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Related Concept Videos

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,...
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...
Oral Drug Delivery Systems: Continuous-Release Systems01:26

Oral Drug Delivery Systems: Continuous-Release Systems

Continuous-release drug delivery systems offer a strategic approach to maintaining therapeutic drug levels over extended periods following oral administration. By modulating the release rate of active pharmaceutical ingredients, these systems minimize fluctuations in plasma concentrations, which enhances clinical efficacy and reduces the need for frequent dosing. Such characteristics make them particularly advantageous in managing chronic diseases where patient adherence and stable drug...
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:
Nursing Clinical Information System01:27

Nursing Clinical Information System

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:
Modified-Release Drug Delivery Systems: Site-Targeted01:24

Modified-Release Drug Delivery Systems: Site-Targeted

Site-targeted drug delivery systems enhance therapeutic efficacy while minimizing systemic toxicity and treatment costs. Unlike conventional methods, these systems ensure precise drug delivery, improving bioavailability and reducing side effects. Targeted drug delivery is classified into three levels. First-order targeting directs drugs to the capillary beds of specific organs or tissues. Second-order targets specific cell types, such as tumor cells, using receptor-mediated interactions.

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Related Experiment Video

Updated: Jun 16, 2026

Introduction of an Integrated Pathology Image Management, Artificial Intelligence, and Reporting System
05:33

Introduction of an Integrated Pathology Image Management, Artificial Intelligence, and Reporting System

Published on: July 11, 2025

Integrated delivery systems: the cure for fragmentation.

Alain C Enthoven1

  • 1Graduate School of Business, Stanford University, 518 Memorial Way, Stanford, CA 94305-5015, USA. enthoven_alain@gsb.stanford.edu

The American Journal of Managed Care
|January 22, 2010
PubMed
Summary
This summary is machine-generated.

Integrated delivery systems (IDSs) coordinate healthcare providers to improve quality, reduce costs, and enhance patient outcomes. Evidence suggests IDSs are crucial for a financially sustainable and efficient healthcare system.

Related Experiment Videos

Last Updated: Jun 16, 2026

Introduction of an Integrated Pathology Image Management, Artificial Intelligence, and Reporting System
05:33

Introduction of an Integrated Pathology Image Management, Artificial Intelligence, and Reporting System

Published on: July 11, 2025

Area of Science:

  • Healthcare Management
  • Health Services Research
  • Systems Engineering

Background:

  • Healthcare systems face fragmentation, leading to resource misallocation, reduced quality, and increased costs.
  • Unnecessary and unsafe care contribute to waste, hindering financial sustainability.
  • Greater integration of healthcare delivery is proposed as a solution.

Purpose of the Study:

  • To define Integrated Delivery Systems (IDSs) and their role in addressing healthcare fragmentation.
  • To explore the potential of IDSs to improve healthcare quality, cost, and outcomes.
  • To assess the impact of IDSs on the financial sustainability of healthcare.

Main Methods:

  • Review of existing literature and market models of healthcare integration.
  • Analysis of the structure and accountability mechanisms of various IDSs.
  • Examination of evidence supporting the effectiveness of IDSs.

Main Results:

  • IDSs are organized networks linking providers for coordinated care across a patient continuum.
  • IDSs are accountable for clinical and fiscal outcomes of served populations.
  • Evidence indicates IDSs can improve quality, outcomes, and reduce costs, particularly for complex patients.

Conclusions:

  • IDSs represent a significant step towards mitigating healthcare system fragmentation.
  • Proper implementation and coordination are key to realizing the benefits of IDSs.
  • While not a sole solution, IDSs offer a promising approach to enhance healthcare delivery.