Strengthening how health services are delivered is necessary to accelerate gains in health outcomes in an era of chronic diseases, multi and comorbidities, emerging and reemerging communicable diseases, environmental and demographic changes, among others.

In this context and in line with Health 2020, reforms in the delivery of health services are expected in the following policy directions:

  • Moving towards people-centred care by enabling patient self-management where appropriate, as well as delivery of care as close to home as is safe and cost–effective;
  • Further strengthening of primary health care with an expanded task profile, acting as a hub to other levels of care;
  • Ensuring an appropriate continuum of care with strengthened care coordination across providers and over time, including with social care;
  • Fostering a culture of continuous quality improvement based on the best available evidence.