literature review on health care delivery system

This umbrella review of reviews presents an overview of evidence for innovative models of healthcare in and outside of hospital settings in treating and managing common acute and chronic conditions. Informed by a grey literature search, 15 seven models of care were identified in the academic literature. Evidence in support of the models of care ...

METHODS. Our proposal builds on previous taxonomic descriptions of the US health care system. In response to the increasing complexity and heterogeneity of health care delivery systems, the Agency for Healthcare Research and Quality (AHRQ) funded development of a taxonomy of organizations, categorized by shared structural and strategic elements. 8 The resulting taxonomy 8 categorized 70% of ...

Health information systems (HIS) are critical systems deployed to help organizations and all stakeholders within the healthcare arena eradicate disjointed information and modernize health processes by integrating different health functions and departments across the healthcare arena for better healthcare delivery [1,2,3,4,5,6].Over time, the HIS has transformed significantly amidst several ...

1. Introduction. Health information systems (HIS) are critical systems deployed to help organizations and all stakeholders within the healthcare arena eradicate disjointed information and modernize health processes by integrating different health functions and departments across the healthcare arena for better healthcare delivery [1,2,3,4,5,6].Over time, the HIS has transformed significantly ...

Objective: The purpose of this literature review was to determine the types of nursing care delivery models currently being used in acute care hospitals to determine the effectiveness of the model and the outcomes being measured. Method: A literature search was conducted, and databases searched included CINAHL, Nursing and Allied Health, Medline, EMBASE, ProQuest Theses, and Dissertations for ...

1.3. Objective. The objective of this scoping review is to provide a summary of literature that identifies theories, models, or frameworks used in health systems integration. The specific objectives were to: 1. Identify and catalog the theories, models, or frameworks employed in health system integration. 2.

Results: No consistent definition of a high-performing health care system or organization was identified. High performance was variably defined across diferent dimensions, including quality (93% of articles), cost (67%), access (35%), equity (26%), patient experience (21%), and patient safety (18%). Most articles used more than one dimension to ...

The In Depth article in this issue of NEJM Catalyst Innovations in Care Delivery is an invaluable view into the inner workings of one such health system from the CEO perspective. Mark A. Keroack, MD, MPH, recounts the strategic and tactical moves of Baystate Health in "System Integration: Managing Complexity to Advance Health Care Value."

Abstract Objective The purpose of this literature review was to determine the types of nursing care delivery models currently being used in acute care ... and databases searched included CINAHL, Nursing and Allied Health, Medline, EMBASE, ProQuest Theses, and Dissertations for the years 2000-2020. ... Given the number of nursing care delivery ...

Creating a Patient-Centered Health Care Delivery System: A Systematic Review of Health Care Quality From the Patient Perspective Am J Med Qual . 2016 Jan-Feb;31(1):12-21. doi: 10.1177/1062860614545124.

Health innovation identifies new or improved health policies, systems, products and technologies and services and delivery methods that improve people's health and well-being. It improves efficiency, effectiveness, quality, sustainability, safety and affordability. Health innovation can pertain to any dimension of healthcare, namely ...

Consoli and Mina (2009) argue that health innovation systems consist of two broader domains: (1) the science and technology domain and (2) the practical domain or the health-care delivery system, with strong interactions within across domains. Hospitals are key actors in both domains, as well as brokers between them.

The Patient Care Delivery Model--an open system framework: conceptualisation, literature review and analytical strategy J Clin Nurs. 2011 Jun;20(11-12) :1640-50. ... Many complex factors contribute to the nature of healthcare environments and to nurse, patient and system outcomes. A better understanding of these factors and their ...

This literature review explores the definitions, models, and outcomes of an integrated approach to delivering health services. The concept of integrated healthcare emerged in the 1970s and was influenced by the primary healthcare model proposed by the World Health Organization in the Alma-Ata Declaration on Primary Health Care in 1978. This literature review aims to examine how integration is ...

Information System (DHIS2): A literature review . ... It aim at assessing the best practices in patient data management for effective health care service delivery.Data was collected from Doctors ...

