Efficiency

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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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
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Provider caseload
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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Information & Technology
Efficiency
COMPLEMENTARY SUBDOMAINS
Adjustment to Population Health Needs
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Research and development of interventions that would make implementation and delivery of PHC more cost-effective and efficient.
Funding & Allocation of Resources
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Making health spending more efficient is one way of expanding the fiscal space for health. By increasing efficiency, limited resources can go farther, opening up funding for health sector priorities such as PHC. In addition, demonstrating the efficiency, cost-effectiveness, and impact of PHC helps to make the case for budget allocations to PHC.
Access
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Shorter waiting times and management of facility flow helps to create more efficient interactions and experiences at the facility level.
Coordination
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Proper coordination of care to adequate health service levels helps for efficient care delivery as patients move within the health system.
Effectiveness
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Adherence to effective, evidence-based standards of care delivery helps to promote efficient use of resources and time.
Management of Services
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Management of services helps to properly forecast and manage financial needs at the facility level while also effectively defining and efficiently distributing roles of PHC workfroce. Management can also track and monitor bottlenecks at the facility levels which may lead to gaps in case or inefficiencies. Additionally, quality management infrastructures will be the basis for measuring efficiency for improvement.
Organization of Services
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Effectively defining and distributing roles of providers aid the efficient use of staff and resources.
Population Health Management
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Streamlining resources and interventions to specific communities and target groups can promote efficiency in service delivery and resource utilization.
Resilient Facilities and Services
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Assessing resilience of facilities and services can help to ensure efficiency in the use of limited resources during public health emergencies.
Service Availability & Readiness
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Readiness of workforce and facilities to provide care, including provider competency, is important in ensuring that care is efficienly delivere both in terms of HRH and physical resources.
Timeliness
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Shorter waiting times and management of facility flow helps to create more efficient interactions and experiences at the facility level.
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 Service Quality, including Efficiency. View the full Improvement Strategy on Service Quality to learn more.

Service Quality 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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Walking the Talk: Reimagining Primary Health Care After COVID-19
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Universal Health Coverage
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UHC in Africa: A Framework for Action
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Supplies Partnership 2021-2030
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Strategy 2030: Achieving a Prosperous, Inclusive, Resilient, and Sustainable Asia and the Pacific
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Phase V (2021-2025)
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Operational Plan for Health, 2015–2020
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High-Performance Health-Financing for Universal Health Coverage: Driving Sustainable, Inclusive Growth in the 21st Century
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Health Sector Framework Document
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Global Delivery Programs
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Global AIDS Strategy 2021-2026