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Related Concept Videos

Integrated Healthcare System01:20

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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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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.
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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.
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Related Experiment Video

Updated: May 7, 2025

A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
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[Experience in Implementing an Integrated Cardiometabolic Practice Unit in a Private Healthcare Provider: A

Rubén Rojas1, Nicolás Jaña1, Carlos Arroyo2

  • 1Fractal EDM, Santiago, Chile.

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Summary

A new Cardiometabolic Integrated Practice Unit (UPI) was successfully implemented to improve cardiovascular disease care in Chile. This model offers a comprehensive approach from prevention to rehabilitation, aiming to reduce health and economic impacts.

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Area of Science:

  • Healthcare Management
  • Cardiovascular Health
  • Integrated Care Models

Context:

  • Cardiovascular diseases are a leading cause of death and economic burden in Chile.
  • Existing healthcare systems in Chile lack a fully integrated approach to managing cardiometabolic conditions.
  • The FUSAT Clinical Hospital sought to address these challenges through innovative care delivery.

Purpose:

  • To describe the structured process of establishing a Cardiometabolic Integrated Practice Unit (UPI).
  • To adapt a recognized framework (Porter and Lee) for implementing the UPI.
  • To outline the key steps involved in organizing the UPI for optimal patient care.

Summary:

  • The Cardiometabolic UPI was structured using five defined steps: patient selection, needs-based stratification, care delivery, communication strategy, and monitoring indicators.
  • Implementation involved a multidisciplinary team working collaboratively over six months.
  • The UPI integrates care across the entire patient journey, from promotion and prevention to rehabilitation.

Impact:

  • Successful implementation of the Cardiometabolic UPI at the FUSAT Clinical Hospital.
  • Demonstrates the feasibility of such integrated projects through defined governance and strategic objectives.
  • Highlights the potential for significant positive impact on cardiovascular healthcare delivery in Chile.