1. How to manage Healthcare in UHC?
So Yoon Kim, M.D., Ph.D.
Director, Asian Institute for Bioethics and Health Law,
Yonsei University, South Korea

2. Contents What is UHC? Facts about healthcare services
People-centred approach: Health system attributes
Integrated people-centred healthcare services (IPCHS)
Reference

3. What is UHC?
Universal health coverage is a global priority for WHO, and the linchpin of the health-related SDGs. It’s the one target that, if achieved, will help to deliver all others.
For healthcare and coverage to be truly universal. It requires a shift from health systems designed around diseases and health institutions towards health systems designed for people, with people.

4. Three dimensions to consider when moving towards universal coverage

5. Facts about Healthcare services

6. A people-centred approach is needed for: (Health system attributes)
Equity in access
Quality
Accountability
Efficiency
Resilience

7. Equity in access
For everyone, everywhere to access the quality health services they need, when and where they need them.
Action domains for UHC:
Financial protection
Service coverage and access
Non-discrimination

8. Quality
Safe, effective and timely care that responds to people’s comprehensive needs and is of the highest possible standard.
Action domains for UHC:
Regulations and regulatory environment
Effective, responsive individual and population-based services
Individual, family and community engagement

9. Accountability
Care is coordinated around people`s needs, respects their preferences, and allows for people’s participation in health affairs.
Action domains in UHC:
Government leadership and rule of law for health
Partnerships for public policy
Transparent monitoring and evaluation (M&E)

10. Efficiency
Ensuring that services are provided in the most cost-effective setting with the right balance between health promotion, prevention, and inpatient and outpatient care, avoiding duplication and waste of resources.
Action domains for UHC:
Health system architecture to meet population needs
Incentives for appropriate provision and use of services
Managerial efficiency and effectiveness

11. Resilience
Strengthening the capacity of health actors, institutions and populations to prepare for, and effectively respond to, public health crises.
Action domains for UHC:
Public health preparedness
Community capacity
Health system adaptability and sustainability

12. Relationship between health systems building blocks, attributes and action domains leading to UHC 

13. Integrated people-centred health services (IPCHS)
Integrated people-centred health services means putting people and communities, not diseases, at the centre of health systems, and empowering people to take charge of their own health rather than being passive recipients of services.

14. The Framework on Integrated people-centred health services (IPCHS)
In 2016 the World Health Assembly adopted the Framework on Integrated people-centred health services (IPCHS), giving WHO the official mandate to work with Member States and other key stakeholders to support implementation of the Framework.

15. The Framework on Integrated people-centred health services (IPCHS)
The vision is a future where:
All people have equal access to quality health services, supporting the achievement of UHC
Services are produced and provided in a way that meets people’s life course needs and respects their preferences
Services coordinated across the continuum of care
All health workers are motivated, skilled and operate in a supportive environment

17. Reference Reforming Health Service Delivery for UHC, WHO
centred-care/ipchs-what/en/
 Universal Health Coverage: Moving Towards Better Health