Online Program

Leveraging technology solutions to deliver integrated patient-centered health services

Monday, November 2, 2015

Altea Cico, MPH, International Health, Abt Associates, Bethesda, MD
Carlos Avila, MD, PhD, International Health Division, Abt Associates, Bethesda, MD
Introduction: Public health care providers are often unable to reach the poor and those who live in remote areas. Private providers can fill this gap. Technology is improving access and quality of basic services in developing countries. In mid-2014, there were 329 million mobile subscribers in Sub-Saharan Africa. The purpose of this research is to identify how technology can be leveraged to enhance the integration of health care delivery in public private provider networks.

Methods: Existing literature on health service delivery models is reviewed to analyze the key characteristics of each in terms of affordability, quality, efficiency, and access. Various cases are studied to identify technology solutions introduced in service delivery models across different sectors.

Results: Private sector services are client-centered and often available in underserved areas. However, those services are frequently not well-regulated in developing countries, and fragmentation is a concern. The public sector, which is more centralized, is more effective in monitoring public health.  The use of mobile technology has been shown to facilitate health information exchange across providers, enabling the delivery of integrated care and improving performance through benchmarking. Furthermore, it can provide valuable information on the patient experience, enhancing the ability to deliver patient-centered care.

Conclusion: Public and private providers can play complementary roles in expanding access to care., but integrated provider networks are needed in order to maximize efficiency and reach. Case studies demonstrate that technology can be used to deliver services that serve the needs of patients while also enabling information sharing across sectors.

Learning Areas:

Communication and informatics
Provision of health care to the public
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
Compare the characteristics of various health service delivery models Design public-private mix models to improve access Explain how technology can be used to deliver patient-centered care and enhance integration

Keyword(s): Patient-Centered Care, Technology

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have over 7 years of experience in health economics and health systems strengthening. I am currently contributing to several studies evaluating the cost-effectiveness of various health interventions and developing materials to train local counterparts on cost-effectiveness. I hold an MPH from The George Washington University and a BA from Tufts University, and I am currently completing an MS in Applied Economics at Johns Hopkins University.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

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