People-centred and integrated health services: an overview of the evidence

This Interim Report accompanies the World Health Organization (WHO) global strategy on people-centred and integrated health services, by presenting some of the evidence on strategies to implement people-centred and integrated health services. It presents a number of case studies and the evidence on the benefits that people-centred and integrated care can bring to people, communities and countries.

The interim WHO global strategy discusses the five strategic directions towards people-centred and integrated health services and looks at the different approaches used to achieve them. It looks at examples from around the world, in differing country contexts, and identifies some models of good practice and lessons learnt. It further considers some of the issues involved in leading and managing change in the health sector, and how to measure success and build learning into the process.

The interim WHO global strategy went throuh global consultations and was reviewed and re-published under the name ...

Lessons from transforming health services delivery: Compendium of initiatives in the WHO European Region

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 compelling. In the context of both new challenges and opportunities, initiatives to transform services delivery across the WHO European Region has emerged. This Compendium demonstrates the diversity in activity, describing examples of health services delivery transformations from each Member State in the Region. The initiatives vary greatly in their scope and stages of implementation, from early changes to initiatives at-scale. When taken together, these examples offer unique insights for setting-up, implementing and sustaining transformations. A summary of 10 lessons learned attempts to synthesize key findings and consolidate insights derived from experiences.

Integrated Healthcare Systems Response Strategies Based on the Luohu Model During the COVID-19 Epidemic in Shenzhen, China

COVID-19 has affected primary health-care delivery in metropolitan areas. An integrated health-care system offers advantages in response to the community outbreak and transmission of highly infectious diseases.

On the basis of practitioner experience with a pioneering integrated health-care system in Shenzhen, China, this article presents the following effective strategies in response to the epidemic: (1) enhance the public workforce in primary health care; (2) integrate resources to allow regional sharing and efficient use; (3) employ teams centered on general practitioners for community containment; and (4) adopt e-health and telemedicine for healthcare delivery.

An integrated health-care system is usually very specific to a particular regional context; however, the core strategies and mechanisms based on the Luohu model can contribute to improving the public health capacity in emergency responses; they can transform health-care delivery in the COVID-19 epidemic.

The experience in Shenzhen may help other cities in enhancing and coordinating the preparedness ...

Skill-mix Innovation, Effectiveness and Implementation: Improving Primary and Chronic Care

What are skill-mix innovations and why are they relevant? This systemic analysis of health workforce skill-mix innovations provides an overview of the evidence and lessons for implementation across multiple countries.

The authors focus on six core segments of health systems: health promotion and prevention, acute care, chronic care, long-term and palliative care, as well as access for vulnerable groups and people living in underserved areas.