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Related Concept Videos

Integrated Healthcare System01:20

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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Introduction To Health Care Delivery System01:18

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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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Methods Of Healthcare Delivery System01:26

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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

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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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Nursing Clinical Information System01:27

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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:
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Patient-centered Care01:13

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Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
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Equity Promoting Integrated Care: Definition and Future Development.

Paul Wankah1,2, Dara Gordon1,2, Simone Shahid2

  • 1University of Toronto, CA.

International Journal of Integrated Care
|October 23, 2023
PubMed
Summary
This summary is machine-generated.

Integrated care can promote health equity by addressing social justice. This commentary introduces Equity Promoting Integrated Care (EPIC), advocating for global collaboration, equity-focused implementation science, and innovative measurement strategies.

Keywords:
Health equityHealth system transformationImplementation scienceIntegrated careSocial justice

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Area of Science:

  • Health Services Research
  • Social Determinants of Health
  • Health Equity

Background:

  • Integrated care is a key strategy for improving population health and addressing marginalized communities' needs.
  • Existing integrated care models often overlook the critical role of addressing health and healthcare inequities.
  • A gap exists in understanding how integrated care can actively combat health disparities.

Purpose of the Study:

  • To introduce the concept of Equity Promoting Integrated Care (EPIC) within a social justice framework.
  • To outline actionable strategies for prioritizing equity in integrated care design and implementation.
  • To guide future research and practice in advancing health equity through integrated care.

Main Methods:

  • Conceptual commentary introducing a novel framework (EPIC).
  • Synthesis of existing literature on integrated care and health equity.
  • Proposal of three key avenues for future research and practice.

Main Results:

  • Introduction of the Equity Promoting Integrated Care (EPIC) concept.
  • Identification of three critical areas for advancing EPIC: global stakeholder collaboration, equity-focused implementation science, and innovative measurement.
  • Framing integrated care through a social justice lens to prioritize equity.

Conclusions:

  • Equity Promoting Integrated Care (EPIC) offers a pathway to center social justice in healthcare delivery.
  • Advancing EPIC requires global advocacy, integrating social concepts like colonialism and intersectionality into implementation science, and developing robust equity metrics.
  • Focusing on these avenues will enhance the capacity of integrated care to reduce health inequities.