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Combating health care fragmentation through integrated health services delivery networks
INTRODUCTION: Despite existing initiatives to integrate health services in the Americas Health Care fragmentation remains a significant challenge. Excessive fragmentation leads to difficulties in access to services, delivery of services of poor technical quality, inefficient use of resources, increa...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Igitur Publishing
2011
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3184820/ |
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author | Ramagem, Caroline Urrutia, Soledad Griffith, Tephany Cruz, Mario Fabrega, Ricardo Holder, Reynaldo Montenegro, Hernán |
author_facet | Ramagem, Caroline Urrutia, Soledad Griffith, Tephany Cruz, Mario Fabrega, Ricardo Holder, Reynaldo Montenegro, Hernán |
author_sort | Ramagem, Caroline |
collection | PubMed |
description | INTRODUCTION: Despite existing initiatives to integrate health services in the Americas Health Care fragmentation remains a significant challenge. Excessive fragmentation leads to difficulties in access to services, delivery of services of poor technical quality, inefficient use of resources, increases in production costs, and low user satisfaction. To address this problem, the Pan American Health Organization (PAHO) has launched the Integrated Health Services Delivery Networks (IHSDN) Initiative to support the development of more accessible, equitable and efficient health care models in the Region [1]. THEORY/CONCEPTUAL FRAMEWORK: IHSDN are defined as a network of organizations that provides, or makes arrangements to provide, equitable, comprehensive, and integrated health services to a defined population and is willing to be held accountable for its clinical and economic outcomes and the health status of the population served. IHSDN require 14 essential attributes for their adequate operation grouped according to four principal domains: model of care, governance and strategy, organization and management, and financial allocation and incentives [1]. METHODS: An extensive literature review, expert meetings and country consultations (national, subregional and regional) in the Americas resulted in a set of consensus-based essential attributes and policy options for implementing IHSDN. RESULTS AND CONCLUSIONS: The research and evidence on health services integration remains limited; however, several studies suggest that IHSDN could improve health systems performance. Principal lessons learned include: i) integration processes are difficult, complex and long term; ii) integration requires extensive systemic changes and a commitment by health workers, health service managers and policymakers; and iii) multiple modalities and degrees of integration can coexist within a single system. The public policy objective is to propose a design that meets each system’s specific organizational needs [1]. |
format | Online Article Text |
id | pubmed-3184820 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2011 |
publisher | Igitur Publishing |
record_format | MEDLINE/PubMed |
spelling | pubmed-31848202011-10-03 Combating health care fragmentation through integrated health services delivery networks Ramagem, Caroline Urrutia, Soledad Griffith, Tephany Cruz, Mario Fabrega, Ricardo Holder, Reynaldo Montenegro, Hernán Int J Integr Care Conference Abstract INTRODUCTION: Despite existing initiatives to integrate health services in the Americas Health Care fragmentation remains a significant challenge. Excessive fragmentation leads to difficulties in access to services, delivery of services of poor technical quality, inefficient use of resources, increases in production costs, and low user satisfaction. To address this problem, the Pan American Health Organization (PAHO) has launched the Integrated Health Services Delivery Networks (IHSDN) Initiative to support the development of more accessible, equitable and efficient health care models in the Region [1]. THEORY/CONCEPTUAL FRAMEWORK: IHSDN are defined as a network of organizations that provides, or makes arrangements to provide, equitable, comprehensive, and integrated health services to a defined population and is willing to be held accountable for its clinical and economic outcomes and the health status of the population served. IHSDN require 14 essential attributes for their adequate operation grouped according to four principal domains: model of care, governance and strategy, organization and management, and financial allocation and incentives [1]. METHODS: An extensive literature review, expert meetings and country consultations (national, subregional and regional) in the Americas resulted in a set of consensus-based essential attributes and policy options for implementing IHSDN. RESULTS AND CONCLUSIONS: The research and evidence on health services integration remains limited; however, several studies suggest that IHSDN could improve health systems performance. Principal lessons learned include: i) integration processes are difficult, complex and long term; ii) integration requires extensive systemic changes and a commitment by health workers, health service managers and policymakers; and iii) multiple modalities and degrees of integration can coexist within a single system. The public policy objective is to propose a design that meets each system’s specific organizational needs [1]. Igitur Publishing 2011-08-01 /pmc/articles/PMC3184820/ Text en Copyright 2011, International Journal of Integrated Care (IJIC) http://creativecommons.org/licenses/by-nc/3.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Conference Abstract Ramagem, Caroline Urrutia, Soledad Griffith, Tephany Cruz, Mario Fabrega, Ricardo Holder, Reynaldo Montenegro, Hernán Combating health care fragmentation through integrated health services delivery networks |
title | Combating health care fragmentation through integrated health services delivery networks |
title_full | Combating health care fragmentation through integrated health services delivery networks |
title_fullStr | Combating health care fragmentation through integrated health services delivery networks |
title_full_unstemmed | Combating health care fragmentation through integrated health services delivery networks |
title_short | Combating health care fragmentation through integrated health services delivery networks |
title_sort | combating health care fragmentation through integrated health services delivery networks |
topic | Conference Abstract |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3184820/ |
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