Organization models of integrated delivery systems

Importance of integration of medical systems have been mentioned in more details in formerly posts and how far that reflect and carrying direct impact whether on the medical providers (horizontal) and also with patients themselves(vertical). The level of integration in deed determines the main guide lines in state medical strategies and also measure the degree of satisfaction toward value receivers. Moreover; as much as level of medical system integration appeared easy and comfortable step to the public, as much as highly effectiveness and responsiveness emerged. Different sorts of integration explained that work should be implemented among whole operational unites and processes between work axis to facilitate appearance of multiple services channels in front of patient.

Organization model of integration forms double face battle in work field; carried out many pathways to create more integration at the same line of services. these additional form of organizational integration increase complexity of healthcare delivery system and form multiple layers of integrations.

Model (1) of IDS; multispecialty group practice (MSGP) with a health plan, in which would act as a payer also so, they work provider and payer. Physicians play a role in strategic planning. collection and integration of data exaggerated more with higher level of data utilization and reviewing. main features of model cost- control capacity and lowest rate of duplication of services in certain cases.

Model (2) is an IDS or MSGP single-entity delivery system that does not own a health plan.

Model (3) involves private networks of independent providers that share and coordinate services. These networks have infrastructural services (e.g., performance improvement and care management). there are many other integrated articulations under this model include:

ü  physician-hospital organizations

ü  management service organizations

ü  group practices without walls

ü  individual practice associations

ü  "delegated mode" health maintenance organizations

Model (4) includes government-facilitated networks of independent providers on both level of state and local. Government takes the responsibilities of provider independency to deliver the medical services for beneficiaries. This model exposes a state and government setbacks and infrastructural shortage or deviations hidden.

Briefly, we show different organization working model closely touched to Integral delivery systems and also before to forget to mention that within each of them wide possibility to adapt, modify, reconstruct or create new delivery organization models in order to service new life styles have emerged recently and achieve medical welfare for whole citizens throughout community. Full health J