Online from: 1997
Subject Area: Health Care Management/Healthcare
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|Title:||Performance of integrated delivery systems: quality, service and cost implications|
|Author(s):||Michael Leibert, (Management Department, College of Business Administration, Missouri State University, Springfield, Missouri, USA)|
|Citation:||Michael Leibert, (2011) "Performance of integrated delivery systems: quality, service and cost implications", Leadership in Health Services, Vol. 24 Iss: 3, pp.196 - 206|
|Keywords:||Clinical quality, Cost-efficiencies, Customer services quality, Integrated delivery systems, Patient satisfaction, Patients, Service delivery systems, United States of America|
|Article type:||Research paper|
|DOI:||10.1108/17511871111151108 (Permanent URL)|
|Publisher:||Emerald Group Publishing Limited|
Purpose – Healthcare services in the USA have been described as being fragmented and uncoordinated. Integrated delivery systems are frequently promoted as being instrumental in efforts to improve the coordination of care and, thus, enhancing the quality of clinical care and patient services while ensuring optimum cost-efficiencies. This study seeks to analyze and compare the performance of hospitals participating in highly integrated systems with non-integrated hospitals based on outcome measures involving hospital performance.
Design/methodology/approach – The study compares the performance of 50 flagship hospitals participating in the most highly integrated delivery systems in the USA with a representative sample of non-system hospitals utilizing one-way analysis of variance. The comparative analysis was based on three key performance measures; clinical quality of medical care, patient satisfaction, and cost-efficiency considerations.
Findings – The results of the review demonstrate that there is a statistically significant positive difference between the clinical quality performance of the highly integrated hospitals compared with the quality performance of non-highly integrated facilities. No difference was identified between the two sample groups of hospitals for the performance measures related to patient satisfaction or cost-efficiencies.
Originality/value – The study is an attempt to evaluate the implications and effectiveness of integration within the health care delivery system. It suggests that integrated delivery systems may provide the organization structure appropriate to help support and enhance the quality of clinical care for patients.
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