IPCHS. Integrated People-Centred Health Services

Contents

Contents tagged: organization of care

Jan. 21, 2020 Americas Publication
Engaging and empowering people and communities, Coordinating services within and across sectors, Creating an enabling environment

Primary Health Care That Works: The Costa Rican Experience

Long considered a paragon among low- and middle-income countries in its provision of primary health care, Costa Rica reformed its primary health care system in 1994 using a model that, despite its success, has been generally understudied: basic integrated health care teams. This case study provides a detailed description of Costa Rica’s innovative implementation of four critical service delivery reforms and explains how those reforms supported the provision of the four essential functions of primary health care: first-contact access, coordination, continuity, and comprehensiveness. As countries around the world pursue high-quality universal health coverage to attain the Sustainable Development Goals, Costa Rica’s experiences provide valuable lessons about both the types of primary health care reforms needed and potential mechanisms through which these reforms can be successfully implemented.

organization of care, mortality, middle-income countries, health, delivery reform, public health, acces to care, universal health coverage, decentralization, multidisciplinary teams, population, primary health care reform, systems of care clinics
April 8, 2020 Global 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

Innovative Integrated Health And Social Care Programs In Eleven High-Income Countries

High-income countries face the challenge of providing effective and efficient care to the relatively small proportion of their populations with high health and social care needs. Recent reports suggest that integrated health and social care programs target specific high-needs population segments, coordinate health and social care services to meet their clients’ needs, and engage clients and their caregivers. We identified thirty health and social care programs in eleven high-income countries that delivered care in new ways. We used a structured survey to characterize the strategies and activities used by these programs to identify and recruit clients, coordinate care, and engage clients and caregivers. We found that there were some common features in the implementation of these innovations across the eleven countries and some variation related to local context or the clients served by these programs. Researchers could use this structured approach to better characterize the core components of innovative integrated ...

addiction, caregivers, global health, home care, integrating social services & health, mental health, organization of care, populations, primary care, primary care providers, serious mental illness, shared decision making