Providing public health services through an integrated delivery system
S R Keener1, J W Baker, G P Mays
1Carolinas Healthcare System, Charlotte, NC, USA.
Quality Management in Health Care
|January 1, 1997
Summary
A new strategy shifts public health services from county departments to integrated delivery systems. This approach, with quality management, can improve service availability and adequacy.
Area of Science:
- Public Health
- Healthcare Management
- Health Services Research
Background:
- Local public health service delivery is undergoing significant structural changes.
- The integration of public health functions into hospital systems is an emerging model.
- Assessing the impact of such transitions is crucial for service continuity.
Purpose of the Study:
- To examine a recent strategy transferring public health service delivery responsibility.
- To evaluate the implications of this transfer to a hospital-based integrated delivery system.
- To identify opportunities for improving public health services under the new arrangement.
Main Methods:
- Analysis of a recently implemented service delivery transfer strategy.
- Examination of quality management efforts at local and state levels.
- Assessment of the impact on public health service availability and adequacy.
Main Results:
- The strategy involves transferring service delivery from county health departments to integrated delivery systems.
- Quality management initiatives are integral to the new arrangement.
- Opportunities exist for sustained improvements in public health services.
Conclusions:
- The transfer of public health service delivery to integrated delivery systems is feasible.
- Innovative quality management is key to successful service integration.
- This model holds promise for enhancing the availability and adequacy of public health services.
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