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dc.description.abstract[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...en_US
dc.relation.ispartofseriesRenewing Primary Health Care in the Americas;4en_US
dc.subjectComprehensive Health Careen_US
dc.subjectCommunity Networkses_ES
dc.subjectTechnical Cooperationes_ES
dc.subjectHealth Servicesen_US
dc.subjectHealth Services Administrationen_US
dc.subjectPrimary Health Careen_US
dc.titleIntegrated Health Service Delivery Networks: Concepts, Policy Options and a Road Map for Implementation in the Americasen_US
dc.title.alternativeRedes Integradas de Servicios de Salud: Conceptos, Opciones de Política y Hoja de Ruta para su Implementación en las Américases_ES
dc.rights.holderPan American Health Organizationen_US
dc.contributor.corporatenamePan American Health Organizationen_US
paho.publisher.countryUnited Stateses_ES
paho.publisher.cityWashington, D.Ces_ES

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