scholarly journals The Probability of A1C Goal Attainment in Patients With Uncontrolled Type 2 Diabetes in a Large Integrated Delivery System: A Prediction Model

Diabetes Care ◽  
2020 ◽  
Vol 43 (8) ◽  
pp. 1910-1919 ◽  
Author(s):  
Kevin M. Pantalone ◽  
Anita D. Misra-Hebert ◽  
Todd M. Hobbs ◽  
Sheldon X. Kong ◽  
Xinge Ji ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Prediction Model ◽  
Delivery System ◽  
Goal Attainment ◽  
System A ◽  
Integrated Delivery System ◽  
Integrated Delivery

scholarly journals Overactive bladder in an integrated delivery system: a longitudinal cohort study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Jeffrey A. Linder ◽  
Joel S. Weissman ◽  
Harry Reyes Nieva ◽  
Stuart Lipsitz ◽  
R. Sterling Haring ◽  
...  
Keyword(s):  
Cohort Study ◽  
Overactive Bladder ◽  
Delivery System ◽  
Longitudinal Cohort Study ◽  
Longitudinal Cohort ◽  
System A ◽  
Integrated Delivery System ◽  
Integrated Delivery

scholarly journals Physicians’ Voices: What Skills and Supports Are Needed for Effective Practice in an Integrated Delivery System? A Case Study of Kaiser Permanente

2017 ◽  
Vol 54 ◽  
pp. 004695801771176 ◽  
Author(s):  
Benjamin Chesluk ◽  
Laura Tollen ◽  
Joy Lewis ◽  
Samantha DuPont ◽  
Marc H. Klau
Keyword(s):  
Health Care ◽  
Delivery System ◽  
Kaiser Permanente ◽  
Institutional Settings ◽  
System A ◽  
Integrated Delivery System ◽  
Integrated Delivery ◽  
High Level ◽  
Cost Awareness

Payers are demanding that US health care become more accountable and integrated, posing new demands for physicians and the organizations that partner with them. We conducted focus groups with 30 physicians in a large integrated delivery system who had previous experience practicing in less integrated settings and asked about skills they need to succeed in this environment. Physicians identified 3 primary skills: orienting to teams and systems, engaging patients as individuals and as a panel, and integrating cost awareness into practice. Physicians also expressed a high level of trust that the system was designed to help them provide better care. This belief appeared to make the new demands and mental shifts tolerable, even welcome, standing in contrast to research showing widespread physician distrust of their institutional settings. Physicians’ new skills and the system features that promote trust are described in the article and should be a focus for systems transitioning to a more integrated, accountable model.

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