July 5, 2017 Americas Publication

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 adapted for different contexts and settings. 

July 19, 2017 Global Publication

A new paradigm on health care accountability to improve the quality of the system: four parameters to achieve individual and collective accountability

Healthcare systems the world over are facing significant financial pressures and growing demands for services. Many nations have therefore set common goal of improving the population´s health, the quality of the outcomes, and the containment of costs. So, these changes in the health care systems´priorities have set the ground for an interdisciplinary approach necessary to assess the activities of health care professionals and, in general, of health care systems. 

July 19, 2017 Americas Publication

Lessons from Brazil: on the difficulties of building a universal health care system

A number of developing countries that are often referred to as emerging economies have turned their attention to addressing their public health issues in more comprehensive and systematic ways. While the trajectory of this particular initiative and similar ones elsewhere is yet to be determined, the aim of this piece is to draw some lessons from an emerging economy that, for contingent historical and political reasons, started building a universal public health care system earlier: Brazil. The key argument offered from the Brazilian experience is that building a robust public health care system based on the principles of universality and equity is a challenge of a political economy nature and one that ought to be met at multiple levels simultaneously. 

July 19, 2017 Europe Publication

Health care on equal terms? Assessing horizontal equity in health care use in Northern Sweden

The Swedish health care system has successively moved toward increased market-orientation, which has raised concerns as to whether Sweden still offers health on equal terms. To explore this issue, this study aimed to assess if the principleas of horizontal equity (equal access for equal need regardless of socio-economic factors) are met in Nrothern sweden 2006-14; and to explore the contribution of different factors to the inequalities in access along the same period. 

July 25, 2017 Europe Publication

The degree of integration of non-dispensing pharmacists in primary care practice and the impact on health outcomes: A systematic review

A non-dispensing pharmacist conducts clinical pharmacy services aimed at optimizing patients individual pharmacotherapy. Embedding a non-dispensing pharmacist in primary care practice enables collaboration, probably enhancing patient care. The degree of integration of non-dispending pharmacists into multidisciplinary health care teams varies strongly between settings. The degree of integration may be a determinant for its success. This study investigates how the degree of integration of a non-dispensing pharmacist impacts medication related health outcomes in primary care. 

Dec. 3, 2017 Global Publication

Integrated care: learning between high-income, and low- and middle-income country health systems

Integration is a challenging concept to define, in part because of its multiple dimensions and varied scope: from integrated clinical care for individual patients to broader systems integration- or linkage-involving wide range of interconnected services. This commentary compares integrated care in high-and lower- income countries. Although contexts may differ significantly between these settings, there are many common features of how integration has been understood and common challenges in its implementation

July 23, 2018 Europe Publication

Management of multimorbidity using a patient-centred care model: a pragmatic cluster-randomised trial of the 3D approach

The management of people with multiple chronic conditions challenges health-care systems designed around single conditions. There is international consensus that care for multimorbidity should be patient-centred, focus on quality of life, and promote self-management towards agreed goals. However, there is little evidence about the effectiveness of this approach. The article´s hypothesis was that the patient-centred, so-called 3D approach (based on dimensions of health, depression, and drugs) for patients with multimorbidity would improve their health-related quality of life, which is the ultimate aim of the 3D intervention.

July 27, 2018 Africa Publication

Strengthening decentralized primary healthcare planning in Nigeria using a quality improvement model: how contexts and actors affect implementation

Quality improvement models have been applied across various levels of health systems with varying success leading to scepticisms about effectiveness. Health systems are complex, influenced by contexts and characterized by numerous interests. Thus, a shift in focus from examining whether improvement models work, to understanding why, when and where they work most effectively is essential

Feb. 1, 2019 Western Pacific Publication

Understanding the determinants of public trust in the health care system in China: an analysis of a cross-sectional survey

Despite increasing research attention on public trust in health care systems, empirical evidence on this topic in the developing world is limited and inconclusive. This paper examines the level and determinants of public trust in the health care system in China where the findings suggest that low public trust in China’s health care system is a potential problem. Improving health care experiences may be the most practical and effective way of improving trust in the health care system in China.

Nov. 18, 2019 Americas Publication

Multiple Perspectives Analysis of the Implementation of an Integrated Care Model for Older Adults in Quebec

Integrated care models for older adults are increasingly utilised in healthcare systems to overcome fragmentations. Several groups of stakeholders are involved in the implementation of integrated care. The aim of this study is to identify the main concerns, convergences and divergences in perspectives of stakeholders involved in the implementation of a centralised system-wide integrated care model for older adults in Quebec.

May 11, 2020 Americas Publication

After COVID-19—Thinking Differently About Running the Health Care System

The US response to the COVID-19 pandemic highlights several strategies that should be emphasized more in the management of the health care system. These strategies include using waivers to boost federalism, reconsidering the role of hospitals and other institutions as hubs for care, expanding the use of telehealth, and bringing together funds from multiple programs to improve the delivery of health care and health-related services. The urgent steps that have been taken to make the health care system more flexible and innovative during the COVID-19 pandemic should not be forgotten once the crisis is over. Many of these steps need to be become central features of the health care system.

Jan. 15, 2021 Europe, Global Event

EHMA value-based primary care executive workshop

The European Health Management Association (EHMA) is hosting a two-day executive workshop on value-based primary care, on 15-16 February 2021. The workshop will discuss the latest frameworks and experiences on how primary care is evolving in the ever-changing healthcare systems and how services/management adapted to take into consideration the new reality created by COVID-19.

Comparison of experiences from different countries will be discussed, with a specific focus on the Catalan case of CASAP and the Italia Lombardy Region reform based on proactive population health management, Chronic Related Groups (CReGs) and individual care contracts.

Save a spot, participate in the interactive workshop and collaborate with healthcare professionals at all levels within health systems and primary care sector.

Programme and further information

Feb. 24, 2022 Europe Publication

What Makes Integration of Chronic Care so Difficult? A Macro-Level Analysis of Barriers and Facilitators in Belgium

Although many countries have been implementing integrated care, the scale-up remains difficult. Macro-level system barriers play an important role. By selecting three key policies, which have implemented integrated care in Belgium over the last 10 years, we aim to go beyond the identification of their specific barriers and facilitators to obtain an overarching generic view.

March 9, 2023 Western Pacific Publication

What are the Clinical and Social Outcomes of Integrated Care for Older People? A Qualitative Systematic Review

Older people with multiple chronic conditions have most to gain from successful integrated care models but there is a need to understand current evidence of outcomes for older people.