ArticleBMC health services research2010
Is the Kaiser Permanente model superior in terms of clinical integration?: a comparative study of Kaiser Permanente, Northern California and the Danish healthcare system.
Article in BMC health services research, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 47 citations in OpenAlex.
- The effect of integrated health care in patients with hypertension and diabetes: a systematic review and meta-analysis.BMC health services research · 2022Pooled it
- Comparative health systems research among Kaiser Permanente and other integrated delivery systems: a systematic literature review.The Permanente journal · 2014Pooled it
- Integrated care is necessary, but not sufficient, for equity in hepatocellular carcinoma outcomes.Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society · 2026Article
- Survival Outcomes Among Patients With Hepatocellular Carcinoma in a Large Integrated US Health System.JAMA network open · 2024Article
- Improving performance intelligence for governing an integrated health and social care delivery network: a case study on the Amsterdam Noord district.BMC health services research · 2021Article
- Time to Do the Right Thing: End Fee-for-Service for Primary Care.Annals of family medicine · 2016Article
- Organizational Context and Capabilities for Integrating Care: A Framework for Improvement.International journal of integrated care · 2016Article
- How personal and standardized coordination impact implementation of integrated care.BMC health services research · 2015Article
- Instruments to assess integrated care: a systematic review.International journal of integrated care · 2014Article
- Overview of accountable care organizations for oncology specialists.Journal of oncology practice · 2013Review
- Amenable mortality as a performance indicator of Italian health-care services.BMC health services research · 2012Article
- Something is amiss in Denmark: a comparison of preventable hospitalisations and readmissions for chronic medical conditions in the Danish Healthcare system and Kaiser Permanente.BMC health services research · 2011Article
- Applying the EPIS framework to policy-level considerations: Tobacco cessation policy implementation among California Medicaid managed care plans.Implementation research and practiceArticle
- Towards a taxonomy for integrated care: a mixed-methods study.International journal of integrated careArticle
- Assessing Readiness and Sustainability for Integrated Care in Ontario, Canada with the Integrated Care Leadership Survey.International journal of integrated careArticle
Corrections and comments
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Authors and funding
11 authors at 5 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIntegration of medical care across clinicians and settings could enhance the quality of care for patients. To date, there is limited data on the levels of integration in practice. Our objective was to compare primary care clinicians' perceptions of clinical integration and three sub-aspects in two healthcare systems: Kaiser Permanente, Northern California (KPNC) and the Danish healthcare system (DHS). Further, we examined the associations between specific organizational factors and clinical integration within each system.
methodsComparable questionnaires were sent to a random sample of primary care clinicians in KPNC (n = 1103) and general practitioners in DHS (n = 700). Data were analysed using multiple logistic regression models.
resultsMore clinicians in KPNC perceived to be part of a clinical integrated environment than did general practitioners in the DHS (OR = 3.06, 95% CI: 2.28, 4.12). Further, more KPNC clinicians reported timeliness of information transfer (OR = 2.25, 95% CI: 1.62, 3.13), agreement on roles and responsibilities (OR = 1.79, 95% CI: 1.30, 2.47) and established coordination mechanisms in place to ensure effective handoffs (OR = 6.80, 95% CI: 4.60, 10.06). None of the considered organizational factors in the sub-country analysis explained a substantial proportion of the variation in clinical integration.
conclusionsMore primary care clinicians in KPNC reported clinical integration than did general practitioners in the DHS. Focused measures of clinical integration are needed to develop the field of clinical integration and to create the scientific foundation to guide managers searching for evidence based approaches.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.