To obtain a comprehensive understanding of the context, it is essential to use a shared language. For this reason, we have included in this section a carefully selected glossary of terms from the Operational Framework for Primary Health Care (PHC). These definitions will help establish more effective and uniform communication in the field of Primary Health Care.
Access (to health services)
The ability, or perceived ability, to reach health services or health facilities in terms of location, timeliness and ease of approach.
Accountability
The obligation to report or give account of one’s actions, for example, to a governing authority through scrutiny, contract, management and regulation or to an electorate.
Active participation mechanisms
Mechanisms that are designed to achieve accountability and representation of community interests at the local, subnational and national levels.
Ambulatory care sensitive conditions
Chronic conditions for which it is possible to prevent acute exacerbations and reduce the need for hospital admission through active primary care, for example, asthma, diabetes and hypertension.
Amenable morbidity
The incidence of illness considered avoidable by health care interventions.
Amenable mortality
Deaths considered avoidable by health care interventions.
Care coordination
A proactive approach that brings care professionals and providers together around the needs of service users to ensure that people receive integrated and person-focused care across various settings.
Care pathway (or clinical pathway)
A structured multidisciplinary management plan (in addition to clinical guideline) that maps the route of care through the health system for individuals with specific clinical problems.
Carers (or caregivers, informal carers).
Individuals who provide care for a member or members of their family, friends or community. They may provide regular, occasional or routine care or be involved in organizing care delivered by others. Carers are in contrast with providers associated with a formal service delivery system, whether paid or on a volunteer basis (formal caregiver).
Case management
A targeted, community-based and proactive approach to care that involves case-finding, assessment, care planning and care coordination to integrate services around the needs of people with a high level of risk requiring complex care (often from multiple providers or locations), people who are vulnerable, or people who have complex social and health needs. The case manager coordinates patient care throughout the entire continuum of care.
Catchment area
A geographical area defined and served by a health programme, facility or institution, which is delineated based on population distribution, national geographical boundaries and transportation accessibility.
Change management
An approach to transitioning individuals, teams, organizations and systems to a desired future state.
Chronic care
Health care that addresses the needs of people with long-term health conditions.
Clinical governance
The processes through which actors are held accountable for continually improving the quality of their health services and safeguarding high standards of care.
Clinical guidelines
Systematically developed, evidence-based recommendations that support health professionals and patients to make decisions about care in specific clinical circumstances.
Clinical integration
The coordination of patient care across the system’s different functions, activities and operating units. The degree of coordination of care depends primarily on the patient’s condition and the decisions made by his or her health team. Clinical integration includes horizontal and vertical integration.
Co-production of health care
Health services that are delivered in an equal and reciprocal relationship between professionals, people using care services, their families and the communities to which they belong. Co-production implies a long-term relationship between people, providers and health systems whereby information, decision-making and service delivery become shared.
Coherence (of a national health policy, strategy or plan)
(a) The extent to which proposed strategies are aligned with the priorities identified in the situation analysis;
(b) the extent to which programme plans are aligned with the national health strategy and plan;
(c) the extent to which the different programmatic strategies in the national health policy, strategy or plan are coherent with each other; or
(d) the extent to which the budget, monitoring and evaluation framework and action plan introduce the proposed strategies.
Collaborative care
Care that brings together professionals or organizations to work in partnership with people to achieve a common purpose.
Community
A unit of population, defined by a shared characteristic (for example, geography, interest, belief, or social characteristic), that is the locus of basic political and social responsibility and in which every day social interactions involving all or most of the spectrum of life activities of the people within it takes place.
Community health worker
Person who provides health and medical care to members of their local community, often in partnership with health professionals; alternatively known as village health worker, community health aide or promoter, health educator, lay health adviser, expert patient, community volunteer or some other term.
Comprehensiveness of care
The extent to which the spectrum of care and range of available resources responds to the full range of health needs of a given community. Comprehensive care encompasses health promotion and prevention interventions, as well as diagnosis and treatment or referral and palliation. It includes chronic or long-term home care and, in some models, social services.
Continuity of care
The degree to which a series of discrete health care events is experienced by people as coherent and interconnected over time and consistent with their health needs and preferences.
Continuum of care
The spectrum of personal and population health care needed throughout all stages of a condition, injury, or event throughout a lifetime, including health promotion, disease prevention, diagnosis, treatment, rehabilitation, and palliative care.
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Definitions in this glossary are adapted from the following sources:
- Essential public health functions, health systems and health security: developing conceptual clarity and a WHO roadmap for action. Geneva: World Health Organization; 2018
- Glossary of terms – The European Framework for Action on Integrated Health Services Delivery. Copenhagen: World Health Organization Regional Office for Europe; 2016.
- Glossary of terms – WHO European PHC Impact, Performance and Capacity Tools (PHCIMPACT).
- Copenhagen: World Health Organization Regional Office for Europe; 2019.
- Health systems strengthening glossary. Geneva: World Health Organization.
- Integrated Health Service Delivery Networks: Concepts, Policy Options and a Road Map for Implementation in the Americas.
- Primary Health Care-Based Health systems: Strategies for the Development of Primary Health Care Team. Washington, DC: Pan American Health Organization; 2009.
- Wellbeing measures in primary health care: the Depcare project. Copenhagen: World Health Organization Regional Office for Europe; 1998.
- WHO global strategy on people-centred and integrated health services: interim report. Geneva: World Health Organization; 2015.