IPCHS. Integrated People-Centred Health Services

Contents

Contents tagged: integrated delivery of health care

May 24, 2016 Europe Publication

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 reforms. Through a mixed-methods approach, evidence from existing frameworks and tools for measuring services delivery, country case examples and commissioned papers have been reviewed around three key questions: what are the outcomes of health services delivery? How can the health services delivery function be defined? And, how do other health ...

May 24, 2016 Europe Publication

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 the WHO European Region. The process of developing profiles is described according to five steps: defining the initiative; preparing the logistics; collecting the evidence; analysing the findings; and finalizing the profile.

May 24, 2016 Europe Publication

Presentation on the European Framework for Action on Integrated Health Services Delivery

This presentation from the WHO Regional Office for Europe sets out the four key domains of the European Framework for Action on Integrated Health Services Delivery: people, services, system and change. It was delivered during the 2-day final consultation of the Framework that took place in Copenhagen, Denmark on 2-3 May 2016. Over 170 participants debated the specificities of transforming health service delivery.

WHO/ Europe is developing the Framework for Action on Integrated Health Services Delivery for the European Region. The Framework’s goal is to support countries with policy options and recommendations that target key areas for strengthening the coordination/integration of health services.

The event marked the final step in the development of the Framework. The process was launched by the Regional Director in 2013 and has brought together leading experts in the field, and involved exchanges of background material, technical consultations and peer review of early drafts ...

June 30, 2016 Europe Publication

Supporting integration through new roles and working across boundaries

In 2015, The King’s Fund was commissioned by NHS Employers and the Local Government Association to produce an independent report on boundary-spanning roles to support integrated care. The work aimed to identify examples of new roles being developed and an understanding of the evidence to support these roles, including impact, features of success and key challenges.

The key findings of the report are: 

  • Where new roles have emerged, they have mainly done so due to developments in practice or to fill gaps in provision.
  • There is a lack of evidence on the cost-effectiveness of new roles and the extent to which they improve patient outcomes.
  • There are a number of ways in which integrated care is being delivered without the explicit need for new boundary-spanning roles.
  • Engaging staff from the outset and building on the existing skills of the workforce can overcome cultural barriers between professionals and organisations to ...

Aug. 30, 2017 Americas Publication

Organizational Context and Capabilities for Integrating Care: A Framework for Improvement

Interventions aimed at integrating care have become widespread in healthcare; however, there is significant variability in their success. Differences in organizational contexts and associated capabilities may be responsible for some of this variability. 

June 15, 2020

Integrated delivery and continuity of care in times of crisis

Ensuring continuity of care in response to the Covid-19 crisis has been a key issue for public health and social care services across Europe. Whilst the implementation of local partnerships for integrated care delivery have been identified as a success factor, in many cases the reality on the ground has been one of a fragmented market. One, where providers of home care, residential care and supported living have been under pressure due to the lack of protective equipment, the fear of infection, and a reduction in the number of professionals.

Still a fragmented un-resourced system

In light of the Covid-19 crisis, care services have been reaping a bitter harvest of years of failure to invest adequately in public health and social care systems. While older people’s care services have been affected across Europe, the situation has been particularly difficult in two countries: the UK and Spain.

In Spain, the ...

Dec. 2, 2020 Europe Event

IFIC Scotland Webinar: Digitally enabled Care Pathways. Integrated Care Matters

 

The International Foundation for Integrated Care’s report, Realising the true value of integrated care describes the steps we must take to create a radically different future beyond COVID-19. The report is a powerful call to reset our compass to a new reality based on solidarity and collaboration for population health.

IFIC Scotland and partners explore this new future in series 5 of their Integrated Care Matters webinars. Guest panelists, members of IFICs international Special Interest Groups, will share their experiences and insights and challenge us to design a better future that improves lives and opportunities for all. 

The final webinar of 2020 in the Integrated Care Matters series 5 will discuss digitally enabled care pathways. All who register will receive links to the recordings and topic resources.

 

Additional information and guest panelists

Feb. 9, 2021 South-East Asia, Western Pacific Publication

Elements and Performance Indicators of Integrated Healthcare Programmes on Chronic Diseases in Six Countries in the Asia-Pacific Region: A Scoping Review

Globally, hospital-based healthcare models targeting acute care, are not effective in addressing chronic conditions. Integrated care programmes for chronic diseases have been widely developed and implemented in Europe and North America and to a much lesser extent in the Asia-Pacific region to meet such challenges.

This scoping review aims to examine the elements of programmes identified in the literature from select study countries in the Asia-Pacific, and discuss important facilitators and barriers for design and implementation.

June 27, 2022 Global Publication

Integrated Maternal Care Strategies in Low- and Middle-Income Countries: A Systematic Review

Ineffective organisation of care leads to increased morbidity and mortality in neonates and their mothers. We aimed to identify and describe strategies used in low- and middle-income countries that attempt to deliver coherent, coordinated, and continuous services (i.e., integrated care) and how the various strategies affect the organisation of care.