Integrated Health Service Delivery Networks: Concepts, Policy Options and a Road Map for Implementation in the Americas
MetadataShow full item record
[Executive Summary]. Health systems in the Americas are characterized by highly fragmented health services. Experience to date demonstrates that excessive fragmentation leads to difficulties in access to services, delivery of services of poor technical quality, irrational and inefficient use of available resources, unnecessary increases in production costs, and low user satisfaction with services received. Health services fragmentation manifests itself in multiple ways at the different levels of the health system. Regarding the overall performance of the system, fragmentation is evident in the lack of coordination across the different levels and sites of care, duplication of services and infrastructure, unutilized productive capacity, and the provision of health services at the least appropriate location, particularly hospitals. Regarding the experience of system users, fragmentation is apparent in the lack of access to services, loss of continuity of care, and failure of services to meet users’ needs...
Redes Integradas de Servicios de Salud: Conceptos, Opciones de Política y Hoja de Ruta para su Implementación en las Américas
Showing items related by title, author, creator and subject.
Expanding Equitable Access to Health Services: Recommendations for Transforming Health Systems toward Universal Health Pan American Health Organization; Health Systems and Services (HSS) (Washington, D.C., PAHO, 2022-01-21)The Region of the Americas has made considerable progress in improving the health of its population, but it remains one of the most inequitable regions in the world. The challenges are enormous and varied: millions of ...
Improving cardiovascular health with the patient-centered, integrated primary care HEARTS model in Trinidad and Tobago Doon, Rohit; Malcolm, Taraleen; Lewis, Yvonne; Holder, Latifah; Gulston, LaDonna; Hamid, Abdul; Best, Allana; Mitchell, Roxanne; Lalla, Pedram (2022-09-19)[ABSTRACT]. This article describes the introduction of the Pan American Health Organization’s HEARTS in the Americas program in Trinidad and Tobago and the successful experiences and challenges encountered in introducing and ...
Pan American Health Organization; Health Systems and Services (HSS) (Washington, D.C., PAHO, 2021-10-28)In 2007, PAHO launched the Integrated Health Service Delivery Network (IHSDN) initiative to address the problems derived from the fragmentation of health services and to overcome the structural problems stemming from the ...