Key Concepts and Characteristics
from Section 1 - Analyzing Health Systems: Concepts, Components, Performance
Published online by Cambridge University Press: 08 December 2022
This chapter explores concepts of service delivery including coverage, provision of health care, processes and inputs involved in delivery of services, and the requirements for good quality care in low and middle-income countries (L&MICs). Health service delivery models are organized in diverse ways that encompass the levels of care, location and platforms, as well as vertical and horizontal modes of integration, and personal and non-personal services. Several key characteristics and enablers are markers of high-quality health services and when adhered to lead to favourable health outcomes. The community’s preferences and demand with regard to what services to provide is key to building their trust. Essential packages for defining health services should be needs-based, incorporating the disease burden, ensuring quality, coverage and utilization needed to have good health outcomes. The pursuit of Universal Health Coverage requires Primary Health Care as the foundation of health systems in L&MICs, equity in services provision, as well as good information and monitoring systems.
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