Walking the Talk

Page 137

CHAPTER 4: MAKING IT HAPPEN

adoption of educational models to creative adaptation of global resources to address local priorities (Frenck et al. 2010). In alignment with this transformative vision for medical education, several shifts must take place in the orientation and culture of medical education and on-the-job training. Training for PHC should not be considered a “specialization,” as this can reinforce health system silos. Interprofessional education (Interprofessional Educational Collaborative 2016) (box 4.3)—a pedagogical approach that engages two or more health care professions in an integrated learning environment (Gilbert, Yan, and Hoffman 2010)— has proved useful to ensure that professionals value one another’s disciplines, increase providers’ collaborative knowledge and skills, and improve their ability to manage people

BOX 4.3 CORE COMPETENCIES FOR INTERPROFESSIONAL COLLABORATIVE PRACTICE The core competencies developed through interprofessional education feature the following desired principles: patient and family centered; community and population oriented; relationship focused; process oriented; linked to learning activities, educational strategies, and behavioral assessments that are developmentally appropriate for the learner; able to be integrated across the learning continuum; sensitive to the systems context and applicable across practice settings; applicable across professions; stated in language common and meaningful across the professions; and outcome driven. ++ Competency 1: Work with individuals of other professions to maintain a climate of mutual respect and shared values. (Values/Ethics for Interprofessional Practice) ++ Competency 2: Use the knowledge of one’s own role and those of other professions to appropriately assess and address the health care needs of patients and to promote and advance the health of populations. (Roles/Responsibilities) ++ Competency 3: Communicate with patients, families, communities, and professionals in health and other fields in a responsive and responsible manner that supports a team approach to the promotion and maintenance of health and the prevention and treatment of disease. (Interprofessional Communication) ++ Competency 4: Apply relationship-building values and the principles of team dynamics to perform effectively in different team roles to plan, deliver, and evaluate patient/population-centered care and population health programs and policies that are safe, timely, efficient, effective, and equitable. (Teams and Teamwork) Source: Interprofessional Education Collaborative 2016.

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What will the World Bank do?

6min
pages 219-221

Recommendations for donors and the international health community

1min
page 218

References

50min
pages 182-208

Recommendations for countries

9min
pages 213-217

human capital

1min
page 179

Conclusions

1min
page 180

Notes

1min
page 181

Building skills for multisectoral action among PHC practitioners

3min
pages 174-175

Financing multisectoral engagement

5min
pages 176-178

From fragility to resilience

11min
pages 168-173

A partnership to support primary health care

2min
page 167

From inequities to fairness and accountability

5min
pages 164-166

mechanisms and team-based care models

9min
pages 159-163

From fragmentation to people-centered integration

1min
page 158

resource allocation

10min
pages 153-157

revenue?

3min
pages 151-152

From dysfunctional gatekeeping to quality, comprehensive care for all

1min
page 150

Priority Reform 3: Fit-for-purpose financing for public-health-enabled primary care

1min
page 149

Social and practical support for a resilient health workforce

1min
page 148

From inequities to fairness and accountability

9min
pages 140-144

From fragility to resilience

5min
pages 145-147

practice

5min
pages 137-139

From fragmentation to people-centered integration

3min
pages 135-136

Priority Reform 2: The fit-for-purpose multiprofessional health workforce

1min
page 127

From dysfunctional gatekeeping to quality, comprehensive care for all

13min
pages 128-134

From fragility to resilience

3min
pages 125-126

From inequities to fairness and accountability

7min
pages 121-124

4.1 Why team-based care?

13min
pages 108-114

From fragmentation to people-centered integration

9min
pages 115-119

sharing in primary health care

2min
page 120

and priority reforms

2min
pages 106-107

3.8 What has to change: Sectoral silos inhibit collaboration

2min
page 96

References

11min
pages 98-104

Foundations for change: Enabling multisectoral action in PHC

8min
pages 92-95

Shift 4: From fragility to resilience

3min
pages 86-87

3.4 What has to change: Discontinuous delivery

4min
pages 81-82

health care inequities

3min
pages 84-85

Shift 3: From inequities to fairness and accountability

1min
page 83

Shift 2: From fragmentation to people-centered integration

3min
pages 79-80

Shift 1: From dysfunctional gatekeeping to quality comprehensive care for all

2min
page 76

Implications for primary health care

7min
pages 63-66

by income group and geographic location, 1950–2100

3min
pages 53-54

Policy recommendations

1min
page 30

1 Key recommendations for fit-for-purpose primary

1min
page 29

quality gaps

4min
pages 77-78

1.1 Defining primary health care

4min
pages 43-44

What the World Bank and its partners will do

1min
page 31
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