Comments on �International Comparative Aspects of Health Delivery Systems�

2015 ◽  
pp. 324-326
Author(s):  
G. R. Barnhart
Keyword(s):  
Delivery Systems ◽  
Health Delivery ◽  
International Comparative ◽  
Health Delivery Systems

Governing Integrated Health Delivery Systems: Meeting Accountability Requirements

1997 ◽  
Vol 10 (4) ◽  
pp. 12-18 ◽  
Author(s):  
Peggy Leatt ◽  
Sandra G. Leggatt
Keyword(s):  
United States ◽  
Health Care Systems ◽  
Target Population ◽  
The United States ◽  
Delivery Systems ◽  
Financing System ◽  
Health Delivery ◽  
Integrated Health ◽  
Care Systems ◽  
Health Delivery Systems

Many Canadian provincial governments are exploring methods to increase the integration of health services in an effort to improve the care provided, while maintaining or reducing the costs. Integrated health delivery systems are being implemented in the United States, Britain and other European countries. Such systems aim to provide a full continuum of care to a defined target population under a financing system of capitation. This article explores the issues associated with the governance accountabilities of an IDS. A review of potential governance models is completed, and the factors that influence the choice of a governance model for an integrated delivery system are presented. In 1987, Ewell identified governing boards as the weakest link in the integrated health care systems of the United States. It is suggested that early attention to governance in the development of IDS models in Canada may improve the effectiveness of these systems.

A Framework for Assessing the Performance of Integrated Health Delivery Systems

1997 ◽  
Vol 10 (1) ◽  
pp. 11-18 ◽  
Author(s):  
Sandra G. Leggat ◽  
Peggy Leatt
Keyword(s):  
Health Care ◽  
Health Care System ◽  
The United States ◽  
Delivery Systems ◽  
Health Delivery ◽  
Integrated Health ◽  
Integrated Delivery ◽  
The Impact ◽  
Care System ◽  
Health Delivery Systems

Competing demands for resources within the health care system require health care providers to ensure the most effective and efficient use of resources. The evidence from the United States, the United Kingdom and other jurisdictions suggests that integrated health delivery systems (IDS) may be a cost-effective way to meet the health care needs of a population. This article introduces a framework for use in monitoring and evaluating the performance of an integrated delivery system. The establishment of a consistently used evaluation framework for integrated delivery systems will provide the government, governing bodies and other evaluators with an effective assessment tool that will enable greater understanding of the impact of the IDS on the health care system. It will also provide information to enable ongoing performance improvements within the system.

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