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Are provider integrated delivery systems the final step to integration?

¹Medi-Call of St. Louis Inc., Kirkwood, MO 63122, USA.

Medical Group Management Journal

|February 7, 1995

Summary

Provider integrated delivery systems are a step toward, but not the end of, healthcare integration. True integration involves community collaboration in planning across the entire health continuum, forming community integrated delivery systems (CIDS).

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Area of Science:

Healthcare Management
Health Services Research
Public Health Policy

Background:

Provider integrated delivery systems (PIDS) represent a significant advancement in healthcare organization.
However, PIDS alone do not achieve full integration of healthcare services.
The current model of PIDS requires further evolution to encompass broader community involvement.

Purpose of the Study:

To define the limitations of Provider Integrated Delivery Systems (PIDS) in achieving complete healthcare integration.
To propose a more comprehensive model for healthcare integration that includes community participation.
To advocate for Community Integrated Delivery Systems (CIDS) as the ultimate goal of healthcare integration.

Main Methods:

Conceptual analysis of healthcare integration models.
Literature review on existing healthcare delivery systems.
Argumentative synthesis of the role of community in healthcare planning and responsibility.

Main Results:

Provider integrated delivery systems (PIDS) are an intermediate stage, not the final goal of integration.
True interdependent integration requires community engagement in planning and responsibility.
Community Integrated Delivery Systems (CIDS) represent a more holistic approach to healthcare integration.

Conclusions:

Healthcare integration efforts should extend beyond provider-centric models.
Community involvement is crucial for a comprehensive health care continuum.
The development of Community Integrated Delivery Systems (CIDS) should be prioritized for optimal healthcare delivery.

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