ArticleInternational journal of integrated care2020
Horizontal and Vertical Integration of Health Care Providers: A Framework for Understanding Various Provider Organizational Structures.
Article in International journal of integrated care, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 3 of them syntheses that pooled it.
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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
42 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Effects of vertical integration on the healthcare system in China: a systematic review and meta-analysis.Health policy and planning · 2024Pooled it
- Primary healthcare reform for chronic conditions in countries with high or very high human development index: A systematic review.Chronic illness · 2022Pooled it
- The bigger, the better? A systematic review on the impact of mergers on primary care organizations.European journal of public health · 2021Pooled it
- Strengthening preventive cancer screening in Northern Ontario, Canada: Structural supports and systemic barriers with the all nations health partners Ontario health team.Preventive medicine reports · 2026Article
- Association between integrated specialty pharmacy care model and pharmaceutical access and costs.Health affairs scholar · 2026Article
- From Silos to Synergy: Insights From Health Professionals on Integrating Youth Mental Health Care.Early intervention in psychiatry · 2026Article
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- Hospital Fall Prevention Practices and Implementation Strategies: A Multisite Observational Study.Journal of patient safety · 2026Article
- Ten Healthcare Delivery Trends and Their Measurement and Methodological Implications for Cancer Health Services Research.Health services research · 2026Article
- The health diplomacy spiral: a conceptual framework linking health system integration and public health diplomacy.Public health reviews · 2026Review
- Short-Form Measures of Well-Being Centered Leadership for Matrixed Healthcare Systems.Journal of healthcare leadership · 2026Article
- Hospital-Medicare Advantage Vertical Integration and Cardiopulmonary Care in Integrated Hospitals.JAMA health forum · 2025Article
- Transforming the Indian Private Sector for Universal Health Coverage.Healthcare (Basel, Switzerland) · 2025Article
- Healthcare providers' perception about challenges of reproductive health service utilisation.Journal of public health in Africa · 2025Article
- New Ways of Working to Manage and Improve Quality in Integrated Care Systems in England.International journal of health policy and management · 2025Article
- Key Motivators and Framework for Integrated Care by Family Physician Team Members in Urban China.International journal of health policy and management · 2025Article
- Vertical Integration and Care Experiences Among Medicare Advantage Beneficiaries.JAMA network open · 2024Article
- The value of admission avoidance: cost-consequence analysis of one-year activity in a consolidated service.Cost effectiveness and resource allocation : C/E · 2024Article
- Does Physician-Hospital Vertical Integration Affect Hospital Output?Health services insights · 2024Article
- The Mayo Leadership Impact Index Adapted for Matrix Leadership Structures: Initial Validity Evidence.Journal of healthcare leadership · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionCurrent U.S. policy and payment initiatives aim to encourage health care provider accountability for population health and higher value care, resulting in efforts to integrate providers along the continuum. Providers work together through diverse organizational structures, yet evidence is limited regarding how to best organize the delivery system to achieve higher value care.
methodsIn 2016, we conducted a narrative review of 10 years of literature to identify definitional components of key organizational structures in the United States. A clear accounting of common organizational structures is foundational for understanding the system attributes that are associated with higher value care.
resultsWe distinguish between structures characterized by the horizontal integration of providers delivering similar services and the vertical integration of providers fulfilling different functions along the care continuum. We characterize these structures in terms of their origins, included providers and services, care management functions, and governance. CONCLUSIONS AND DISCUSSION: Increasingly, U.S. policymakers seek to promote provider integration and coordination. Emerging evidence suggests that organizational structures, composition, and other characteristics influence cost and quality performance. Given current efforts to reform the U.S. delivery system, future research should seek to systematically examine the role of organizational structure in cost and quality outcomes.
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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.