Page 67 - npqh NATIONAL POLICY FOR QUALITY IN HEALTHCARE : Bridging Silos, Accelerating Improvements 2022-2026

National P
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National Policy for Quality in Healthcare
ar
y in Healthc
y for Qualit
olic
Bridging S ilos, A c c e ler ating Impr o v ements
Bridging Silos, Accelerating Improvements
3.7 Policy
3.7.1 Integrated People-Centred Health Services

UHC will be achieved with improvements in service delivery so that all people are able
to access high quality health services that meet their needs and preferences. By adopting
people-centred and integrated health services across the life cycle, health systems will
be able to provide services that are of better quality, are financially sustainable and more
responsive to individuals and communities.

To achieve this integrated people-centred health services concept, we will adapt the
WHO’s five interdependent strategic goals (22,23):
i) Empowering and engaging people

Empowering and engaging people is about providing the opportunity, skills and
resources to enable individuals make effective decisions about their own health
and enable communities to become actively engaged in co-producing healthy
environments, providing care services in partnership with the health sector and
other sectors, and contributing to healthy public policy.
ii) Strengthening governance and accountability
Strengthening governance and accountability involves improving policy dialogue
as well as policy formulation and evaluation together with citizens, communities
and other stakeholders. It is about promoting transparency in decision-making
and generating robust systems for the collective accountability of policy-makers,
managers, providers and users through aligning governance, accountability and
incentives.
iii) Reorienting the model of care

Reorienting the model of care means ensuring that efficient and effective health care
services are provided through models of care that prioritise primary and community
care services and the co-production of health with a shift from inpatient to outpatient
and ambulatory care. This requires investment in holistic and comprehensive care,
including health promotions and ill-health prevention strategies that support
people’s health and well-being.
iv) Coordination of services

Coordinating services involves coordinating care around the needs and preferences
of people at every level of care, as well as promoting activities to integrate different
health care providers and create effective networks between health and other
sectors. It focuses on improving the delivery of care through the alignment and
harmonizing processes of the different services.
v) Creating an enabling environment
In order for the four previous strategies to become an operational reality, it is
necessary to create an enabling environment that brings together the different
stakeholders to undertake transformational change. This is a complex task involving
a diverse set of processes to bring about the necessary changes in legislative
frameworks, financial arrangements and incentives, and the reorientation of the
workforce and public policymaking.

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