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8 Transferability of Models and Lessons Learned
Pages 79-84

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From page 79...
... -- Akiko Maeda There should be a commitment at the provider level to the AAAQ framework around Availability, Accessibility, Acceptability, and Quality of services. There has to be a coherent financing mechanism that really drives population health management as opposed to quantity of services provided.
From page 80...
... The following is a summary of the small group discussions presented by the group leaders, and they should not be viewed as consensus. CHALLENGES AND OPPORTUNITIES: FINANCING NURSING AND MIDWIFERY ENTERPRISES THAT EMPOWER WOMEN AND STRENGTHEN HEALTH SYSTEMS1 Group leader Monique Dolfing-Vogelenzang raised the issue of nurse franchising for developing countries that could also have implications for the United States.
From page 81...
... STRATEGIES AND SUPPORT: START-UP, SCALE-UP, SUSTAINABILITY, AND TRANSFERABILITY OF ACTUAL AND THEORETICAL MODELS GLOBALLY AND TO THE UNITED STATES2 Small group leader Akiko Maeda suggested that gaps in existing services and care models might actually be opportunities to create or adopt new models that would build on the comparative strength of nurses and midwives in the United States and around the world. She also noted that, in thinking about women's empowerment, some consideration could be given to other health workers who commit to empowering women.
From page 82...
... He presented one potential framework to illuminate that pathway, which could be applied to multiple models of health care delivery in the United States and abroad (see Figure 8-1)
From page 83...
... Udayakumar remarked that it is unlikely any single actor could create such an ecosystem, and that a consortium governance model might be most effective. While this is a long-term vision, individual participants emphasized that team-based professional education and clinical training models -- particularly focused on community primary care and leadership development -- could be important elements for the short term.
From page 84...
... She proposed a few ideas, such as social exchange labs and aggregators, where independent evidence can identify universal core elements of successful programs. But one frustration she voiced is that for more than four decades, programs and innovations have been funded without seeing big changes in health services provision in the United States.


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