1. Towards Integrated Person Centered Health Service Delivery

2. 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

3. 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

4. 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

5. 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

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

7. 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: