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Conceptualizing and measuring integration: findings from the health systems integration study
R R Gillies1, S M Shortell, D A Anderson
1J.L. Kellogg Graduate School of Management, Northwestern University, Evanston, IL 60208.
Hospital & Health Services Administration
|January 1, 1993
Summary
Organized delivery systems show moderate integration, especially in planning and culture. Greater perceived integration correlates with higher perceived effectiveness and better physician and clinical coordination.
Area of Science:
- Health Services Research
- Healthcare Management
- Systems Integration
Background:
- Growing interest in organized delivery systems (ODS) for healthcare reform.
- Need for coordinated, cost-effective care delivery models.
- ODS aim to integrate various healthcare components.
Purpose of the Study:
- Clarify types of integration within ODS.
- Present findings from a study of 12 ODS.
- Examine relationships between integration, perception, and effectiveness.
Main Methods:
- Study of 12 organized delivery systems.
- Analysis of integration levels across different functional areas.
- Survey responses from corporate staff and operating unit managers.
Main Results:
- Moderate overall integration, notably in culture, financial, and strategic planning.
- Corporate staff reported higher perceived integration and effectiveness than managers.
- Functional integration positively associated with physician-system and clinical integration.
Conclusions:
- Perceived integration is positively linked to perceived system effectiveness.
- Integration in specific areas impacts physician and clinical coordination.
- Understanding ODS integration is key for healthcare reform efforts.