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Chapter 24 - Integrated People-Centered Health Care

What It Is and How It’s Done!

from Section 2 - Transforming Health Systems: Confronting Challenges, Seizing Opportunities

Published online by Cambridge University Press:  08 December 2022

By
Katherine Rouleau ,
Shatha Albeik ,
Sayed Masoom Shah ,
Kenneth Yakubu  and
Akihiro Seita
Edited by
Sameen Siddiqi ,
Awad Mataria ,
Katherine D. Rouleau  and
Meesha Iqbal
Sameen Siddiqi
Affiliation:
Aga Khan University
Awad Mataria
Affiliation:
World Health Organization, Egypt
Katherine D. Rouleau
Affiliation:
University of Toronto
Meesha Iqbal
Affiliation:
UTHealth School of Public Health, Houston
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Summary

The integration of people-centred services is key to improving the performance of health systems. This chapter explores the rationale and definitions of integrated and people-centred services, considers frameworks to inform and drive integrated care, and describes common barriers as well as enabling strategies related to values and policy, the engagement of key stakeholders and operational considerations. It highlights the unique role of family practice (also called family medicine) as a community-based and community-oriented discipline, and as a driver of comprehensive integrated people-centred care. It concludes with a description of the key strategies used in the re-organization of primary care services into a family health model by United Nations Relief and Works Agency for Palestine Refugees (UNRWA) in the Near East in 2011.

Keywords

Integrated servicesIntegrationPeople-centredPerson-centredFamily practiceFamily medicineGeneral practiceCase managementIntegrated people centred health careMultidisciplinary teamsL&MIC
Type
Chapter
Information
Making Health Systems Work in Low and Middle Income Countries
Textbook for Public Health Practitioners
 , pp. 368 - 384
Publisher: Cambridge University Press
Print publication year: 2022

