Integrating Systems of Care: Responding to the Demand
There are 3 demand sources in healthcare systems: the patient, provider and payor. Patient-determined demand is characterised as `random access' and emotionally charged. Provider-determined demand occurs within working environments that do not inherently support integration activities. Payer-determined demand traditionally has a transaction orientation, rather than medical management orientation. Avenues of intervention that can respond to this demand are proposed. Traditional models of care are contrasted with models of predictably random demand, as are the internal and external forces that fundamentally shape the nature of demand. Solutions include current examples of medical management systems designed to integrate disparate functions, open access models and medical utilisation parameters. Finally, an actual descriptive study that illustrates the power of an integrated medical management system is provided.
Disease management programmes, Health economics, Pharmacoeconomics, Quality of care
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