scholarly journals The role of multilateral organizations and governments in advancing social innovation in health care delivery

2019 ◽  
Vol 8 (1) ◽  
Author(s):  
Beatrice Halpaap ◽  
Rosanna W. Peeling ◽  
François Bonnici
Keyword(s):  
Health Care ◽  
Sustainable Development ◽  
Health Systems ◽  
Health Care Delivery ◽  
Social Innovation ◽  
Care Delivery ◽  
Enabling Environment ◽  
Social Innovations ◽  
Multilateral Organizations ◽  
Innovation Approach

Abstract Background Despite great medical advances and scientific progress over the past century, one billion people globally still lack access to basic health care services. In the context of the 2030 Agenda for Sustainable Development social innovation models aim to provide effective solutions that bridge the health care delivery gap, address equity and create social value. This commentary highlights the roles of multilateral organizations and governments in creating an enabling environment where social innovations can more effectively integrate into health systems to maximize their impact on beneficiaries. Main text The integration of social innovations into health systems is essential to ensure their sustainability and the wide dissemination of their impact. Effective partnerships, strong engagement with and endorsement by governments and communities, regulations, trust and sometimes willingness are key factors to enhance system integration, replication and dissemination of the models. Three examples of social innovations selected by the Social Innovation in Health Initiative illustrate the importance of engaging with governments and communities in order to link, integrate and synergize their efforts. Key challenges that they encountered, and lessons learnt are highlighted. Multilateral organizations and governments increasingly engage in promoting and supporting the development, testing and dissemination of social innovations to address the health care delivery gap. They play an important role in creating an enabling environment. This includes promoting the concept of social innovation in health care delivery, spreading social innovation approach and lessons learnt, fostering partnerships and leveraging resources, convening communities, health system actors and various stakeholders to work together across disciplines and sectors, and nurturing capacity in countries. Conclusions Multilateral organizations and local and national governments have a critical role to play in creating an enabling environment where social innovations can flourish. In supporting and disseminating social innovation approach, multilateral organizations and governments have a great opportunity to accelerate Universal Health Coverage and the achievement of the Sustainable Development Goals.

scholarly journals Exploring social innovation in health in Central America and the Caribbean

2020 ◽  
Vol 44 ◽  
pp. 1
Author(s):  
Josselyn Mothe ◽  
Luis E. Vacaflor ◽  
Diana M. Castro-Arroyave ◽  
Luis Gabriel Cuervo ◽  
Nancy Gore Saravia
Keyword(s):  
Health Care ◽  
Central America ◽  
Health Care Delivery ◽  
Social Innovation ◽  
Care Delivery ◽  
Quality Health Care ◽  
Social Innovations ◽  
The Caribbean ◽  
The Impact ◽  
Universal Health

Universal health coverage is a public health priority in the Americas. Social innovation in health offers novel solutions to unmet needs, by enabling health care delivery to be more inclusive, affordable, and effective. In 2017, an international collaborative consortium launched an open call for solutions that sought to identify social innovations in health in Central America and the Caribbean. The focus was set on how these solutions can strengthen health care delivery, with emphasis on reducing the impact of neglected transmissible diseases. A crowdsourcing strategy was implemented to identify social innovations in health. These were evaluated by an external panel of experts and practitioners and civil society representing the health and social innovation sectors, based on the appropriateness, innovativeness, and affordability of the solution. The three top-scoring solutions were analyzed through case studies including site visits by a team of investigators. Two key findings emerged from the response to the call: 1) innovative solutions were based on the knowledge and experience of individuals and communities facing adverse situations; 2) this knowledge was shared through health promotion and education, leading to empowerment of the communities. The principal challenges addressed by the solutions were the limited access to quality health care services and failed traditional strategies for vector control. The solutions identified demonstrated how social innovation can strengthen health systems by delivering novel solutions to health needs and articulating communities to enable them to work hand-in-hand with the health system toward universal health.

scholarly journals Scaling virtual health at the epicentre of coronavirus disease 2019: A case study from NYU Langone Health

2020 ◽  
pp. 1357633X2094139
Author(s):  
Jason Sherwin ◽  
Katharine Lawrence ◽  
Veronica Gragnano ◽  
Paul A Testa
Keyword(s):  
Health Care ◽  
At Risk ◽  
Health Systems ◽  
Health Care Delivery ◽  
Care Delivery ◽  
Lessons Learned ◽  
Virtual Care ◽  
Health Enterprise

The coronavirus disease 2019 (COVID-19) pandemic has accelerated the drive of health-care delivery towards virtual-care platforms. While the potential of virtual care is significant, there are challenges to the implementation and scalability of virtual care as a platform, and health-care organisations are at risk of building and deploying non-strategic, costly or unsustainable virtual-health systems. In this article, we share the NYU Langone Health enterprise approach to building and scaling an integrated virtual-health platform prior to and during the COVID-19 pandemic, and offer lessons learned and recommendations for health systems that need to undertake or are currently undertaking the transition to virtual-care delivery.

scholarly journals Thirtieth Annual Congress on Veterinary Acupuncture: IVAS Report

2005 ◽  
Vol 2 (2) ◽  
pp. 239-242 ◽  
Author(s):  
Krishna Kaphle ◽  
Ying-Ling Wu ◽  
Jen Hsou Lin
Keyword(s):  
Health Care ◽  
Health Systems ◽  
Health Care Delivery ◽  
Care Delivery ◽  
Health Care Delivery System ◽  
Educational Programs ◽  
Veterinary Science ◽  
Non Profit ◽  
Annual Congress ◽  
High Standards

