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. 19, 2020 Americas

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

Health Networks in Action: The experiences of Argentina, Brazil, Colombia and Mexico

Dioselina is a 54-year-old divorcée who has no children and lives alone in a large city. She has been unemployed for a year and just started receiving welfare six months ago. As for her health, she has long-term obesity, chronic obstructive pulmonary disease, and diabetes. In recent months, she began to develop foot ulcers because her blood sugar was not being monitored properly, which is attributable in part to difficulty accessing healthcare services and getting medications and lab tests. If she does not receive rapid treatment and more specialized care for the ulcers, they could worsen and require hospitalization ...

Oct. 1, 2020 Americas

The influence of leadership facilitation on relational coordination among primary care team members of accountable care organizations.

Teamwork is a central aspect of integrated care delivery and increasingly critical to primary care practices of accountable care organizations. Although the importance of leadership facilitation in implementing organizational change is well documented, less is known about the extent to which strong leadership facilitation can positively influence relational coordination among primary care team members.

Sept. 28, 2020 Americas

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

Patient experience of an integrated care model in a family practice clinic and Federally Qualified Health Center (FQHC)

Behavioral health issues are daily challenges in all primary care settings. The integration of programs and strategies translates into better global results, which optimizes the effort of health workers. In this study, user satisfaction is evaluated, through validated surveys, in 727 patients from different centers, family practice clinic and a Federally Qualified Health Center.

Sept. 4, 2020 Americas Global

Engaging and empowering people and communities, Strengthening governance and accountability, Reorienting the model of care

The context, strategy and performance of the American safety net primary care providers: a systematic review

The objective of this research is to synthesize evidence on the relationship between context, strategies and performance in the context of federally qualified health centers (FQHCs), a core safety net health services provider in the United States. The research also identifies prior approaches to measure contextual factors, FQHC strategy and performance. Gaps in the research are identified, and directions for future research are provided.

July 28, 2020 Americas

COVID-19: General recommendations for the care of older persons from a human rights perspective

Older people may be more likely to experience complications during the COVID-19 pandemic, so this paper provides recommendations for the care of this social group from a human rights perspective, which can be applied in the home, community and long-term care facilities. These recommendations were drawn up on the basis of good practices in countries in the Latin American and Caribbean region and beyond.

June 15, 2020 Americas

Relationships among Structures, Team Processes, and Outcomes for Service Users in Quebec Mental Health Service Networks

Few studies have identified and compared profiles of mental health service networks (MHSN) in terms of structures, processes, and outcomes, based on cluster analyses and perceptions of team managers, mental health professionals and service users.

This study aimed to understand how different configurations of mental health service networks and teams impact on service user outcomes, by identifying through cluster analyses specific categories of associated variables within three Quebec MHSN, based on interrelationships among:

1) Mental health settings, including territorial and organizational features (structures);

2) Characteristics of mental health professionals, including team process variables (e.g., team support, team autonomy);

3 ...

May 25, 2020 Americas Europe Western Pacific Global

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

The Odyssey of Integration: Is Management its Achilles’ Heel?

The importance of management to the implementation of integrated care is recognised in evidence and practice. Despite this recognition, there is a lack of clarity about what ‘good’ management of integrated care looks like, if the competences are different to management for ‘traditional’ care, and how such competences can be acquired.

May 11, 2020 Americas

After COVID-19—Thinking Differently About Running the Health Care System

The US response to the COVID-19 pandemic highlights several strategies that should be emphasized more in the management of the health care system. These strategies include using waivers to boost federalism, reconsidering the role of hospitals and other institutions as hubs for care, expanding the use of telehealth, and bringing together funds from multiple programs to improve the delivery of health care and health-related services. The urgent steps that have been taken to make the health care system more flexible and innovative during the COVID-19 pandemic should not be forgotten once the crisis is over. Many of these steps need ...

May 11, 2020 Americas

Strengthening governance and accountability, Creating an enabling environment

Covid-19 and the Need for Health Care Reform

The Covid-19 pandemic has brought into sharp focus the need for health care reforms that promote universal access to affordable care. lthough all aspects of U.S. health care will face incredible challenges in the coming months, the patchwork way we govern and pay for health care is unraveling in this time of crisis, leaving millions of people vulnerable and requiring swift, coordinated political action to ensure access to affordable care.Our policies on health and health care, both during this pandemic and in the future, should reflect this reality, and we should not let the lessons of this crisis ...

April 16, 2020 Americas

Strengthening governance and accountability, Reorienting the model of care

Collaborative Governance for Integrated Care: Insights from a Policy Stakeholder Dialogue

Integrated care is a goal of many health care systems. However, operationalizing and implementing integrated care remains challenging especially in continuously evolving policy environments. We report on a policy symposium held in 2017 focused on operationalizing a particular integrated care policy in the context of policy evolution in Ontario, Canada.