiry.

•Epistemic reciprocity is needed for clinical consultations to be person-centred.

•Healthcare redesign needs to allow for patient and doctor reflexive knowledge work.

March 17, 2023 Europe Publication

Development of a Person-Centred Integrated Care Approach for Chronic Disease Management in Dutch Primary Care: A Mixed-Method Study

To reduce the burden of chronic diseases on society and individuals, European countries implemented chronic Disease Management Programs (DMPs) that focus on the management of a single chronic disease. However, due to the fact that the scientific evidence that DMPs reduce the burden of chronic diseases is not convincing, patients with multimorbidity may receive overlapping or conflicting treatment advice, and a single disease approach may be conflicting with the core competencies of primary care. In addition, in the Netherlands, care is shifting from DMPs to person-centred integrated care (PC-IC) approaches.

Nov. 7, 2023 Global Publication

Purchasing for quality chronic care: summary report.

Countries are seeking ways to strengthen their financing systems to promote access to quality health services under their commitments to Universal Health Coverage. Chronic conditions account for a large burden of premature mortality, and gaps exist in patient receipt of recommended quality care. The objective of this publication is to describe experiences in purchasing arrangements and payment methods and how they have been used to attain quality of care and health outcomes for chronic conditions.

The publication builds on the existing body of empirical evidence and newly commissioned case studies from Australia, Canada, Chile, China, Germany, Indonesia, South Africa, and Spain to better understand the design of different purchasing arrangements that aim to promote quality for chronic disease care. We identify lessons learned in alignment of payment methods with service delivery models, key design issues in quality and payment, supporting purchasing policies, and monitoring and evaluation. Recognising that no single ...