More than 155 participants from 25 countries attended the 30th Annual IVAS Congress, September 8–11, 2004 in Oostende, Belgium. The focus was on veterinary acupuncture (AP) and immunology, and the event was sponsored by the International Veterinary Acupuncture Society (IVAS). IVAS is a non-profit organization dedicated to promoting excellence in the practice of veterinary AP as an integral part of the total veterinary health care delivery system. The Society endeavors to establish uniformly high standards of veterinary AP through its educational programs and accreditation examination. IVAS seeks to integrate veterinary AP and the practice of Western veterinary science, while also noting that the science of veterinary AP does not overlook allied health systems, such as homeopathy, herbology, nutrition, chiropractic, kinesiology, etc. (www.ivas.org).

scholarly journals Current Status and Future Directions of mHealth Interventions for Health System Strengthening in India: Systematic Review (Preprint)

2018 ◽  
Author(s):  
Abhinav Bassi ◽  
Oommen John ◽  
Devarsetty Praveen ◽  
Pallab K Maulik ◽  
Rajmohan Panda ◽  
...  
Keyword(s):  
Health Care ◽  
Service Delivery ◽  
Health System ◽  
Health Systems ◽  
Health Care Delivery ◽  
Care Delivery ◽  
Health Systems Strengthening ◽  
Noncommunicable Disease ◽  
Health Initiatives

BACKGROUND With the exponential increase in mobile phone users in India, a large number of public health initiatives are leveraging information technology and mobile devices for health care delivery. Given the considerable financial and human resources being invested in these initiatives, it is important to ascertain their role in strengthening health care systems. OBJECTIVE We undertook this review to identify the published mobile health (mHealth) or telemedicine initiatives in India in terms of their current role in health systems strengthening. The review classifies these initiatives based on the disease areas, geographical distribution, and target users and assesses the quality of the available literature. METHODS A search of the literature was done to identify mHealth or telemedicine articles published between January 1997 and June 2017 from India. The electronic bibliographic databases and registries searched included MEDLINE, EMBASE, Joanna Briggs Institute Database, and Clinical Trial Registry of India. The World Health Organization health system building block framework was used to categorize the published initiatives as per their role in the health system. Quality assessment of the selected articles was done using the Cochrane risk of bias assessment and National Institutes of Health, US tools. RESULTS The combined search strategies yielded 2150 citations out of which 318 articles were included (primary research articles=125; reviews and system architectural, case studies, and opinion articles=193). A sharp increase was seen after 2012, driven primarily by noncommunicable disease–focused articles. Majority of the primary studies had their sites in the south Indian states, with no published articles from Jammu and Kashmir and north-eastern parts of India. Service delivery was the primary focus of 57.6% (72/125) of the selected articles. A majority of these articles had their focus on 1 (36.0%, 45/125) or 2 (45.6%, 57/125) domains of health system, most frequently service delivery and health workforce. Initiatives commonly used client education as a tool for improving the health system. More than 91.2% (114/125) of the studies, which lacked a sample size justification, had used convenience sampling. Methodological rigor of the selected trials (n=11) was assessed to be poor as majority of the studies had a high risk for bias in at least 2 categories. CONCLUSIONS In conclusion, mHealth initiatives are being increasingly tested to improve health care delivery in India. Our review highlights the poor quality of the current evidence base and an urgent need for focused research aimed at generating high-quality evidence on the efficacy, user acceptability, and cost-effectiveness of mHealth interventions aimed toward health systems strengthening. A pragmatic approach would be to include an implementation research component into the existing and proposed digital health initiatives to support the generation of evidence for health systems strengthening on strategically important outcomes.

Qualitative Methods: A Crucial Tool for Understanding Changes in Health Systems and Health Care Delivery

2010 ◽  
Vol 68 (1) ◽  
pp. 34-40 ◽  
Author(s):  
Peter J. Cunningham ◽  
Laurie E. Felland ◽  
Paul B. Ginsburg ◽  
Hoangmai H. Pham
Keyword(s):  
Health Care ◽  
Qualitative Methods ◽  
Health Systems ◽  
Health Care Delivery ◽  
Care Delivery

scholarly journals Telemedicine in the Western Cape Department of Health during the first peak of the COVID-19 pandemic: Leveraging data to save lives by activating a telemedicine response

2021 ◽  
Vol 13 (1) ◽  
Author(s):  
Neal J. David ◽  
Zameer Brey ◽  
Muzzammil Ismail
Keyword(s):  
South Africa ◽  
Health Care ◽  
Health Service ◽  
Health Systems ◽  
Health Care Delivery ◽  
Care Delivery ◽  
Western Cape ◽  
Department Of Health ◽  
Silver Lining ◽  
Patient Centric

The pandemic caused by coronavirus disease 2019 (COVID-19) has put health systems across the globe under strain. There has been much suffering and loss, but a silver lining is emerging – a growing list of deeply contextualised, resource-light and patient-centric innovations that are showing the promise of reshaping health care delivery as we know it. Some of these innovations were lying latent in the system, waiting for the ‘dots to be joined’. The Western Cape was the first province in South Africa to experience a COVID-19 wave from May 2020 to July 2020, with 60–70 deaths being reported daily. To bend the mortality curve during this crisis was not easy but was made possible using a rudimentary telehealth system. This project represents an exemplar of innovation, built out of necessity to save lives and may well become a staple component of the health service in a post-crisis era.

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