Integrated Health Service Delivery Networks:
Concepts, Policy Options and a Road Map for Implementation in the
Pan American Health Organization. PAHO/WHO
Available online PDF [98p.] at: http://bit.ly/lz16f6
“….This position paper analyzes the challenge of health services fragmentation, proposes a conceptual and operational framework for understanding Integrated Health Service Delivery Networks IHSDNs, presents public policy instruments and institutional mechanisms to develop integrated networks, and proposes a “road map” for implementing Integrated Health Service Delivery Networks IHSDNs in the
The document focuses on the integration of the health services delivery function, and as a result it does not address mechanisms to integrate the health systems functions of financing and/or insurance. Furthermore, it does not address in detail the mechanisms to integrate programs targeting specific diseases, risks and populations (vertical programs) into health systems…..”
Content
Executive Summary
Introduction
The urgent need to integrate health services
Global and regional mandates that support the development of more equitable,
comprehensive, integrated, and continuous models of care
The purpose of the PAHO/WHO Initiative on Integrated Health Service Delivery Networks
Scope of document
Chapter 1: The Challenge of Health Services Fragmentation in the
The macro context of health services: health systems
The challenge of health services fragmentation
Profound changes in the environment and roles and functions of health services
Chapter 2: Integrated Health Service Delivery Networks
The concept of comprehensive, integrated, and continuous health services and
its different modalities
Integrated Health Service Delivery Networks
The Benefits of Integrated Health Service Delivery Networks
Chapter 3: Essential Attributes of Integrated Health Service Delivery Networks
Essential attributes of Integrated Health Service Delivery Networks
Evaluating progress toward Integrated Health Service Delivery Networks:
from absolute fragmentation to integrated networks
Chapter 4: Public Policy Instruments and Institutional Mechanisms for the Creation of Integrated Health Service Delivery Networks
Public policy instruments and institutional mechanisms for the creation of
Integrated Health Service Delivery Networks
The relevance of public policy instruments and institutional mechanisms for the
different realities of the region’s health systems
Chapter 5: A “Road Map” for Developing Integrated Health Service Delivery Networks in the Region of the
Lessons learned
A “road map” for PAHO/WHO technical cooperation for developing Integrated
Health Service Delivery Networks
Glossary of Terms
Appendix B National, Sub-Regional and Regional Consultations on IHSDNs
Appendix C Matrix of Policy Options and Institutional Mechanisms to Create IHSDNs
Appendix D Resolution CD49.R22 on IHSDNs Based on Primary Health Care
Reference
Dr. Reynaldo Holder, Regional Advisor – Health Services
Health Systems and Services Area, PAHO/WHO
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