scholarly journals PRISMA in Québec and France: implementation and impact of a coordination-type integrated service delivery (ISD) system for frail older people

2009 ◽  
Vol 9 (6) ◽  
Author(s):  
Réjean Hébert ◽  
Suzanne Durand ◽  
Dominique Somme ◽  
Michel Raîche
Keyword(s):  
Service Delivery ◽  
Older People ◽  
Frail Older People ◽  
Coordination Type ◽  
Integrated Service Delivery ◽  
Integrated Service

scholarly journals Innovation in Evaluating the Impact of Integrated Service-Delivery: The Integra Indexes of HIV and Reproductive Health Integration

PLoS ONE ◽  
2016 ◽  
Vol 11 (1) ◽  
pp. e0146694 ◽  
Author(s):  
Susannah H. Mayhew ◽  
George B. Ploubidis ◽  
Andy Sloggett ◽  
Kathryn Church ◽  
Carol D. Obure ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Service Delivery ◽  
Integrated Service Delivery ◽  
The Impact ◽  
Integrated Service

Towards Integrated Service Delivery for Primary Health Care: Can Programs Meet People's Lives?

2000 ◽  
Vol 6 (4) ◽  
pp. 43
Author(s):  
Vivian Lin
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Service Delivery ◽  
Health Care Policy ◽  
Unit Cost ◽  
Policy Research ◽  
Evidence Base ◽  
Integrated Service Delivery ◽  
Primary Health ◽  
Integrated Service

The primary health care sector faces a number of challenges. Some of these are in the form of persistent problems which include, inter alia, health disparities in resources and outcomes, a fragmented health system, issues of power with respect to priority setting and resource allocation, and a poor information and evidence base with which to allocate resources and evaluate outcomes. These problems are perennially accompanied by a gap between the rhetoric of policy and the reality of implementation. Neo-liberal reforms present a series of challenges to primary health, with the introduction of unit-cost funding, competitive tendering and increased user pays. Changing epidemiological patterns, the rise of evidence-based medicine, and new information and communication technology all question accepted methods of practice. Eroding community confidence in government and professionals, and the growing polarisation of society are also cause for concern. Three areas for development in primary health care policy and practice may provide the keys for dealing with these challenges. These are, first, the development of integrated service delivery models, which move away from narrowly defined single purpose programs delivered by one provider. Second, the development of innovative policy and managerial tools that support the objectives of primary health care while addressing the concerns of policy makers. Finally, the development of a strategic research and development agenda that effectively links policy, research and practice.

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