Delivery System Design

KEY ACTIONS FOR DELIVERY SYSTEM DESIGN

  • Organize PHC based care;
  • Define roles and distribute tasks among team members;
  • Ensure proactive care and regular follow-up;
  • Use risk stratification;
  • Provide case management or  a care coordinator for patient with complex diseases;
  • Give care that patients understand and that conforms to their cultural background;
  • Develop integrated health service delivery networks.

EXAMPLE OF EFFECTIVE INTERVENTIONS

  • Clinical record audit and feedback (Jamtvedt 2006)
  • Assigning a role in self-management, decision support and delivery system design to a designated clinical provider (Watts)
  • Implementing a personalized structured discharge plan (Shepperd)
  • Referral guidelines and forms (Akbari) 
  • Using regular planned recall of patients for appointments (Buckley)
  • Chronic care management programs for diabetes (Elissen)
  • Program of nurses contacting frequently with patient (Renders)

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