Integrated delivery system effect

on cost& quality

The integration between delivery system and cost quality axis gained significant interest recently not only as a way of modern delivery tool for end value receivers but also academically portrayed form of delivery pattern. The feasible modern healthcare system should carry certain characteristic features acclimatized with costs and demanded end value in proper quality level. Complexity, fragmentation, costly with considerable variation of care quality to satisfy different society segments. a word integrated means unite formed from other working unites and form bigger or main work providing services current and supposedly fit with fund, cost and quality. This issue if written here in simple words but actually on the ground little harder to get optimistic pictures of all parameters without setbacks.

Many healthcare policy experts addressed integrated delivery system (IDS) as a proper approach may be better in order to define quality& cost. Moreover; the academic researches and working system trials did not systemically find evidence describes the tangible relations features between them. Therefore; the question here; is there direct relationship between cost and quality, and that possible to provide high quality services with down holding costs? From study to many healthcare systems and service providers could not find direct effect on quality through expenses and cost but actually after certain cost threshold the link going reverse proportional and that neither in patient side for sure nor also achieve quality standards needed.

To prove our talk simply without deeply in system design and processes implementations; US medical system whether medicare & Medicaid could not achieve minimum level of medical safety and as a result there are many thousands living without any medical insurance Although medical US system fund and costs the most globally.

Gallup estimated in July 2014 that the uninsured rate for adults (persons 18 years of age and over) was 13.4% as of Q2 2014, down from 18.0% in Q3 2013 when the health insurance exchanges created under the Patient Protection and Affordable Care Act (PPACA or "Obamacare") first opened. The uninsured rate fell across nearly all demographic groups.^[*]

Integrated healthcare system is much complex and form patient-centric gate to provide numerous medical services with les effort and more adaptable needs. Integrated system categorized into:

-an original structure that managed by financial entity.

-an organized healthcare delivery system that coordinate care& have an IDS must possess.

In deed; the integration of healthcare systems in one main one supposed to decrease expenses and costs regularly because that shortens service processing gain steps but most of authorized political expert claim the opposite so, where the truth?

Actually all researches and studies prove that medical system integration decrease consuming funds and regularly decrease operation costs and expenses without decrease quality norms but claiming high cost and expenses from some governments just to keep expenses level higher or at the same level in order to get unclear financial targets to some countries put big question mark. Full health J