Integrated delivery networks: a detour on the road to integrated health care?
نویسندگان
چکیده
This paper reviews the rationales and evidence for horizontal and vertical integration involving hospitals. We find a disjunction between the integration rationales espoused by providers and those cited in the academic literature. We also generally find that integration fails to improve hospitals' economic performance. We offer seven lessons from hospitals' efforts to integrate and then suggest four alternative models for achieving integrated delivery of health care services.
منابع مشابه
Care Integration – From “One Size Fits All” to Person Centred Care; Comment on “Achieving Integrated Care for Older People: Shuffling the Deckchairs or Making the System Watertight for the Future?”
Integrating services is a hot topic amongst health system policy-makers and healthcare managers. There is some evidence that integrated services deliver efficiencies and reduce service utilisation rates for some patient populations. In their article on Achieving Integrated Care for Older People, Gillian Harvey and her colleagues formulate some critical insights from practice and research around...
متن کاملمطالعه تطبیقی الزامات شبکه اجتماعی سلامت به عنوان سامانه پرونده سلامت شخصی
Background: Patient-centered care improves the quality of life and health care, and reduces the costs of care. The advent of new technologies such as health social networks, and personal health records (PHR), have significant impact on the patient-centered care. The aim of this article is to analyze and provide a set of features and requirements needed by the users of health social network serv...
متن کاملIntegrated technique for the optimization of healthcare facility problem
Access to basic health care services is one of the major issues in developing nations. The location of health care facilities is an important aspect in health care delivery. It is therefore necessary for health care services to be located optimally to serve the demands well. This study develops an integrated methodology in the field of healthcare location which minimizes the weighted average Eu...
متن کاملAchieving Integrated Care for Older People: What Kind of Ship?; Comment on “Achieving Integrated Care for Older People: Shuffling the Deckchairs or Making the System Watertight for the Future?”
This paper considers an implication of the idea that proposals for integrated care for older people should start from a focus on the patient, consider co-production solutions to the problems of care fragmentation, and be at a system-wide, cross-organisational level. It follows that the analysis, design and therefore evaluation of integrated care projects should be based upon the journeys which ...
متن کاملO2: Post-Crash and Trauma Care for Children
Road traffic injuries as a man-made calamity impose great burden on poor people and needs to be addressed through social justice and end of poverty. Pointing out that around 186,300 children under the age of 18 are killed every year, and much more are injured, urgent need to work on road safety measures will be revealed. Although preventing road traffic crashes from occurring should be the main...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Health affairs
دوره 21 4 شماره
صفحات -
تاریخ انتشار 2002