Related Experiment Video
Updated: Jul 17, 2026
05:57
A Teleoperated Robotic System-Assisted Percutaneous Transiliac-Transsacral Screw Fixation Technique
Published on: January 6, 2023
Health system regionalization's infrastructural dimensions: A scoping review
Ahmadreza Raeisi1, Mohamad Eskandarian2, Masoud Ferdosi1
1Health Management and Economics Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
Journal of Education and Health Promotion
|May 22, 2025
Summary
Developing regionalized health systems requires careful consideration of structural dimensions. This scoping review identified seven key themes crucial for effective health system regionalization and coordinated service delivery.
Area of Science:
- Health Services Research
- Public Health Policy
- Healthcare Management
Background:
- Regionalized health systems aim to provide coordinated services for defined populations.
- Developing these systems involves establishing regional centers and addressing structural complexities.
- Understanding the multifaceted dimensions of regionalization is key to successful implementation.
Purpose of the Study:
- To identify the essential structural dimensions for developing regionalized health systems.
- To provide a comprehensive overview of factors influencing health system regionalization.
- To inform policy and practice for enhancing regional health service delivery.
Main Methods:
- A scoping review was conducted using the Joanna Briggs Institute (2015) protocol.
- A systematic search of major databases (2002-2022) identified 2128 relevant articles.
- Thematic content analysis of 26 selected articles extracted structural dimensions of health system regionalization.
Main Results:
- Seven main structural dimensions were identified: contextual, financial/economic, managerial, organizational, legal/procedural, service provision, and capacities/strategies.
- A total of 85 subthemes were extracted, detailing specific aspects within each dimension.
- These dimensions are critical for the successful development and implementation of regionalized health systems.
Conclusions:
- Effective health system regionalization necessitates a thorough understanding and integration of identified structural dimensions.
- Addressing these dimensions can enhance the coordination and efficiency of health services.
- The findings provide a framework for policymakers and healthcare managers to guide regionalization efforts.
Related Concept Videos
01:26Methods Of Healthcare Delivery System
3.1K
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...
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...
3.1K
01:11Secondary Healthcare System
1.4K
Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
1.4K
01:21Tertiary Healthcare System
1.7K
Specialized care provided over an extended period is called tertiary care. Usually, a primary or secondary care physician will refer a patient to tertiary care. A patient's maximum physical and mental function is restored in tertiary care, which is caused due to the impact of a chronic illness or condition. Tertiary care aims to achieve the highest level of functioning possible while managing chronic illness. For example, a patient who falls and fractures their hip will need secondary care...
1.7K
01:29Issues And Trends In Healthcare Delivery System
5.5K
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...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
5.5K
01:21Dimensions of Health and Illness
7.0K
The factors influencing the health-illness continuum can be internal or external and may or may not be under conscious control. They are related to the following eight human dimensions, and each dimension is interrelated to one other.
7.0K
01:20Integrated Healthcare System
1.5K
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,...
1.5K