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Related Concept Videos

Integrated Healthcare System01:20

Integrated Healthcare System

2.5K
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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Introduction To Health Care Delivery System01:18

Introduction To Health Care Delivery System

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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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Health Information Technology and Healthcare Information System01:30

Health Information Technology and Healthcare Information System

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Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
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Primary Healthcare Services01:30

Primary Healthcare Services

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Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
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Methods Of Healthcare Delivery System01:26

Methods Of Healthcare Delivery System

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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...
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Issues And Trends In Healthcare Delivery System01:29

Issues And Trends In Healthcare Delivery System

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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...
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Related Experiment Video

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Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform
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Strengthening Integration Of Health Services And Systems.

Laurie T Martin1, Alonzo Plough2, Katherine G Carman3

  • 1Laurie T. Martin (lamartin@rand.org) is a senior policy researcher at the RAND Corporation in Arlington, Virginia.

Health Affairs (Project Hope)
|November 12, 2016
PubMed
Summary

New health care models emphasize provider accountability for coordinated, high-quality patient care. Integrating medical, public health, and social services is key to maximizing population health and well-being.

Keywords:
Business Of HealthConsumer IssuesHealth ReformPrimary CarePublic Health

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Area of Science:

  • Health Services Research
  • Public Health Policy
  • Healthcare Management

Background:

  • The US healthcare system is evolving with new accountable care models driven by legislation like the Affordable Care Act.
  • Maximizing population health requires integrating medical care, public health, and social services beyond traditional healthcare system boundaries.
  • The Robert Wood Johnson Foundation's Culture of Health Action Framework identifies system integration as a critical area for improvement.

Purpose of the Study:

  • To explore the integration of health services and systems as the fourth Action Area of the Culture of Health Action Framework.
  • To define and advance a strengthened healthcare system through the interaction of medical care, public health, and social services.
  • To identify critical drivers and practice gaps hindering the creation of a more effective, equitable, and higher-value healthcare system.

Main Methods:

  • Conceptual analysis of health system integration within the Culture of Health Action Framework.
  • Discussion of three critical drivers: access, balance and integration, and consumer experience and quality.
  • Identification of practice gaps within the current healthcare landscape.

Main Results:

  • New care delivery models are increasing provider accountability for coordinated patient care.
  • A broader conceptualization of health and stronger connections between diverse partners are necessary for improved population health.
  • Three key drivers—access, balance and integration, and consumer experience and quality—are crucial for advancing health system integration.

Conclusions:

  • Strengthening the healthcare system requires integrating medical care, public health, and social services for a more effective and equitable whole.
  • Addressing identified practice gaps in access, balance, integration, and consumer experience is essential for progress.
  • Moving toward a stronger, integrated health system necessitates a comprehensive approach beyond traditional medical care delivery.