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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Aug. 29, 2018 Global

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

Health policy and systems research: the future of the field

Health policy and systems research (HPSR) has changed considerably over the last 20 years, but its main purpose remains to inform and influence health policies and systems. Whereas goals that underpin health systems have endured – such as a focus on health equity – contexts and priorities change, research methods progress, and health organisations continue to learn and adapt, in part by using HPSR. For HPSR to remain relevant, its practitioners need to re-think how health systems are conceptualised, to keep up with rapid changes in how we diagnose and manage disease and use information, and consider factors affecting people’s health ...

July 27, 2018 Africa

Engaging and empowering people and communities, Strengthening governance and accountability, Creating an enabling environment

Priority setting for health in the context of devolution in Kenya: implications for health equity and community-based primary care

Devolution changes the locus of power within a country from central to sub-national levels. In 2013, Kenya devolved health and other services from central government to 47 new sub-national governments (known as counties). This transition seeks to strengthen democracy and accountability, increase community participation, improve efficiency and reduce inequities. With changing responsibilities and power following devolution reforms, comes the need for priority-setting at the new county level. Priority-setting arises as a consequence of the needs and demand for healthcare resources exceeding the resources available, resulting in the need for some means of choosing between competing demands

July 27, 2018 Africa

Strengthening governance and accountability, Creating an enabling environment

Strengthening decentralized primary healthcare planning in Nigeria using a quality improvement model: how contexts and actors affect implementation

Quality improvement models have been applied across various levels of health systems with varying success leading to scepticisms about effectiveness. Health systems are complex, influenced by contexts and characterized by numerous interests. Thus, a shift in focus from examining whether improvement models work, to understanding why, when and where they work most effectively is essential

June 6, 2018 Western Pacific

Engaging and empowering people and communities, Strengthening governance and accountability, Creating an enabling environment

Coordinating Mental and Physical Health Care in Rural Australia: An Integrated Model for Primary Care Settings

The "GP Clinic" providers primary health care to people using community mental health services in a small town in Australia. This article examines the factors that have driven successful integration in this rural location. Integrated physical and mental health service models that focus on building local service provider relationships and are responsive to community needs and outcomes may be more beneficial in rural settings than top down approaches that focus on policies, formal structures, and governance.

June 6, 2018 South-East Asia

Strengthening governance and accountability, Coordinating services within and across sectors, Creating an enabling environment

Aspects of Multicomponent Integrated Care Promote Sustained Improvement in Surrogate Clinical Outcomes: A Systematic Review and Meta-analysis

The implementation of the Chronic Care Model (CCM) improves health care quality. This study examined the sustained effectiveness of multicomponent integrated care in type 2 diabetes. Despite the small effect size of multicomponent integrated care team-based care with better information flow may improve patient-provider communication and self-management in patients who are young, with suboptimal control, and in low-resource settings.

May 24, 2018 South-East Asia

Strengthening governance and accountability, Coordinating services within and across sectors, Creating an enabling environment

International healthcare worker migration in Asia Pacific: International policy responses

The growth of the international migration of health workers in recent decades has taken place in the context of the transnationalisation of healthcare provision as well as of governance and policy responses. This paper examines international policy responses to cross-border health worker migration in the Asia Pacific region. These include multilateral (global and regional) and bilateral policy agreements, policy dialogue, "circular" and key themes of health workforce planning and management.

May 16, 2018 Africa

Engaging and empowering people and communities, Strengthening governance and accountability, Creating an enabling environment

The impact of cash transfers on social determinants of health and health inequalities in sub-Saharan Africa: a systematic review

Cash transfers (CTs) are now high on the agenda of most governments in low-and middle- income countries. Within the field of health promotion, CTs constitute a healthy public policy initiative as they have the potential to address the social determinants of health and health inequalities. A systematic review was conducted to synthesise the evidence on CTs´impacts on social determinants of health and health inequalities in sub-Saharan Africa, and to identify the barriers and facilitators of effective CTs.

April 30, 2018 Global

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

Using Patient Reported Outcomes Measures to Promote Integrated Care

Patient reported outcome measures (PROMs) have been introduced as standardised outcomes, but have not been implemented widely for disease targeted pathways of care, nor for geriatric patients who prefer functional performance and quality of life

April 14, 2018 South-East Asia

Engaging and empowering people and communities, Strengthening governance and accountability, Creating an enabling environment

‘We have the internet in our hands’: Bangladeshi college students’ use of ICTs for health information

Innovations in Information and Communications Technologies (ICTs), and especially mobile health, have been predicted to transform provider-patient relationships through the dissemination of health information, and by encouraging patient autonomy , self-management, and self-care. People´s capacity to access health information is informed by power inequalities in health systems.

April 2, 2018 Africa

Engaging and empowering people and communities, Strengthening governance and accountability, Creating an enabling environment

Assessing the feasibility of community health insurance in Uganda: A mixed-methods exploratory analysis

Community health insurance (CHI) aims to provide financial protection and facilitate health care access among poor rural populations. Given common operational challenges that hamper the full development of the scheme, there is need to undertake systematic feasibility studies. These are scarce in the literature and usually they do not provide a comprehensive analysis of the local context. The present research intends to adopt a mixed-methods approach to assess ex-ante the feasibility of CHI.