Governing Integrated Health Delivery Systems: Meeting Accountability Requirements

SAGE Publications - Tập 10 Số 4 - Trang 12-18 - 1997
Peggy Peggy, Sandra G. Sandra G.

Tóm tắt

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.

Tài liệu tham khảo

Leatt P, 1996, Has their time come in Canada? Canadian Medical Association Journal, 154, 803 10.1097/00004010-199324000-00003 Umbdenstock RJ, 1990, Hospital & Health Service Administration, 35, 481 Carver J, 1996, Carver Guide I: Basic principles of policy governance Ewell C., 1987, Healthcare Executive, 2, 14 10.1097/00005650-198612000-00005 Savage GT, 1997, Health Care Management Review, 22, 7 10.1097/00004010-199605000-00009 Shortell SM, 1996, Remaking health care in America: Building organized delivery systems 10.1097/00004010-199502040-00012 10.2307/2137035 10.1097/01974520-199604000-00002 Rice JA, 1996, The Journal of Health Administration Education, 14, 205 10.1002/smj.4250130702 Williamson O., 1975, Markets and hierarchies 10.2307/2393356 Lomas J., 1997, Canadian Medical Association Journal, 156, 817 10.1177/089976409202100304 10.1097/01974520-199501000-00002 10.1016/S0840-4704(10)61148-9 Ewell C., 1987, Healthcare Executive, 2, 42 Delbecq AL, 1988, Hospitals & Health Services Administration, 33, 25 10.1377/hlthaff.16.1.34 10.1097/01974520-199607000-00002
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SAGE Publications

Tập 10 Số 4

12-18

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