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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Dec. 2, 2016 Africa

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

Patient-Centered Care and People-Centered Health Systems in Sub-Saharan Africa: Why So Little of Something So Badly Needed?

Patient–centered care (PCC) is increasingly recognized as a key dimension of quality healthcare, but unfortunately remains poorly implemented in practice. This paper explores the current state of PCC in sub-Saharan Africa and potential barriers to its implementation, with a focus on public first line health services. They develop an analytical framework based on expert knowledge, field experience, and a conceptual literature review. Factors contributing to the (lack of) implementation of PCC are structured in three distinct but interacting layers. The first layer encompasses factors that influence and shape the performance of providers. The training of health workers is key ...

Nov. 11, 2016 Americas

Coordinating services within and across sectors, Creating an enabling environment

Early Performance of Accountable Care Organizations in Medicare

In the Medicare Shared Savings Program (MSSP), accountable care organizations (ACOs) have financial incentives to lower spending and improve quality. In this article they used quasi-experimental methods to assess the early performance of MSSP and ACOs. In the conclusions they found that the first full year of contracts MSSP was associated with reductions in Medicare Early pass between the 2012 participants but not among the 2013 participants. Economies higher in primary care groups independent groups in integrated hospitals.

Nov. 11, 2016 Americas

Strengthening governance and accountability, Coordinating services within and across sectors

Changes in Low-Value Services in Year 1 of the Medicare Pioneer Accountable Care Organization Program

Wasteful practices are widespread in the US health care system. It is unclear if payment models intended to improve health care efficiency, such as the Medicare accountable care organization (ACO) programs, discourage the provision of low-value services. So the objective in this study is to assess whether the first year of the Medicare Pioneer ACO program was associated with a reduction in use of low-value services.

Nov. 11, 2016 Europe

Coordinating services within and across sectors, Creating an enabling environment

Co-Leadership – A Management Solution for Integrated Health and Social Care

Because of teh Co-leadership has been identified as one approach to meet the managerial challenges of integrated services, but research on the topic is limited, the aim of the present study is to investigate co-leadership in integrated health and social care, identify essential preconditions in fulfilling the management assignment, its operationalization and impact on provision of sustainable integration of health and social care.

Nov. 11, 2016 Europe

Reorienting the model of care, Coordinating services within and across sectors

Substitution of Hospital Care with Primary Care: Defining the Conditions of Primary Care Plus

The aim of this study is to analise barriers and facilitators in substituting hospital care with primary care to define preconditions for successful implementation. So this study was part of a mixed methods study on the feasibility of the Primary Care Plus intervention which was conducted at the pioneer site Blue Care. In this descriptive study, they applied a qualitive design. Data regarding process information was collected through interviews with involved general practitioners and medical specialists and through notes from all meetings with various working groups to identify barriers and facilitators and proposed solutions in order to formulate preconditions for ...

Oct. 27, 2016 Europe

Strengthening governance and accountability, Coordinating services within and across sectors

The integration of health and social care services

The Government is committed to the introduction of a single-tier health service, supported by universal health insurance (UHI). Under UHI, everyone will be insured for a standard package of primary and hospital care services, including mental health services. It is understood that primary and hospital care will be funded mainly via the UHI system and social care services and public health services will be funded by general taxation. While funded separately, these services will need to be delivered in an integrated manner around the needs of the person. This review considers the international evidence in relation to mechanisms and structures ...

Oct. 7, 2016 Americas Global

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

Integrating palliative care into primary care for patients with chronic, life-limiting conditions.

As longevity increases, individuals with chronic, life-limiting conditions will live longer with disease burden and functional decline. Nurse practitioners can integrate symptom management, early decision-making, and supportive care into the primary care setting to improve quality of life and decrease economic and emotional impact at the end of life.

Oct. 3, 2016 Americas

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

Perceptions of health managers and professionals about mental health and primary care integration in Rio de Janeiro: a mixed methods study

Community-based primary mental health care is recommended in low and middle-income countries. The Brazilian Health System has been restructuring primary care by expanding its Family Health Strategy. Due to mental health problems, psychosocial vulnerability and accessibility, Matrix Support teams are being set up to broaden the professional scope of primary care. This paper aims to analyse the perceptions of health professionals and managers about the integration of primary care and mental health.

There is a gap between health managers’ and professionals’ understanding of community-based primary mental health care. The integration of different processes of work entails both rethinking workforce actions ...

Sept. 29, 2016 Americas

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

Impact of Patient-Centered Care Innovations on Access to Providers, Ambulatory Care Utilization, and Patient Clinical Indicators in the Veterans Health Administration

The Veterans Health Administration piloted patient-centered care (PCC) innovations beginning in 2010 to improve patient and provider experience and environment in ambulatory care. We use secondary data to look at longitudinal trends, evaluate system redesign, and identify areas for further quality improvement.

METHODS:

This was a retrospective, observational study using existing secondary data from multiple US Department of Veteran Affairs sources to evaluate changes in veteran and facility outcomes associated with PCC innovations at 2 innovation and matched comparison sites between FY 2008-2010 (pre-PCC innovations) and FY 2011-2012 (post-PCC innovations). Outcomes included access to primary care providers (PCPs); primary, specialty ...

Sept. 22, 2016 Europe

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

Continuity of clinical management and information across care levels: perceptions of users of different healthcare areas in the Catalan national health system

The integration of health care has become a priority in most health systems, as patients increasingly receive care from several professionals in various different settings and institutions, particularly those with chronic conditions and multi-morbidities. Continuity of care is defined as one patient experiencing care over time as connected and coherent with his or her health needs and personal circumstances. The objective is to analyse perceptions of continuity of clinical management and information across care levels and the factors influencing it, from the viewpoint of users of the Catalan national health system.

Care continuity across care levels is experienced by patients ...