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Issues And Trends In Healthcare Delivery System01:29

Issues And Trends In Healthcare Delivery System

The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Integrated Healthcare System01:20

Integrated Healthcare System

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,...
Methods Of Healthcare Delivery System01:26

Methods Of Healthcare Delivery System

At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
Healthcare Agencies II01:17

Healthcare Agencies II

There are various healthcare agencies in the United States—some of which are managed by religious institutions and others by different government branches.
Parish nursing is a growing specialty nursing profession that focuses on holistic healthcare, health promotion, and illness prevention. It blends professional nursing practice with a health ministry, focusing on health and healing within the context of a Christian community. Parish nurses serve as health educators, referral sources, and lay...
Health Information Technology and Healthcare Information System01:30

Health Information Technology and Healthcare Information System

Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Introduction To Health Care Delivery System01:18

Introduction To Health Care Delivery System

The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...

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Related Experiment Video

Updated: Jul 9, 2026

Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion
08:13

Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion

Published on: January 20, 2019

Getting from A to C: lifecycle lessons for e-health deployment.

David Kibbe1, Curtis McLaughlin

  • 1American Academic of Family Physicians, Leawood, KS 66211-2672, USA. kibbedavid@mac.com

International Journal of Electronic Healthcare
|December 1, 2007
PubMed
Summary

The adoption of electronic health records in US healthcare follows a six-stage lifecycle, the ABCs of change. This model helps understand past attempts and plan future electronic technology implementations in primary care.

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Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion
08:13

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Published on: January 20, 2019

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Area of Science:

  • Health Informatics
  • Information Systems Management
  • Healthcare Technology Adoption

Background:

  • The US healthcare system's decentralised nature presents unique challenges for adopting electronic technologies.
  • A 35-year history of hospital information system development precedes current electronic health record (EHR) initiatives.
  • Outpatient settings are now focusing on EHR development, indicating a need for a structured adoption process.

Observation:

  • A six-stage lifecycle, termed the ABCs of change, is proposed to model technology adoption.
  • The stages include Acceptance, Alignment, Breadboard development, Blueprint, Configuration, and Capital.
  • This lifecycle framework is relevant for analyzing past development efforts.

Findings:

  • The ABCs of change model effectively explains previous attempts at electronic technology implementation in healthcare.
  • Current efforts to implement EHRs in small, primary-care practices align with this six-stage lifecycle.
  • The model provides a useful lens for understanding the progression of EHR adoption.

Implications:

  • The ABCs of change model offers valuable insights for future planning of healthcare technology integration.
  • Understanding this lifecycle can guide strategies for successful EHR adoption, particularly in primary care settings.
  • This framework can inform policy and practice for streamlining electronic technology implementation across the US healthcare system.