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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Oct. 22, 2018 Europe

Engaging and empowering people and communities, Coordinating services within and across sectors, Creating an enabling environment

Patient vs. Community Engagement: Emerging Issues

The value proposition of including patients at each step of the research process is that patient perspectives and preferences can have a positive impact on both the science and the outcomes of comparative effectiveness research. How to accomplish engagement and the extent to which approaches to community engagement inform strategies for effective engagement need to be examined to address conducting and accelerating comparative effectiveness research.
The objective was to examine how various perspectives and diverse training lead investigators and patients to conflicting positions on how best to advance engagement.

Oct. 2, 2018 Europe

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

A year of integrated care systems: Reviewing the journey so far

Where once the primary purpose of the health and care system was to provide
episodic treatment for acute illness, it now needs to deliver joined-up and proactive support for growing numbers of older people and people living with long-term conditions and complex needs.
In March 2017, NHS England set out an ambition to ‘use the next several years to make the biggest national move to integrated care of any major western country’. This aim is now being pursued through the development of sustainability and transformation partnerships (STPs) – local ‘place?based’ partnerships of NHS and local authority organisations. The most advanced ...

Sept. 21, 2018 Europe

Strengthening governance and accountability, Creating an enabling environment

Strengthening the public health workforce: An estimation of the long-term requirements for public health specialists in Serbia

At the beginning of the 21st century, planning the public health workforce requirements came into the focus of policy makers. The need for improved provision of essential public health services, driven by a challenging non-communicable disease and causes of death and disability within Serbia, calls for a much needed estimation of the requirements of the public health professionals. Mid and long-term public health specialists’ supply and demand estimations out to 2025were developed based on national staffing standards and regional distribution of the workforce in public health institutes of Serbia

Sept. 21, 2018 Europe

Coordinating services within and across sectors, Creating an enabling environment

Equity in access to care in the era of health system reforms in Turkey

The aim of this study was to evaluate access to healthcare from an equity perspective on the way toward Universal Health Coverage in Turkey. In order to The country representative data from 2006 to 2013 Turkey Income and Living Conditions Surveys were analyzed. Private household residents aged fifteen and older were asked for self-reported unmet need for medical care in the past twelve months.

Aug. 29, 2018 Europe

Reorienting the model of care, Creating an enabling environment

The Core Dimensions of Integrated Care: A Literature Review to Support the Development of a Comprehensive Framework for Implementing Integrated Care

As part of the EU-funded Project INTEGRATE, the research sought to develop an evidence-based understanding of the key dimensions and items of integrated care associated with successful implementation across varying country contexts and relevant to different chronic and/or long-term conditions. This paper identifies the core dimensions of integrated care based on a review of previous literature on the topic

Aug. 28, 2018 Europe

Engaging and empowering people and communities, Creating an enabling environment

Understanding new models of integrated care in developed countries: a systematic review

The NHS has been challenged to adopt new integrated models of service delivery that are tailored to local populations. Evidence from the international literature is needed to support the development and implementation of these new models of care. So, the aim of this study aimed to carry out a systematic review of international evidence to enhance understanding of the mechanisms whereby new models of service delivery have an impact on health-care outcomes

July 23, 2018 Europe

Engaging and empowering people and communities, Creating an enabling environment

Management of multimorbidity using a patient-centred care model: a pragmatic cluster-randomised trial of the 3D approach

The management of people with multiple chronic conditions challenges health-care systems designed around single conditions. There is international consensus that care for multimorbidity should be patient-centred, focus on quality of life, and promote self-management towards agreed goals. However, there is little evidence about the effectiveness of this approach. The article´s hypothesis was that the patient-centred, so-called 3D approach (based on dimensions of health, depression, and drugs) for patients with multimorbidity would improve their health-related quality of life, which is the ultimate aim of the 3D intervention.

July 18, 2018 Europe

Coordinating services within and across sectors, Creating an enabling environment

Barriers and Facilitators to Workforce Changes in Integrated Care

Health systems are faced with an ageing population and an increase in chronic conditions. These challenges require more appropriate approaches than the current largely single-disease and acute-care focussed health care systems. Integrated care is seen as one of the most promising of these approaches by targeting the health system, patient-provider relationships, care process design, communication infrastructures, community resources, and how care is delivered by health professionals. The aim of the study is to investigate the barriers and facilitators to the implementation of workforce changes implemented as part of integrated chronic care interventions.

July 2, 2018 Europe

Engaging and empowering people and communities, Coordinating services within and across sectors, Creating an enabling environment

The patient perspective in health care networks

Health care organization is entering a new age. Focus is increasingly shifting from individual health care institutions to interorganizational collaboration and health care networks. Much hope is set on such networks which have been argued to improve economic efficiency and quality of care. However, this does not automatically mean they are always ethically justified. A relevant question that remains is what ethical obligations or duties one can ascribe to these networks especially because networks involve many risks. Due to their often amorphous and complex structure, collective responsibility and accountability may increase while individual responsibility goes down

May 9, 2018 Europe

Engaging and empowering people and communities, Creating an enabling environment

Making sense of integrated care systems, integrated care partnerships and accountable care organisations in the NHS in England

NHS England has recently changed the name of accountable care systems to integrated care systems, which describes more accurately the work being done in the 10 areas of England operating in this way. These updated long read looks at work under way in these systems and at NHS England´s proposals for an accountable care organization contract