IPCHS

This growing repository holds WHO documents, scientific publications, policy documents, implementation reports, presentations and others with information and insights about integrated people-centred health services. Share your publication by clicking “Add publication”.

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Dec. 9, 2016 Global

Engaging and empowering people and communities, Reorienting the model of care, Coordinating services within and across sectors

Understanding the role of community hospitals: an analysis of experiences in five countries

A policy focus on moving heathcare closer to people´s homes has led to renewed interest in community hospitals and their potential role in delivering more integrated care at local level, but models and approaches differ across countries.

This study explores the policy drivers behind the implementation or advancement of these models; their function and role within the wider system of service provision; and the degree to which community hospitals contribute to enhanced integration of service delivery and benefit the population.

Dec. 9, 2016 Americas

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

How do we know? An assessment of integrated community case management data quality in four districts of Malawi

The World Health Organization contracted annual data quality assessments of Rapid Access Expansion (RAcE) proyects to review integrated community case management (iCCM) data quality and the monitoring and evaluation (M&E) system for iCCM, adn to suggest ways to improve data quality.

This data quality assessment illuminates where an otherwise strong M&E system for iCCM fails to ensure some aspects of data quality. Prioritizing data management with documented protocols, additional training and approaches to create efficient supervision practices may improve iCCM data quality.

Dec. 2, 2016 Africa

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

Patient-Centered Care and People-Centered Health Systems in Sub-Saharan Africa: Why So Little of Something So Badly Needed?

Patient–centered care (PCC) is increasingly recognized as a key dimension of quality healthcare, but unfortunately remains poorly implemented in practice. This paper explores the current state of PCC in sub-Saharan Africa and potential barriers to its implementation, with a focus on public first line health services. They develop an analytical framework based on expert knowledge, field experience, and a conceptual literature review. Factors contributing to the (lack of) implementation of PCC are structured in three distinct but interacting layers. The first layer encompasses factors that influence and shape the performance of providers. The training of health workers is key ...

Nov. 14, 2016 Global

Engaging and empowering people and communities, Reorienting the model of care, Creating an enabling environment

How a Gender-sensitive Quality Improvement Approach Supports Integrated People-centered Health Services

Clients, family and friends, communities, and health providers are all influenced by the culture they live in and by that culture’s perspectives on gender. To ignore gender is to ignore a vital part of the people and their local context that the WHO framework aims to center. Gender must be considered in order to have truly people-centered health services. A gender-sensitive approach takes the different needs, constraints, and opportunities of women, men, girls, and boys into account and responds to them strategically in program design, implementation, and evaluation. By considering and responding to these differences, health services are more ...

Nov. 14, 2016 Europe

Engaging and empowering people and communities, Reorienting the model of care

Strengthening the model of primary health care in Estonia (2016)

Faced with increasing rates of chronic conditions, multi-morbidities and a growing elderly population, strengthening the primary health care model in Estonia is of critical importance. Moreover, recent health system reviews have signalled with clear consensus the importance of reviewing the organization of primary care to best respond to population and individual health needs.

In this context and backed by the available evidence, this assessment sets out to explore the organization of primary care looking to three key interrelated policy questions:

How can a population approach be adopted, with consideration in particular to the existing health information system?
What are the ...

Nov. 11, 2016 Americas

Reorienting the model of care

Zero to 50,000 — The 20th Anniversary of the Hospitalist

Twenty years ago, were describe the emergence of a new type of specialist that is called a "Hospitalist". Since then, the number of hospitalists has grown from a few hundred to more than 50.000- making this new field substantially larger than any subspecialty of internal medicine, about the same size as pediatrics, and in fact larger than any specialty except general internal medicine and family medicine. Approximately 75% of U.S hospitals, including all highly ranked academic health centers, now have hospitalists. The field´s rapid growth has both reflected and contributed to the evolution of clinical practice over ...

Nov. 11, 2016 Americas

Coordinating services within and across sectors, Creating an enabling environment

Early Performance of Accountable Care Organizations in Medicare

In the Medicare Shared Savings Program (MSSP), accountable care organizations (ACOs) have financial incentives to lower spending and improve quality. In this article they used quasi-experimental methods to assess the early performance of MSSP and ACOs. In the conclusions they found that the first full year of contracts MSSP was associated with reductions in Medicare Early pass between the 2012 participants but not among the 2013 participants. Economies higher in primary care groups independent groups in integrated hospitals.

Nov. 11, 2016 Americas

Strengthening governance and accountability, Coordinating services within and across sectors

Changes in Low-Value Services in Year 1 of the Medicare Pioneer Accountable Care Organization Program

Wasteful practices are widespread in the US health care system. It is unclear if payment models intended to improve health care efficiency, such as the Medicare accountable care organization (ACO) programs, discourage the provision of low-value services. So the objective in this study is to assess whether the first year of the Medicare Pioneer ACO program was associated with a reduction in use of low-value services.

Nov. 11, 2016 Europe

Strengthening governance and accountability, Reorienting the model of care, Creating an enabling environment

New care models. Emerging innovations in governance and organisational form

Because the vanguards have shown just how important is to build collaborative relationships between the organisations and leaders involved in developing new care models as well as the technical elements; This report looks at the different approaches being taken by MCP (multispecialty community provider) and PACS (primary and acute care system) vanguards to contracting, governance and other organisational infrastructure. It focuses on development at five sites: Dudley, Sandwell and West Birmingham, Salford; Northumberland; and South Somerset.

Nov. 11, 2016 Europe

Coordinating services within and across sectors, Creating an enabling environment

Co-Leadership – A Management Solution for Integrated Health and Social Care

Because of teh Co-leadership has been identified as one approach to meet the managerial challenges of integrated services, but research on the topic is limited, the aim of the present study is to investigate co-leadership in integrated health and social care, identify essential preconditions in fulfilling the management assignment, its operationalization and impact on provision of sustainable integration of health and social care.