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Pan American Health Organization
Integrated Health Service Delivery Networks: Concepts, Policy Options and a Road Map for Implementation in the Americas
Washington, D.C.: PAHO, © 2011
(SERIES: Renewing Primary Health Care in the Americas No.4)

[Download the English Edition here]

This position paper analyzes the challenge of health services fragmentation, proposes a conceptual and operational framework for understanding IHSDNs, presents public policy instruments and institutional mechanisms to develop integrated networks, and proposes a “road map” for implementing IHSDNs in the Americas. 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.

Original Spanish Edition: Redes Integradas de Servicios de Salud: Conceptos, Opciones de Política y Hoja de Ruta para su Implementación en las Américas. Washington, D.C.: OPS, © 2010. (Serie: La Renovación de la Atención Primaria de Salud en las Américas No.4)


Table of Contents [Download the English Edition here]

Acknowledgements
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 Americas

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 Americas

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

Last Updated on Friday, 05 July 2013 15:17

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