Related Experiment Video
Updated: Apr 28, 2026
10:22
High Speed Droplet-based Delivery System for Passive Pumping in Microfluidic Devices
Published on: September 2, 2009
13.0K
Integrated delivery systems: non fait accompli.
1Watson Wyatt Worldwide, USA.
Managed Care Quarterly
|June 3, 1999
Summary
Integrated delivery systems (IDSs) aimed for revenue, cost, and quality gains but failed due to poor risk and episodic management. Improvements require risk bifurcation and global fees for better system performance.
Area of Science:
- Health Services Research
- Healthcare Management
- Health Economics
Background:
- Integrated Delivery Systems (IDSs) emerged aiming to optimize healthcare delivery.
- Advocates expected IDSs to excel in revenue generation, cost control, and quality improvement within managed care.
- However, IDSs have faced significant challenges in market penetration and system integration.
Purpose of the Study:
- To analyze the shortcomings of Integrated Delivery Systems (IDSs) in managed care.
- To examine how IDSs inadequately addressed core concepts of risk and episodic management.
- To propose strategies for enhancing IDS performance and financial outcomes.
Main Methods:
- Theoretical analysis using global theory concepts: risk and episodic management.
- Evaluation of IDS strategies against these theoretical frameworks.
- Review of financial results and system performance data.
Main Results:
- IDSs have been largely unsuccessful in increasing market share and integrating delivery systems.
- The approach to risk and episodic management within IDSs was fundamentally flawed.
- Consequently, IDSs have demonstrated dismal financial results and suboptimal system performance.
Conclusions:
- IDSs failed to achieve their primary objectives due to inappropriate application of risk and episodic management principles.
- Recommendations for improvement include risk bifurcation, global fees, and integrated episodes of care.
- These strategies aim to rectify the identified weaknesses and improve overall healthcare system performance.
Related Concept Videos
01:20Integrated Healthcare System
2.4K
An integrated healthcare system (IHS) is a set of organizations that provides for or arranges to provide coordinated and continuous service to a defined population. The IHS takes responsibility for that particular population's health status and outcome, both clinically and fiscally. An integrated healthcare system is a well-organized, well-coordinated, and collaborative network. The integrated delivery system is a network that connects different healthcare providers to deliver organized,...
2.4K
01:30Health Information Technology and Healthcare Information System
1.6K
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
1.6K
01:27Nursing Clinical Information System
1.3K
Nursing Clinical Information System (NCIS)
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
1.3K
01:28Parenteral Drug Delivery Systems: Injectables, Implants, and Infusion Devices
205
Parenteral drug delivery systems play a crucial role in modern therapeutics by enabling the direct administration of drugs into the systemic circulation, bypassing the gastrointestinal tract. These systems are particularly valuable for poorly absorbed oral medications that are unstable in the digestive environment or require rapid onset or sustained therapeutic levels. Delivery is achieved through intravenous, intramuscular, or subcutaneous routes, each selected based on the drug's properties...
205
01:18Transdermal Drug Delivery Systems
226
Transdermal drug delivery systems (TDDS) enable the controlled release of drugs across the skin into systemic circulation. They are particularly advantageous for drugs with short half-lives or narrow therapeutic indices, as they maintain consistent plasma concentrations and reduce the risk of subtherapeutic or toxic levels.TDDS are categorized into monolithic, reservoir, and mixed systems. Monolithic systems embed the drug in a polymer matrix, where diffusion governs release. Reservoir systems...
226
01:21Intrauterine Drug Delivery Systems
168
Controlled-release systems for intravaginal and intrauterine drug delivery have been developed primarily for the administration of contraceptive steroid hormones. These delivery routes circumvent first-pass hepatic metabolism, thereby enhancing bioavailability and allowing for reduced systemic dosages compared to oral administration. Such approaches contribute to improved therapeutic efficacy and patient compliance, particularly in long-term contraceptive regimens.Intravaginal Drug Delivery...
168