Service delivery and safety

WHO Framework on integrated people-centred health services

Reforming service delivery is key for achieving the health-related SDG targets

September 2016 | New York -- The need to reform service delivery to be integrated and people-centred is a key recommendation in the final report from the High-Level Commission on Health Employment and Economic Growth. The report was delivered at a high profile event to the UN Secretary General Ban Ki-moon on the sidelines of the UN General Assembly in New York in September 2016. The report suggests that reformed service delivery models are required with a move away from hospital care towards a focus on prevention and providing high-quality, affordable, integrated, community-based, people-centred primary and ambulatory care. This is critical to ensure that services match the health needs of populations, which will ultimately help us make progress towards universal health coverage and the Sustainable Development Goals.

New report recommends people-centred integrated care as a focus of China’s health reform

July 2016 | China -- A new report says China can offer better health care for its citizens at affordable costs if it restructures its delivery model to focus on providing integrated primary care for its rapidly aging population, and reforming public hospitals so they mainly treat complex and acute cases. Developed by the World Bank Group, the World Health Organization, the Ministry of Finance, the National Health and Family Planning Commission, and the Ministry of Human Resources and Social Security of China, Deepening Health Reform in China is the most comprehensive report published so far on China’s health reform.

WHO Director-General calls for global movement on integrated people-centred health services at ICIC2016

WHO/C. Vincensini

May 2016 | Spain -- "A transformation in health services that puts people first and is aligned with the principles of primary health care is needed to reduce fragmentation, increase efficiencies, and improve health outcomes" was the key message highlighted by WHO Director-General Dr Margaret Chan in a video delivered to participants at the International Conference for Integrated Care conference held on 23-25 May in Barcelona, Spain.

World Health Assembly adopts Framework on Integrated People-Centred Health Services

WHO/P. Albouy

May 2016 | Geneva -- Resolution WHA69.24 “Strengthening integrated people-centred health services” that supports the Framework on Integrated People-Centred Health Services, was adopted with overwhelming support by Member States at the Sixty-ninth World Health Assembly held from 23 to 28 May in Geneva. This milestone event gives the WHO Secretariat the official mandate to work with its Member States and other key stakeholders to advance health service delivery reforms and to support implementation of the Framework.

IntegratedCare4People Web Platform Launched

May 2016 | Geneva -- At a high-level side event at the Sixty-ninth World Health Assembly WHO and its Collaborating Centre, the Andalusian School for Public Health, officially launched the IntegratedCare4People web platform. The platform is a global network for sharing knowledge and leading practices, and for joint learning on transforming health services to become more integrated and people-centred. Intended for practitioners and organizations, the platform aims to improve health service delivery by curating high quality knowledge products and resources that provide technical and operational insight into how health services can be transformed towards this vision.

"Integrated people-centred health services means putting the needs of people and communities, not diseases, at the centre of health systems, and empowering people to take charge of their own health."

What is the Framework on integrated people-centred health services?

The Framework on integrated people-centred health services is a call for a fundamental shift in the way health services are funded, managed and delivered. Globally, more than 400 million people lack access to essential health care. Longer lifespans and the growing burden of chronic conditions requiring complex interventions over many years are also changing the demands on health systems. Integrated people-centred health services means putting the needs of people and communities, not diseases, at the centre of health systems, and empowering people to take charge of their own health.

Five strategies for moving towards integrated people-centred health services

WHO recommends five interwoven strategies that need to be implemented in order for health service delivery to become more integrated and people-centred:
1. Empowering and engaging people and communities;
2. Strengthening governance and accountability;
3. Reorienting the model of care;
4. Coordinating services within and across sectors;
5. Creating an enabling environment.

How do we transform service delivery to be integrated and people-centred?

IntegratedCare4People is an online network of practitioners and organizations from around the world working together to encourage health systems and services to be integrated and people-centred. Through the exchange of high quality knowledge products and leading practices, the IntegratedCare4People platform aims to provide technical and operational insights into how health services can be transformed to achieve this vision.

Taking action on integrated people-centred health services

The Call for Action on Integrated People-Centred Health Services is a document designed to catalyse action and unite the efforts of people working towards achieving integrated people-centred health services. The call identifies concrete actions that can be implemented by decision-makers in ministries of health, as well as other ministries, members of parliament, and local government officials, to translate the IPCHS Framework into their national or sub-national settings.

Recent highlights

  • August 2016

    Universal health coverage in Africa: A framework for action

    A joint paper by the World Bank and WHO, together with the government of Japan, Japan International Cooperation Agency, the Global Fund and the African Development Bank states that accelerating progress towards UHC in Africa is within reach, but requires political leadership and a clear strategic vision. Establishing people-centred health services to improve quality of services and patient safety, and prioritizing investments in community and primary health care services are two actions identified in the “UHC in Africa: A Framework for Action” report that can be taken to address gaps in access to essential services.

  • July 2016

    Seychelles holds first symposium on person-centred care

    A symposium held on 15-16 July gathered 180 individuals representing health professionals, policy-makers, patient care groups and the media, to promote the concept and application of patient-centred care in Seychelles. Seychelles has identified the achievement of quality health services, through patient-centred care, as a key way of making progress towards universal health coverage.

  • July 2016

    Right care, right time, right place: how Lithuania transformed cardiology care

    Long wait times to see specialists. Poor coordination between family doctors and hospitals. Duplicated tests. And some of the highest rates of heart disease-related death in Europe. These were some of the challenges facing Lithuania 20 years ago, particularly in the country’s eastern region, where mortality from heart disease and stroke was highest, especially among middle-aged men and women outside major cities.

  • June 2016

    Newly released: Report on public consultation on Framework

    A summary of the results from an online public consultation held in 2015 on the Framework on integrated people-centred health services has been published in a report released today. The feedback received from the consultation has played a critical role in informing the development of the document submitted for discussion at the 138th meeting of the Executive Board and at the 69th session of the World Health Assembly in 2016.

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