| 词条 | Integrated delivery system |
| 释义 |
An integrated delivery system (IDS), also known as integrated delivery network (IDN), is a health system with a goal of logical integration of the delivery (provision) of health care as opposed to a fragmented system or a disorganized lack of system. The term has sometimes been used in a broad sense with reference to managed care in general (as opposed to fee-for-service care), but in the United States it now more often refers to any specific network of health care organizations constituting a corporate group that attempts to integrate care to some degree (that is, to coordinate the patient journey across care transitions). Some IDSs have an HMO component, while others are a network of physicians only, or of physicians and hospitals. Thus, the term is used broadly to define an organization that provides a continuum of health care services.[1] BackgroundThe guiding business model and philosophical goal of the IDN is to serve as a self-contained healthcare ecosystem, with the ability to contain the entirety of the patient experience to coordinate care and manage population health.[2] Examples of IDNs include Kaiser Permanente,[3] UPMC, Mayo Clinic, Geisinger Health System, and Intermountain Healthcare. Five factors that can be used to assess the advancement level of a particular IDN include provider alignment, continuum of care, regional presence clinical integration, and reimbursement.[4] ReceptionAlain Enthoven, the Marriner S. Eccles Professor of Public and Private Management, at the Stanford University Graduate School of Business, argues that IDSs align incentives and resources better than most healthcare delivery systems, leading to improved medical care quality while controlling costs.[5]Consolidation among IDNs in the United States has critics who say these networks may actually be trending the cost curve upward. An interview of health insurers regarding Partners HealthCare’s proposed acquisition of the Care New England Health System, for example, exposed the trepidation insurers have regarding IDN leverage over payers.[6]. Acquisition of medical groups in pursuit of integrated delivery network status has also raised flags with critics saying physician/provider consolidation leads to higher patient expenditures.[7] Proponents of IDN development and associated health system mergers feel that mergers can provide substantial benefits including increased economies of scale, reduced capital costs, and clinical standardization along with reduced operating expenses and a statistically significant decline in revenue per patient admission.[8] Vendors
See also
References1. ^{{cite journal| url=http://gateway.nlm.nih.gov/MeetingAbstracts/102212012.html |title=Defining integrated delivery systems |journal=AHSR FHSR Annu Meet Abstr Book. |year=1994 |volume=11 |pages=31–2 |vauthors=Evashwick C, Meadors A |accessdate=2008-02-26}} 2. ^[https://decisionresourcesgroup.com/solutions/hli-us-market-access-dynamics/integrated-delivery-networks-and-their-growing-influence-on-regional-healthcare-in-the-us/ "Integrated Delivery Networks and their Growing Influence on Regional Healthcare in the US"] DRG. Retrieved 2019-1-11. 3. ^[https://share.kaiserpermanente.org/about-us/fast-facts/fast-facts-about-kaiser-permanente/ "Fast Facts About Kaiser Permanente"] Kaiser Permanente. Retrieved 2019-1-13. 4. ^Betbeze, Philip. (Aug. 8, 2018) [https://www.healthleadersmedia.com/strategy/ecosystem-over-volume-guide-rethinking-market-share “Ecosystem Over Volume, A Guide to Rethinking Market Share”] Health Leaders Media. Retrieved 2019-1-13. 5. ^{{cite web| url=http://news-service.stanford.edu/news/2005/october26/enthoven-102605.html |title=Integrated systems improve medical care, control costs, according to Enthoven| accessdate=2017-03-07}} 6. ^(Feb. 4, 2018) “Market Impact Review: Partners HealthCare’s proposed acquisition of the Care New England Health System” Bailit Health. Retrieved 2019-1-15. 7. ^Robinson JC, Miller K. Total Expenditures per Patient in Hospital-Owned and Physician-Owned Physician Organizations in California. JAMA. 2014;312(16):1663–1669. doi:10.1001/jama.2014.14072 8. ^(Jan. 24, 2017) [https://www.aha.org/guidesreports/2017-01-24-hospital-merger-benefits-views-hospital-leaders-and-econometric-analysis “Hospital Merger Benefits: Views from Hospital Leaders and Econometric Analysis”] American Hospital Association. Retrieved 2019-1-15. 2 : Medical and health organizations based in the United States|Managed care |
| 随便看 |
|
开放百科全书收录14589846条英语、德语、日语等多语种百科知识，基本涵盖了大多数领域的百科知识，是一部内容自由、开放的电子版国际百科全书。