Chief among the United States' health care paradoxes is the divide between public health and care delivery. 6 While these two sectors should be natural partners, patchwork policies and operational siloes have instead produced a health system that falls short of its capabilities to create better health. 7 Instead of sharing resources to address common health challenges, budgets have been ...

Efficiency analysis in the health sector has typically focused on the efficiency of healthcare facilities (hospitals, primary healthcare facilities), with few studies focusing on system level (national or sub-national) efficiency. We carried out a thematic review of literature that assessed the efficiency of health systems at the national and ...

Purchasers, payers, and policy makers are increasingly measuring and rewarding high-performing health systems, which use a variety of definitions of high performance, yet it is unclear if a consistently applied definition exists. A systematic review was conducted to determine if there is a commonly used, agreed-on definition of what constitutes a "high-performing" health care delivery system.

The COVID-19 pandemic rapidly reshaped health care delivery, notably with a surge in telehealth use driven by changes in Medicare and Medicaid reimbursement rates. The ensuing wave of research, spanning over 80 studies from 2021 to 2022, explored the impact of telehealth on health outcomes and care delivery. This report distills key findings for policymakers, […]

An essential component of future-proofing health systems against future pandemics and climate change is strengthening the front lines of care: principally, emergency departments and primary care settings. To achieve this, these settings can adopt learning health system (LHS) principles, integrating data, evidence, and experience to continuously improve care delivery.

Some of the inefficiencies of the current US health care delivery system stem from the growth of new and expensive medical technologies and the fee-for-service payment of physicians. 8 Although physicians aim to provide patient care on the basis of scientific evidence, financial considerations may influence their treatment decisions. Replacement of fee-for-service with capitated payment has ...

Health Care Delivery System in Uganda: A review Turyamureba Medard1*, Bruno L. Yawe2 and Oryema ... The review used current and recognised articles and reports related to Uganda's health care ... researchers remained neutral with no bias at all towards the nature of literature reviewed. Turyamureba M et al; Tanzania Journal of Health Research ...

INTRODUCTION. Achieving access to healthcare for all is an internationally recognised global goal, reinforced by the Universal Healthcare Movement and Sustainable Development Goals (SDGs) [].Yet, inequalities in health persist both within and between countries, with poorer, more marginalised groups often having the poorest health, compounded by also having the least entitlement to healthcare ...

Effective nursing leadership is critical for healthcare organizations' sustainability as nurse leaders influence many organizational aspects, including staff retention, quality of care, resource management, and development. The aim of this study is to highlight the quality achievements and benefits that transformational leadership may have for healthcare organizations. An extensive ...

A maturity matrix can be a useful tool for organisations implementing large-system transformation (LST) initiatives in complex systems. Insights from implementation of a local LST initiative using collaborative networks, known as Alliances, highlighted a tool was needed to help health system leaders prompt discussions on how and where to focus their change efforts.

Additionally, government-based systems including the Veteran Health Administration (VA) Patient Aligned Care Team (PACT) use team-based care delivered by employed providers, nurses, medical assistants, and staff to provide services. 8 However, little is known if the success of a PCMH depends on the type of health system within which it is ...

Methods: A rapid review of published literature from 2017 to 2023 was performed with a search strategy developed in collaboration with a health sciences librarian and implemented in the MEDLINE and Embase databases. ... improvement of health care quality and efficiency and cost-effectiveness in health care delivery. The identified limitations ...

When efforts to improve health care fall short, the failures are often blamed on leadership and culture. But the main problem often is the underlying systems. To generate better outcomes, increase ...

The authors of a recent Harvard Business Review report argue that care delivery systems need fixing far more than the people who work in these systems. Health care leaders must account for the strains on the workforce of poorly designed and unoptimized systems and create systems-focused improvement programs that everyone owns together.

For convenience, however, the committee uses the common terminology of health care delivery system. As described in Crossing the Quality Chasm (IOM, 2001b) and other literature, this health care system is faced with serious quality and cost challenges. To support the system, the United States spends more per capita on health care than any other ...