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Redefining global health-care delivery.
Jim Yong Kim1, Paul Farmer, Michael E Porter
1The World Bank Group, Washington, DC, USA.
Lancet (London, England)
|May 24, 2013
Summary
Addressing poverty and serious illness requires integrated health care delivery. A new framework uses value chains to improve care for conditions like HIV/AIDS, ensuring better patient outcomes and economic development.
Area of Science:
- Global Health
- Health Care Delivery Systems
- Health Services Research
Background:
- Poverty and serious illness present complex, unmet needs, often addressed by fragmented, unassessed initiatives.
- Existing assessments of health interventions are frequently narrow, focusing on single-problem cost-effectiveness rather than holistic patient value.
- Effective global health care delivery requires a systems-level approach to complex patient needs.
Purpose of the Study:
- To propose a framework for global health care delivery and evaluation.
- To introduce the concept of care delivery value chains for systems-level analysis.
- To guide the integration of health initiatives for improved patient outcomes and economic development.
Main Methods:
- Utilizing HIV/AIDS care in resource-poor settings as a model.
- Applying systems-level analysis through care delivery value chains.
- Integrating vertical projects into shared infrastructure and aligning delivery with local context and social determinants of health.
Main Results:
- Care delivery value chains enable a comprehensive analysis of interventions needed for high-value care.
- Integration into shared infrastructure optimizes resource utilization and economies of scale.
- Alignment with local context and social determinants enhances health outcomes and promotes equitable development.
Conclusions:
- A systems-level framework, incorporating care delivery value chains, is essential for improving global health care.
- Integrating fragmented initiatives and aligning with local contexts are crucial for delivering value to patients facing poverty and illness.
- Investing in care delivery can simultaneously advance health equity and economic development.
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