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Care integration within and outside health system boundaries
Sara J Singer1, Anna D Sinaiko2, Maike V Tietschert1,3
1Stanford University School of Medicine, Stanford, California, USA.
Health Services Research
|December 7, 2020
Summary
Improving care integration across healthcare organizations enhances quality and staff experience. Greater integration within practice sites positively impacts perceived quality and job satisfaction.
Area of Science:
- Health Services Research
- Organizational Behavior in Healthcare
- Quality Improvement Science
Background:
- Healthcare organizations strive for synergy through care integration, unifying disparate services.
- Understanding the impact of health systems on care quality and staff experience is crucial for effective organizational design.
Purpose of the Study:
- To examine care integration efforts within health systems.
- To determine if and at which organizational level health systems influence care quality and staff experience.
Main Methods:
- Manager and staff surveys collected data on integration at practice site, physician organization, health system, and external levels.
- Data analyzed using descriptive statistics and regression to assess relationships between integration and outcomes.
Main Results:
- Care integration was perceived as improvable across most types and levels, with lower integration outside health systems.
- Increased clinical process integration correlated with higher perceived quality of care and improved staff job satisfaction and reduced burnout.
- Specific integrations, such as evidence-based care and social services, showed significant positive associations with quality and staff experience.
Conclusions:
- Clinical process integration measures are linked to better staff-rated quality and experience.
- There is a clear need to enhance care integration both within and beyond the boundaries of health systems.
Keywords:
health care organizations and systemsintegrated delivery systemsquality of care/patient safety (measurement)survey research and questionnaire designMore Related Videos
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