ROADMAP. Strengthening people-centred health systems in the WHO European Region : A Framework for Action towards Coordinated/Integrated Health Services Delivery (CIHSD)

The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. [...] Importantly, a core tenet of these efforts is strengthening the coordination/integration of care such that the provision of health services is organized according to the needs and expectations of the individual, overtime and across the full continuum of care. [...] According to the above definition and in its simplest form, efforts towards the CIHSD must consider the services provided and the settings of care, and further, the alignment of the two according to the unique health needs of a given individual (Figure 1.1.1). [...] Thinking to the settings of care along this continuum of services, these cut across varied levels and sites to include the broad scope of public health at the population and individual level, the central setting of primary care, referrals to secondary care and specialist care, as well as the continuous support of community, home and social care settings and linkages across these settings with phar [...] This includes for example, efforts to redesign or support the existing workforce in the clinical provision of services, the alignment of incentives to enable and promote the coordination of care across providers, structures to continuously measure the level of system integration, as viewed by objective and subjective people-centred parameters, or an investment in the infrastructure needed to suppo