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Integrated Healthcare System

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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,...

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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

Integrating care for persons, not only diseases.

¹Department of Family Medicine and Community Health, University of Minnesota Medical School, Minneapolis, MN 55455-0392, USA. cjpeek@umn.edu

Journal of Clinical Psychology in Medical Settings

|March 5, 2009

Summary

Integrated care aims to improve medical and mental health treatment. Focusing on person-centered care management, rather than just conditions, is key for engaging complex patients effectively.

Area of Science:

Healthcare Management
Behavioral Health Integration
Patient-Centered Care

Background:

Integrated care enhances decision-making for combined medical and mental health conditions.
Despite integrated care and teamwork, some patients do not engage or respond as expected.
Patient non-engagement may stem from medical complexity, mental health issues, or difficult patient-clinician dynamics.

Purpose of the Study:

To explore person-specific factors hindering patient engagement in integrated care.
To advocate for behavioral health clinicians in medical settings to prioritize person-centered care over disease-specific management.
To leverage the patient-centered medical home model for improved care management practices.

Main Methods:

Qualitative analysis of challenges in integrated care settings.

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Last Updated: Jun 25, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

Review of existing literature on patient engagement and care management.

Conceptual framework development for person-centered care management.

Main Results:

Identified person-specific factors as critical barriers to effective integrated care.
Highlighted the need for generic care management practices applicable across diverse patient conditions.
Emphasized the importance of addressing complex patients and challenging patient-clinician relationships.

Conclusions:

A shift from disease-oriented to person-oriented care management is essential.
The patient-centered medical home model offers a framework for implementing these person-centered practices.
Systematic approaches are needed to manage complex patients and improve patient-clinician relationships within integrated care.