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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July 23, 2018 South-East Asia

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

Vertical integrated service model: an educational intervention for chronic disease management and its effects in rural China – a study protocol

Chronic diseases are becoming a huge threat to the Chinese health system. Although the New Round of Medical Reform aims to improve this, the chronic disease management in rural China is still worrying as it relies highly on hospital care instead of primary care. The vertical integrated care model has proven to be effective for chronic disease patients in many high-income countries, while few studies have been conducted in China. In this project, vertical integrated care will be applied to optimize the care of patients with type 2 diabetes mellitus (T2DM) and primary hypertension in rural China, and to shift ...

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 18, 2018 Americas South-East Asia

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

A Qualitative Study on Primary Care Integration into an Asian Immigrant-specific Behavioural Health Setting in the United States

Integrating primary care and behavioural health services improves access to services and health outcomes among individuals with serious mental illness. Integrated care is particularly promising for racial and ethnic minority individuals given higher rates of chronic illnesses and poorer access to and quality of care compared to Whites. However, little is known about integrated care implementation in non-White populations. The aim of this study is to identify facilitators and barriers to successful implementation of primary care-behavioural health integration in a multilingual behavioural healthcare setting.

July 3, 2018 Africa

Reorienting the model of care, Creating an enabling environment

From HIV prevention to non-communicable disease health promotion efforts in sub-Saharan Africa: A Narrative Review

Although HIV/NCD integration can improve effectiveness of preventive services at individual and community levels, potential public health impact of such approaches remain unknown as reach, adoptability, and sustainability of both integrated and nonintegrated NCD BCC approaches published to date have not been well characterized. So the aim of this study was to synthesize published literature on noncommunicable disease (NCD) behavior change communication (BCC) interventions in sub-Saharan Africa (SSA) among persons living with HIV (PLHIV) and in the general population to inform efforts to adopt similar HIV and NCD BCC intervention activities.

July 3, 2018 Americas Western Pacific

Engaging and empowering people and communities, Creating an enabling environment

Lessons for achieving health equity comparing Aotearoa/New Zealand and the United States

Aotearoa/New Zealand (Aotearoa/NZ) and the United States (U.S.) suffer inequities in health outcomes by race/ethnicity and socioeconomic status. This paper compares both countries’ approaches to health equity to inform policy efforts. They developed a conceptual model that highlights how government and private policies influence health equity by impacting the healthcare system (access to care, structure and quality of care, payment of care), and integration of healthcare system with social services

July 3, 2018 Eastern Mediterranean

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

Community-based integrated approach to changing women's family planning behaviour in Pakistan, 2014–2016

Pakistan is currently experiencing a clear imbalance in population needs and available resources. Although contraceptive use increased from 11.9% in 1990 to 35% in 2013 and the fertility rate declined from 5.4 births per woman in 1990 to 3.8 in 2013, women in Pakistan still report a high unmet need for family planning services, of −20%. This indicates that contraceptive use in Pakistan is at suboptimal levels and inadequate to meet the growing demand for fertility services. So the aim of this study was to assess the effectiveness of a community-based integrated approach in changing women's ...

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

June 28, 2018 Africa

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

Why high tech needs high touch: Supporting continuity of community primary health care

Integrated care through community-oriented primary care (COPC) deployed through municipal teams of community health workers (CHWs) has been part of health reform in South Africa since 2011. The role of COPC and integration of information and communication technology (ICT) information to improve patient health and access to care, require a better understanding of patient social behaviour. These study sought to understand how COPC with CHWs visiting households offering health education can support antenatal follow-up and what the barriers for access to care would be

June 28, 2018 Africa

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

Scaling community-based services in Gauteng, South Africa: A comparison of three workforce-planning scenarios

The introduction of community-based services through community health workers is an opportunity to redefine the approach and practice of primary health care. Based on bestpractice community oriented primary care (COPC), a COPC planning toolkit has been developed to model the creation of a community-based tier in an integrated district health system

June 13, 2018 South-East Asia

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

Developing and deploying a community healthcare worker-driven, digitally- enabled integrated care system for municipalities in rural Nepal

Integrating care at the home and facility level is a critical yet neglected function of healthcare delivery systems. There are few examples in practice or in the academic literature of affordable, digitally-enabled integrated care approaches embedded within healthcare delivery systems in low- and middle-income countries. Simultaneous advances in affordable digital technologies and community healthcare workers offer an opportunity to address this challenge. This article describe the development of an integrated care system involving community healthcare worker networks that utilize a home-to-facility electronic health record platform for rural municipalities in Nepal.