Towards Integrated Person Centered Health Service Delivery

Framework for action on integrated health service delivery PEOPLE SERVICES SYSTEM Identifying health needs Reorienting the model of care Rearranging accountability Aligning incentives Tackling determinants Organizing providers & settings Preparing a competent workforce Empowering populations Managing services delivery Promoting rational use of medicines Innovating health technologies Engaging patients Improving performance Rolling out e-health CHANGE Strategizing with people at the centre Implementing transformations Enabling sustainable change

Integrated PHC Entry point: NCDs, TB, palliative care, HIV, EPHOs 4-6 Focus across levels of care, pathways, transitions PHC & HOSPITALS HSD & SOCIAL CARE PHC & PUBLIC HEALTH Entry point: chronicity, multi-morbidity, ageing, mental health Focus on LTC, home care, telecare; community care Entry point: accountability, financing Focus on population health including SDH, environment

Must-dos for a renewed primary care Integrate with public health services Coordinate with social care Organize multidisciplinary teams Upgrade practice environments Engage patients and communities Provide after-hours and urgent care Establish quality improvement mechanisms Ensure the responsible use of medicines Optimize referral and discharge Implement evidence-based clinical pathways Pay for value of care Expand the role of nurses Share simplified patient records Decentralize management

Implementation package products Country assessments Ad-hoc training courses Tailored technical assistance Implementation package products Inter-country collaboration Repository of evidence Analysis of data Definitions of key concepts Actionable policy recommend-ations Access to networks Facilitation of the changes

Recent publications of HSD Programme http://www. euro. who

WHO Regional Office for Europe Division of Health Systems and Public Health CONTACT INFORMATION WHO European Centre for Primary Health Care Health Services Delivery Programme For more information on health services delivery at the WHO European Regional Office for Europe, visit: http://www.euro.who.int/en/health-topics/Health-systems/health-service-delivery Email: EUROCPHC@who.int Email: EUCIHSD@who.int