IPCHS

Contents tagged: integrated delivery systems

July 28, 2016 Americas Publication

Strengthening governance and accountability, Coordinating services within and across sectors

Barriers to healthcare coordination in market-based and decentralized public health systems: a qualitative study in healthcare networks of Colombia and Brazil

Although integrated healthcare networks (IHNs) are promoted in Latin America in response to health system fragmentation, few analyses on the coordination of care across levels in these networks have been conducted in the region. The aim is to analyse the existence of healthcare coordination across levels of care and the factors influencing it from the health personnel' perspective in healthcare networks of two countries with different health systems: Colombia, with a social security system based on managed competition and Brazil, with a decentralized national health system. A qualitative, exploratory and descriptive-interpretative study was conducted, based on a case study of healthcare networks in four municipalities. Individual semi-structured interviews were conducted with a three stage theoretical sample of (a) health (112) and administrative (66) professionals of different care levels, and (b) managers of providers (42) and insurers (14). A thematic content analysis was conducted, segmented by cases, informant groups and themes ...

brazil, care coordination, care integration, colombia, decentralization, integrated delivery systems, managed competition, qualitative research

March 10, 2020 Europe Publication

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

Portugal - Country case study on the integrated delivery of long-term care (2020)

This report describes the current state of the delivery of health and social long-term care services in Portugal. The country has advanced the policy framework to achieve integrated services delivery. However, fragmentation in the governance, funding and delivery renders the long-term care system inequitable and inefficient. The main policy pointers to further advance integration include consolidating pathways and care transitions, promoting joint training and multi-profile teams and addressing the shortage of human resources, migration and working conditions.

women s health services, portugal, long-term care, integrated delivery systems, health services for the aged, caregivers

April 20, 2020 Europe Publication

Engaging and empowering people and communities, Strengthening governance and accountability, Reorienting the model of care, Coordinating services within and across sectors, Creating an enabling environment

Germany - Country case study on the integrated delivery of long-term care (2020)

This report describes the provision of long-term care in Germany, with an emphasis on identifying efforts to foster the integrated delivery of services. There is mandatory statutory or private long-term care insurance for the entire population; eligibility for long-term care is open to people with any restricted competencies in daily life. Long-term care encompasses cash benefits, benefits in kind or residential care. Health expenditure is high, and coordination of care across ambulatory, hospital, rehabilitative and long-term care remains a challenge. Although the system performs well by several measures, strengthening the role of general practitioners and primary care could result in reduction in amenable mortality and preventable hospitalization while fostering integration of care and case management in long-term care.

caregivers, germany, health services for the aged, integrated delivery systems, long-term care, women s health services

April 21, 2020 Europe Publication

Romania - Country case study on the integrated delivery of long-term care (2020)

This report describes the main findings and policy pointers of an assessment of the current conditions of integrated delivery of long-term health and social services in Romania. The country has advanced in enacting legislation to regulate the provision of long-term care. Service provision is limited to social services, whereas the health component is not defined by law. The current provision of long-term care is insufficient, services are fragmented and there are no defined pathways of care. The system relies heavily on families to provide care, but services for unpaid caregivers are underdeveloped. There is an acute shortage of workers, caused by migration of workers to other European countries.

caregivers, germany, health services for the aged, integrated delivery systems, long-term care, romania, women s health services

Feb. 14, 2023 Europe Publication

Integrated Care in Switzerland: Strengths and Weaknesses of a Federal System

Switzerland’s fragmented healthcare system mirrors its federal structure and mix of cultures and languages. Although the Swiss have a higher life expectancy than most of their neighbours, their healthcare system faces similar challenges that call for more integrated care (IC). This article aims to provide insight into the specificities of and latest developments in Switzerland’s healthcare system and how they may have influenced the development and implementation of IC there.

health policies, healthcare systems, integrated delivery systems, mesh, political systems, switzerland