Table 1.
key components and strategies for a one-stop-shop model to deliver adolescent oral, mental, sexual and reproductive health services
| Domain | Objectives | Strategies |
|---|---|---|
| Health System | Create an integrated unit that promotes safe, high-quality care accessed through a facility-based service delivery point for adolescents | Develop agreements that facilitate care coordination within and across different levels of healthcare systems |
| Develop robust referral mechanism between community structure and facility | ||
| Encourage open and systematic handling of errors and quality problems to improve adolescent care | ||
| Improve support of the management of all levels of care in the organization for the care concept | ||
| Promote strategies aimed at comprehensive system change including development of referral mechanisms that support access of all adolescents to the one-stop-shop for screening services | ||
| Provide healthcare provider incentives based on quality of care | ||
| Delivery System Design | Assure the delivery of effective, efficient clinical care and self-management support for adolescents | Develop integrated OMSRH care management protocol |
| Ensure short waiting time for scheduled appointments | ||
| Ensure access to real and virtual information | ||
| Ensure access to preventive services like sexually transmitted infection screening and HPV immunization | ||
| Ensure regular follow-up by the care team | ||
| Facilitate access to existing support structures | ||
| Promote gender sensitive care delivery services | ||
| Promote quality and safety | ||
| Provide finance support for service access | ||
| Train care team to be youth-friendly, and competent to provide individualized patient-centered care | ||
| Self-Management Support | Empower and prepare adolescents to manage their health and health care | Emphasize patient's central role in managing their health |
| Use effective self-management support strategies that include assessment, goal-setting, action planning, problem-solving and follow-up | ||
| Use proven provider counselling and education methods to promote adolescents' interest in self-care | ||
| Organize internal and community resources to provide ongoing self-management support | ||
| Clinical Information Systems | Organize patient and population data to facilitate efficient and effective care | Facilitate individual patient care planning |
| Identify relevant subpopulations for proactive care | ||
| Monitor performance of practice team and care system | ||
| Provide timely reminders for patients | ||
| Share information with patients and providers to coordinate care | ||
| Community Systems | Mobilize community resources to meet needs of adolescents | Advocate for policies to improve adolescent care |
| Encourage patients to participate in peer support community-based programs | ||
| Form partnerships with community organizations to support and develop interventions to fill service gaps | ||
| Institute collaborative support for community structure by facility personnel |
Adapted from: Curry N, Ham C. Clinical and service integration. The route to improved outcomes. The King's Fund. 2010. Available at: https://www.kingsfund.org.uk/sites/files/kf/Clinical-and-serviceintegration-Natasha-Curry-Chris-Ham-22-November-2010.pdf. Accessed 30 June, 2019