Health Services Delivery PDF

Health Services Delivery ❖ Eight keys' characteristics of good service delivery: 1. Comprehensiveness: Complete range of health services. 2. Accessibility: no undue barriers related to cost, language, culture, or geography. 3. Coverage: All people in defined target population are cover...

Health Services Delivery ❖ Eight keys' characteristics of good service delivery: 1. Comprehensiveness: Complete range of health services. 2. Accessibility: no undue barriers related to cost, language, culture, or geography. 3. Coverage: All people in defined target population are covered. 4. Continuity: Continuity of care across services, conditions, and life stages. 5. Quality: effective, safe, patient-centered, and timely care. 6. Person-centeredness: Services organized around the person, not the disease or financing. 7. Coordination: Actively coordinated across providers, care types, service levels, and for both routine and emergency needs. 8. Accountability and Efficiency: Managers should have the authority to meet objectives and be accountable for results while minimizing resource wastage. ❖ Sources of information and their importance on health service delivery : Description Strengths Limitations Regular data Mandated practice at the Limited data on service provision; Routine Health reported at the facility level with standard often incomplete, covers public Facility Reporting facility level to reporting formats and sector only, and with time lags in System national levels by cycles. reporting; biases due to variation service provides. in population use of services Periodic census of Provides information useful Time-consuming and can costly, all public and to planners at all levels, if not well integrated; difficult to Health Facility private health-care such as basic identify all health-care facilities, Census facilities within a characteristics, availability particularly in urban centres; country and, staffing, service access to all facilities may be provision. problematic Periodic survey of More detailed information Time-consuming and costly; Health Facility a representative than in facility census with information most useful at Survey sample of public verification of information national level; requires a complete and private health- in many cases; quality of facility listing for sampling to be care facilities care done correctly; long intervals within a country between surveys A service delivery monitoring system requires multiple data sources for analysis and decision-making. The primary goal of a health resource monitoring system is to establish a district-based system with support at national or regional level, providing essential data for district comparison. ❖ Core indicators: o General service availability: refers to the physical presence of delivery of services that meet a minimum standard. o General service readiness: refers to the general capacity of health facilities to provide health services. Readiness is defined as the cumulative availability of components required to provide services. o Service-specific availability: refers to whether or not a specific service is offered. o Service-specific readiness: the capacity of health facilities to provide a specific service. o Service quality. ❖ Related articles: o The study evaluates e-health use in Makkah hospitals, showing that KAMC and KFH are advanced, while ANSH lags. Challenges include costs, technical skills, and language barriers, but e-health is enhancing healthcare in Saudi Arabia. o The study aims to describe the Service Availability and Readiness Assessment (SARA) and the results of its implementation in six countries across three continents. Done by: Norah Alshahrani, Fatimah Aldhamadi, Sally Alamoudi