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”.

Filters:

Oct. 22, 2018 Europe

Coordinating services within and across sectors, Creating an enabling environment

Does the Patient-centered Medical Home Model Change Staffing and Utilization in the Community Health Centers?

Few studies have looked under the hood of practice redesign to understand whether and, if so, how staffing changed with the adoption of patient-centered medical home (PCMH), and whether these staffing changes impacted utilization. So the objective of this article was to examine the workforce transformation occurring in community health centers that have achieved PCMH status, and to assess the relationship of those changes to utilization, as measured by the number of visits.

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. 10, 2018 South-East Asia

Engaging and empowering people and communities, Coordinating services within and across sectors

Sharing public health data and information across borders: lessons from Southeast Asia

The importance of data and information sharing for the prevention and control of infectious diseases has long been recognised. In recent years, public health emergencies such as avian influenza, drug-resistant malaria, and Ebola have brought renewed attention to the need for effective communication channels between health authorities, particularly in regional contexts where neighbouring countries share common health threats. However, little empirical research has been conducted to date to explore the range of factors that may affect the transfer, exchange, and use of public health data and expertise across borders, especially in developing contexts.

Oct. 5, 2018 Eastern Mediterranean

Coordinating services within and across sectors, Creating an enabling environment

Barriers to, and opportunities for, palliative care development in the Eastern Mediterranean Region

The 22 countries of WHO's Eastern Mediterranean Region are experiencing an increase in the burden of non-communicable diseases (NCDs), including cancer. Of the six WHO regions, the Eastern Mediterranean Region is projected to have the greatest increase in cancer incidence in the next 15 years. Furthermore, most cancers are diagnosed at a late stage, resulting in a lower cancer survival rate than in the European Region and the Region of the Americas. With increasing numbers of deaths from cancer, palliative care should be available to relieve suffering in patients with advanced disease and at the end of life. However ...

Oct. 5, 2018 Eastern Mediterranean

Coordinating services within and across sectors, Creating an enabling environment

Primary healthcare policy implementation in the Eastern Mediterranean region: Experiences of six countries.

Primary healthcare (PHC) is essential for equitable access and cost-effective healthcare. This makes PHC a key factor in the global strategy for universal health coverage (UHC). Implementing PHC requires an understanding of the health system under prevailing circumstances, but for most countries, no data are available.
This paper describes and analyses the health systems of Bahrain, Egypt, Lebanon, Qatar, Sudan and the United Arab Emirates, in relation to PHC.

Oct. 4, 2018 South-East Asia

Coordinating services within and across sectors, Creating an enabling environment

Patient experience of primary care and advance care planning: a multicentre cross-sectional study in Japan.

Advance care planning (ACP) is a process whereby a patient, in consultation with health care providers, family members, and important others, makes decisions about his or her future health care. ACP process includes discussions regarding goals of care, resuscitation and life support, palliative care options, surrogate decision-making and advance directives (AD). Previous studies have shown positive impact of ACP on end-of-life care, including less aggressive medical care and better quality of life; decreased rates of hospital admission, especially of nursing home residents; and increased rates of hospice admission. So the aim of this study was to investigate the relationship between ...

Oct. 4, 2018 South-East Asia

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

Health professional-patient communication practices in East Asia: An integrative review of an emerging field of research and practice in Hong Kong, South Korea, Japan, Taiwan, and Mainland China.

There is a need to consider local culture in understanding and interpreting medical encounters in East Asia. So the aim of this study was to provide an integrative review of literature on health communication in East Asia and detail culturally-specific influences wicht highlights the need for a specific culturally-appropriate model of health communication in East Asia which may significantly improve relationships between clinicians and patients.

Oct. 3, 2018 Western Pacific

Engaging and empowering people and communities, Strengthening governance and accountability, Coordinating services within and across sectors

Communication Heal? Examining the Role of Patient Satisfaction and Communication Experience in China

China is facing the problem of having health care that is difficult to access. Online patient–provider communication (OPPC) may bring a new option to deliver health services. However, online communication with doctors is still novel to many people in China. Little research has been conducted to examine how OPPC could improve health outcomes. With an integrated model that incorporates social cognitive theory into the three-stage model of health promotion using interactive media, this study tested the social mechanism underlying the impact of OPPC

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 ...

Oct. 1, 2018 Eastern Mediterranean

Coordinating services within and across sectors, Creating an enabling environment

Impact assessment of Iran’s health technology assessment programme

The present article aims to introduce an integrative RIH framework drawing on the RRI literature, the international literature on health systems as well as specific bodies of knowledge that shed light on key dimensions of health innovations. Combining inductive and deductive theory-building strategies and concomitant with the development of a formal tool to assess the responsibility of innovations, it developed a framework that is comprised of nine dimensions organised within five value domains, namely population health, health system, economic, organisational and environmental. RIH provides health and innovation policy-makers with a common framework that supports the development of innovations that can ...