Paper: Models of care for patients with hypertension and diabetes in humanitarian crises: a systematic review
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"Implementing NCD care in humanitarian crises requires the development of
a context-adapted approach or ‘model of care’. A model of care may be
characterized as a conceptual and pragmatic framework that describes how
services are delivered within a health system (Davidson et al., 2006; Agency for Clinical Innovation, 2013)." Models of care"We found that there was no single unifying model of care for HTN/DM care in humanitarian crises, and the variance in
care models included in this review was highly dependent on context. In
order to descriptively synthesize the diverse models presented in the
included studies, we created a typology based on the type of crisis,
region and integration with the health system, since these factors
likely influenced model design" |
hypertension and diabetes (HTN/DM) Crisis type and Region Camp, Non-Camp; Rural, Urban Location of services - Location of people in need, transport, travel time, distance Refugee population - Local population "The domains of access — availability, affordability, accessibility, accommodation, and acceptability — were derived from previously described measures of coverage (Penchansky and Thomas, 1981; Hernández-Quevedo and Papnicolas, 2013; Levesque et al., 2013)."
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Refugees and Host Communities
"Responsiveness has been defined as the ability of health services meet a
patient’s holistic needs; in this framework, it also encompassed a
model of care’s ability to respond to changing patient needs in a
volatile context (.Hernández-Quevedo and Papnicolas, 2013; Kruk et al., 2018).
Integration described the linkage between different levels and sites of
care, such as facility-based care and community-based support as well
as coordination between providers and institutions, while continuity of
care referred to uninterrupted care throughout the patient’s disease and
life course."
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Formal health system and community-based formal or informal systems Non-governmental organisations
Affordability, income, worth of service Person :: Service centrednesss |
"Availability was defined as the volume and type of existing services and whether this was adequate for the volume and needs of service users. Affordability constituted the patient’s capacity to use financial resources to obtain care balanced against their income and the perceived worth of the service. Accessibility addressed the match between the location of services vs the location of people in need, including transport, travel time, distance, and cost. The accommodation was defined as the organization of service delivery, such as opening times and ability of service users to accommodate to this. Acceptability was considered as the relationship between the services and the patient’s expectations of appropriate care."(My emphasis)
NCD - Non-communicable disease
My source: HIFA list
orcid.org/0000-0002-0192-8965