Comprehensiveness

The provision of holistic and appropriate care across a broad spectrum of health needs, ages, and solutions. Comprehensive primary health care is able to address a majority of promotive, preventive, curative, rehabilitative, chronic and palliative service needs.

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Timeliness

The ability of the health system to provide primary care services to patients when they need them, with acceptable and reasonable wait times and at days and times that are convenient to them.

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Safety

The practice of following procedures and guidelines in the delivery of PHC services in order to avoid harm to the people for whom care is intended.

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Efficiency

Efficiency refers to the ability of a health system to attain its desired objective(s) with the available resources, while minimizing waste and maximizing capacities to deliver care to those who need it.

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Effectiveness

Effectiveness measures whether health care and services are driven by evidence, adhere to established standards, and achieve their intended result.

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People-Centeredness

People-centeredness means organizing the health system around the comprehensive needs of people rather than individual diseases.

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First Contact Accessibility

The capacity of a primary care system to serve as the first point of contact, or a patient's entry point to the health system, for most of a person's health needs.

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Coordination

Coordination of care refers to the system's ability to oversee and manage patient care over time and across levels of care to ensure appropriate follow-up, minimize the risk of error, and prevent complications.

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Continuity

Continuity is the degree to which a patient experiences a series of discrete healthcare events as coherent and consistent with their medical needs and personal context.

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Comprehensiveness

The provision of holistic and appropriate care across promotive, preventive, curative, rehabilitative, chronic and palliative service needs.

Indicators

Comprehensiveness indicator(s) forthcoming.

No indicators for this sub-domain.
Related Concepts

Delivering high-quality primary health care requires many elements of the health system working effectively together. This mapping explores how different concepts with the framework relate to one another.

Upstream elements are those that are required to develop or improve a particular concept. Absence or poor performance of an upstream element is expected to negatively impact the performance of the concept of focus.

Complementary elements are those where improvements or developments in this area will be mutually beneficial to the concept of focus but not required for improvement.

UPSTREAM CONCEPTS
COMPLEMENTARY CONCEPTS
UPSTREAM SUBDOMAINS
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Medicines & Supplies
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Policy and Leadership
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Purchasing & Payment Systems
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Organization of Services
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People-Centeredness
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Population Health Management
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Service Availability & Readiness
Comprehensiveness
COMPLEMENTARY SUBDOMAINS
Adjustment to Population Health Needs
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Priority setting may help to ensure that the provision of PHC services is comprehensive to existing and emerging population health needs. These data are also important for defining what needs to delivered through an essential health services package.
Information & Technology
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Data collected through surveillance and other information streams are important for supplementing decisions around which services to provide within a comprehensive service delivery package.
Multi-Sectoral Approach
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Multisectoral action in health (ex. health in all policies) promotes comprehensiveness by engaging other services and sectors in the delivery of care.
PHC Workforce
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Achieving comprehensive PHC requires a workforce that is trained to provide a broad set of services. HRH recruitment and retention strategies promote the development of a consistent, skilled, motivated workforce, supporting longitudinal care relationships between patient and providers
Management of Services
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Multidisciplinary care teams can support the expansion of the service package delivered at the PHC level and therefore improve comprehensiveness.
Service Coverage
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Effective service coverage of essential health services in PHC is important to the delivery of comprehensive services across the lifespan.
Improvement Strategies

Each PHCPI Improvement Strategy is designed to help decision-makers begin to plan and enact reforms within their own context by providing additional resources and evidence on the topic, as well as practical recommendations for action.

The explainer graphic below presents a quick overview of the concept of Comprehensiveness. View the full Improvement Strategy on Primary Care Functions to learn more.

Comprehensiveness explainer graphic
Potential Funding opportunities

Interested in understanding how this topic intersects with investment opportunities from major funding streams? The Global Frameworks Mapping provides a starting point to help identify and make connections between key PHC topics, relevant funding initiatives, and investment cases.

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Phase V (2021-2025)
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Maternal and Newborn Health Thematic Fund 2018-2022
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