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References

World Health Organization, United Nations Children’s Fund (UNICEF). Declaration of Astana 2018. 2018. www.who.int/docs/default-source/primary-health/declaration/gcphc-declaration.pdf (accessed December 12, 2021).Google Scholar
World Health Organization, World Bank. Tracking Universal Health Coverage 2017 Global Monitoring Report. Geneva, World Health Organization, 2017. https://apps.who.int/iris/bitstream/handle/10665/259817/9789241513555-eng.pdf (accessed January 24, 2022).Google Scholar
Bakeera, S. K., Wamala, S. P., Galea, S., et al. Community perceptions and factors influencing utilization of health services in Uganda. Int J Equity Health 2009; 8: 25.Google Scholar
Sermsri, S.. The Triumph of Practicality: Tradition and Modernity in Health Care Utilization in Selected Asian Countries. Singapore, Institute of Southeast Asian Studies, 1990. https://bookshop.iseas.edu.sg/search?type_code=book&subject=21 (accessed July 13, 2021).Google Scholar
Mounier-Jack, S., Mayhew, S. H., Mays, N.. Integrated care: learning between high-income, and low- and middle-income country health systems. Health Policy Plan 2017; 32(Suppl. 4): iv6–iv12.Google Scholar
Court, L., Olivier, J.. Approaches to integrating palliative care into African health systems: a qualitative systematic review. Health Policy Plan 2020; 35(8): 1053–1069.Google Scholar
Garrib, A., Birungi, J., Lesikari, S., et al. Integrated care for human immunodeficiency virus, diabetes and hypertension in Africa. Trans R Soc Trop Med Hyg 2019; 113(12): 809–812.Google Scholar
Bautista, M. A., Nurjono, M., Lim, Y. W., et al. Instruments measuring integrated care: a systematic review of measurement properties. Milbank Q 2016; 94(4): 862–917.Google Scholar
Borgermans, L., Marchal, Y., Busetto, L., et al. How to improve integrated care for people with chronic conditions: key findings from EU FP-7 project INTEGRATE and beyond. Int J Integr Care 2017; 17(4): 7.Google Scholar
Mahendradhata, Y., Souares, A., Phalkey, R., et al. Optimizing patient-centeredness in the transitions of healthcare systems in low- and middle-income countries. BMC Health Serv Res 2014; 14: 386.Google Scholar
Niazi, A. K., Kalra, S.. Patient centred care in diabetology: an Islamic perspective from South Asia. J Diabetes Metab Disord 2012; 11(1): 30.Google Scholar
Hughes, G., Shaw, S. E., Greenhalgh, T.. Rethinking integrated care: a systematic hermeneutic review of the literature on integrated care strategies and concepts. Milbank Q 2020; 98(2): 446–492.Google Scholar
Baxter, S., Johnson, M., Chambers, D., et al. Understanding new models of integrated care in developed countries: a systematic review. Health Soc Care Deliv Res 2018; 6(29).Google Scholar
Lewis, R. Q., Rosen, R., Goodwin, N., et al. Where next for integrated care organisations in the English NHS? 2010. www.nuffieldtrust.org.uk/files/2017-01/where-next-integrated-care-english-nhs-web-final.pdf (accessed December 14, 2021).Google Scholar
Shaw, S., Rosen, R., Rumbold, B.. What is integrated care? 2011. www.nuffieldtrust.org.uk/files/2017-01/what-is-integrated-care-report-web-final.pdf (accessed December 11, 2021).Google Scholar
Maeseneer, J. D., Wee, C. V., Daeren, L., et al. From “patient” to “person” to “people”: the need for integrated, people centered health care. IJPCM 2012; 2: 601–614.Google Scholar
Wagner, E. H., Davis, C., Schaefer, J., et al. A survey of leading chronic disease management programs: are they consistent with the literature? Manag Care Q 1999; 7(3): 56–66.Google Scholar
Valentijn, P. P., Schepman, S. M., Opheij, W., et al. Understanding integrated care: a comprehensive conceptual framework based on the integrative functions of primary care. Int J Integr Care 2013; 13: e010.Google Scholar
World Health Organization. WHO global strategy on people-centered and integrated health services. 2015. www.who.int/teams/integrated-health-services/clinical-services-and-systems/service-organizations-and-integration (accessed July 11, 2021).Google Scholar
Epping-Jordan, J. E., Pruitt, S. D., Bengoa, R., et al. Improving the quality of health care for chronic conditions. Qual Saf Health Care 2004; 13(4): 299–305.Google Scholar
Handford, C., Hennen, B.. The gentle radical: ten reflections on Ian McWhinney, generalism, and family medicine today. Can Fam Physician 2014; 60(1): 20–23.Google Scholar
Nutik, M., Woods, N. N., Moaveni, A., et al. Assessing undergraduate medical education through a generalist lens. Can Fam Physician 2021; 67(5): 357–363.Google Scholar
American Academy of Family Physicians. Definition of family medicine. 2019. www.aafp.org/about/policies/all/family-medicine-definition.html (accessed July 15, 2021).Google Scholar
Arya, N., Gibson, C., Ponka, D., et al. Family medicine around the world: overview by region. Canadian Family Physician 2017; 63(6): 436–441.Google Scholar
College of Family Physicians of Canada. Vision, mission, values, and goals. 2021. www.cfpc.ca/en/about-us/vision-mission-principles (accessed July 19, 2021).Google Scholar
College of Family Physicians of Canada. Vision, mission, values and goals. 2022. www.cfpc.ca/en/about-us/vision-mission-principles (accessed January 24, 2022).Google Scholar
Mash, B., Ray, S., Essuman, A., et al. Community-orientated primary care: a scoping review of different models, and their effectiveness and feasibility in sub-Saharan Africa. BMJ Glob Health 2019; 4(Suppl. 8): e001489.Google Scholar
Starfield, B., Shi, L., Macinko, J.. Contribution of primary care to health systems and health. Milbank Q 2005; 83(3): 457–502.CrossRefGoogle ScholarPubMed
Starfield, B.. Is US health really the best in the world? JAMA 2000; 284(4): 483–484.Google Scholar
Starfield, B.. Global health, equity, and primary care. J Am Board Fam Med 2007; 20(6): 511–513.Google Scholar
Starfield, B.. Family medicine should shape reform, not vice versa. Fam Pract Manag 2009; 16(4): 6–7.Google Scholar
World Health Organization, United Nations Children’s Fund (UNICEF). Primary health care monitoring framework and indicators. 2022.Google Scholar
Commission for Case Manager Certification. Definition and philosophy of case management. 2021. https://ccmcertification.org/about-ccmc/about-case-management/definition-and-philosophy-case-management (accessed July 17, 2021).Google Scholar
Spigel, L., Pesec, M., Villegas Del Carpio, O., et al. Implementing sustainable primary healthcare reforms: strategies from Costa Rica. BMJ Glob Health 2020; 5(8): e002674.CrossRefGoogle ScholarPubMed
Minkman, M. M. N.. Suitable scales: rethinking scale for innovative integrated care governance. Int J Integr Care 2020; 20(1): 1.Google Scholar
Topp, S. M., Abimbola, S., Joshi, R., et al. How to assess and prepare health systems in low- and middle-income countries for integration of services: a systematic review. Health Policy Plan 2018; 33(2): 298–312.Google Scholar
Bloch, G., Rozmovits, L.. Implementing social interventions in primary care. CMAJ 2021; 193(44): E1696–E1701.Google Scholar
Ben Mesmia, H., Chtioui, R., Ben Rejeb, M.. The Tunisian societal dialogue for health reform (a qualitative study). Eur J Public Health 2020; 30(Suppl. 5): ckaa166-1393.CrossRefGoogle Scholar
Jantsch, A. G., Burström, B., Nilsson, G. H., et al. Residency training in family medicine and its impact on coordination and continuity of care: an analysis of referrals to secondary care in Rio de Janeiro. BMJ Open 2022; 12(2): e051515.Google Scholar
UNRWA. Homepage. 2022. www.unrwa.org (accessed January 24, 2022).Google Scholar
UNRWA. Update on health reform. 2012. www.unrwa.org/userfiles/file/AdCom_en/2012/october/2012%20Oct%20SubAdCom%20Health%20Reform%20FINAL.pdf (accessed July 17, 2021).Google Scholar
Shahin, Y. M., Kishk, N. A., Turki, Y., et al. Evaluation of the Microclinic social network model for Palestine refugees with diabetes at UNRWA health centers. J Diabetes 2018; 8 (4): 99.Google Scholar
Ballout, G., Al-Shorbaji, N., Abu-Kishk, N., et al. UNRWA’s innovative e-health for 5 million Palestine refugees in the Near East. BMJ Innov 2018. http://dx.doi.org/10.1136/bmjinnov-2017-000262.Google Scholar
Lovell, B., Dhillon, R., Khader, A., et al. Delivering and evaluating a scalable training model for strengthening family medicine in resource-limited environments: the Gaza experience. A mixed-methods evaluation. BJGP Open 2019; 3(2): bjgpopen19X101647.Google Scholar

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