This paper investigates the outcomes of integrated health care model in terms of its
economic efficiency and quality. The quality refers to subjective assessments
of a patient, measured by a satisfaction indicator, as well as to the health benefits to
a patient, measured by health status.
A systematic literature review has been applied to study the results of care coordination.
The author performed the ordered analysis of existing research evidence, based on
peer-reviewed literature available on health science and business databases.
The model of integrated health care delivery seemed to have positive effects on the
quality of care. This encompasses mainly the quality of life, functional status, health
outcomes, and process outcomes. The equal positive impact of integrated health
programmes on economic efficiency has not been revealed. Only 15% of the effects
reported in the reviews have been significant.
The work contributes to the worldwide debate dedicated to the impact of integrated
health care programmes. The gathered research evidence concerning positive
influence on costs remains unclear. It might require further investigations. The work
also revealed some significant gaps that are prevalent in the field of standardized
instruments of measurement referring to integration outcomes, including quality and
efficiency over time at levels of the system, programme, provider, and patient.
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