W1 - Principles healthcare delivery

Question 2

Examples of application of systems thinking to health system building blocks. Structures?

Answer 2

De Savigny et al -> People at the centre. Around governance, info etc
Reid PP et al -> Builds up from the patient to team, organisation, environment. Still patient centred

Question 3

What are the 4 WHO principles of healthcare delivery?

Answer 3

1. Universal health coverage
2. Integration
3. People-centred
4. Equitable

Question 4

This is the definition of which WHO principle?
“All receive services they need without suffering financial hardship”
“Essential, quality health services to promotion, prevention, treatment, rehab and palliative care”

Answer 4

Universal Healthcare Coverage (UHC)

Question 5

This is the definition of which WHO principle?
“Through different levels and sites of care within system, according to needs throughout life”
- Management and delivery of quality, safe health services so people receive a continuum of health promotion (cradle to grave definition)

Answer 5

Integration

Question 6

This is the definition of which WHO principle?
- What do patients want to receive from their care?
- Shift from “What is the matter with you?” to “What matters to you?”

Answer 6

People-centred care

Question 7

This is the definition of which WHO principle?
- Fair access and use of quality services by all those who need it, with fair distribution on the basis of need

Answer 7

Equitable

Question 8

This statistic is related to which WHO principle?
- 130 million people in SE Asia region still lack access to one or more essential health service

Answer 8

Equitable

Question 9

These statistics are related to which WHO principle?
- 1 in 5 have at least 1 unnecessary test
- Only 1 in 3 in some countries are explained risks of treatment

Answer 9

People-centred care

Question 10

What are the benefits of people-centred care? (3 bullets)

Answer 10

• Improves patient trust, outcomes and experiences
• Improves job satisfaction of healthcare professionals
• Increases quality and efficiency of healthcare systems

Question 11

Description of how healthcare services are delivered without use of integration

Answer 11

Delivered the way the care system wants to deliver rather than in a way that meets the need of the individuals that it is serving

Question 12

Which WHO principle are these statistics related to?
- At least 1/2 of world’s population don’t have full coverage of essential health services
- Approx 1 in 8 of world population spend at least 10% of household budget on healthcare

Answer 12

Universal Health Coverage (UHC)