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World Health Organization
28 April, 2017 WHO Framework on integrated people-centred health services Primary Health Care Improvement Global Stakeholder Meeting Geneva, 7 April 2016
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Health system challenges
EMERGING DEMANDS SYSTEM CONSTRAINTS Unhealthy behaviours & lifestyle choices Lack of community empowerment and engagement Double-burden of disease and multimorbidity Insufficient and misaligned financing Sub-optimal health workforce HEALTH SYSTEM Unequal access Poor quality/safety Deficient participation Low satisfaction Greater citizens expectations Increased need to self-manage care Service fragmentation and inappropriate service delivery model Need for cost efficiency and accountability Limited intersectoral action
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A model for integrated people-centred health services delivery
© World Health Organization 2015
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The vision “All people have equal access to quality health services that are co-produced in a way that meets their life course needs, are coordinated across the continuum of care and are comprehensive, safe, effective, timely, efficient and acceptable; and all carers are motivated, skilled and operate in a supportive environment”
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The way forward: five strategies
© World Health Organization 2015
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The way forward: five strategies
© World Health Organization 2015
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Examples of interventions
Strategy 1. Empowering & engaging people Examples of interventions Improving health literacy Fostering community participation Sharing decision making between people & health professionals Boosting community awareness Giving people access to personal health records Enhancing community delivered care Supporting self-management Harnessing patient and user groups Addressing structural factors that marginalize at-risk communities Promoting personal care
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Parallel processes in the development and implementation of the Framework
Framework consultation Implementation support Interim report Public consultation Consultation with WHO Regional Offices 2015 Roadmap for implementation Assessment toolkit Developing tools for monitoring & evaluation Exchanging knowledge and facilitating change Executive Board World Health Assembly 2016 © World Health Organization 2015
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Exchanging knowledge and facilitating change
Supporting the implementation of the Strategy: aims and objective Fostering partnerships Exchanging knowledge and facilitating change Developing a web platform Supporting demonstration sites © World Health Organization 2015
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www.integratedcare4people.org Integratedcare4people
© World Health Organization 2015
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CONTACT INFORMATION Services Delivery and Safety Department World Health Organization Avenue Appia 20 CH-1211, Geneva 27 Switzerland For more information on health services delivery visit
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