Integrating health care systems

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16 October 2015

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Integrating health care systems


            Integrated health systems deem to be component of the resolution to the general glitch of sustaining global healthcare structure. Various methodical literature reviews have been developed to funnel decision-makers and other stakeholders to strategize and execute integrated health schemes. The inefficiencies and inequality in health systems have persisted for long due to economic breakdown. The rationale of advancement of health systems is to improve efficiency and equity in health care provision (Boslaugh, 2013). The rationale of this paper is to compare, contrast and describe two articles related to integration of healthcare systems. “Integrated health care networks in Latin America: toward a conceptual a framework for analysis” is an article by ML Vázquez, and “Ten key principles for successful health systems integration” by E Suter (Retrived from

            Integrated health systems are considered as right step towards the challenge of sustainability (Lorenzi, 2005). The efforts to ensure that the state of health care system across countries include introduction of health care networks. This system is also known as integrated health care delivery system. Other efforts include guiding health professionals and other related stakeholders to strategize and execute integrated health care configuration (Kronenfeld, 2004). Integrated health care systems are generally believed to offer greater performance in terms of safety, quality as a result of standardized protocols and effective communication. However, these results have not been fully realized (Joumard , 2010).

            These two articles were published in 2009. There is need to integrate health care systems since they are characterized by overrated expenses, sluggish public disbursement on health as part of gross domestic product, as well as gross inequalities (Mesa-Lago, 2007). In both articles the health care systems are integrated to meet patient needs, to ensure comprehensive services across the health care scheme, consistent care delivery between professional groups, information coordination, performance management, physician integration, organization leadership and culture, financial management, and governance construction (Retrieved from

            Suter descried the condition of health systems in Canada while Vázquez elaborate about the state of health care condition in Latin America (Geyndt, 2001). Health care system in Latin America has been jeopardized by economic breakdown, gross inequalities, and overrated expenditure. On contrary, health care is greatly affected by service demand, gradual cost inflation, as well as staff shortages. In both articles endeavors to integrate health care structure face hindrances. In Canada, efforts for integration are affected by inadequate information related to executing and integration-linked initiatives (Rathwell, 1994). That is the information is isolated and not easily accessed. On the other hand, despite integration in health structure in health systems, the issues of inequalities still prevail in health services. Recent study reveals that health care integration in Canada is not sustainable in the modern form (Morrison, 2013).

            In conclusion, calls for superior integration of health care service delivery, as an approach to attend to equity of efficiency and access, have been demonstrated in health reforms by multilateral institutions and national governments across the world. These efforts include proper planning to help the health care professionals to make superior decisions as well as the introduction of integrated health care networks. These efforts will strengthen the capacity of health care systems. The objective of these reforms is to improve overcoming inequalities as well as improving efficiency. The only remaining part is to ensure there are appropriate strategies to analyze the capability of the alterations being put into place to deliver integration plans.


Boslaugh, S. (2013). Health care systems around the world: a comparative guide. New York, NY: SAGE publishers.

Geyndt, W. D. (2001). Improving the quality of health care in Latin America. International Journal for Quality in Health Care, 13(2), 85-87.

Health care comes home the human factors. (2011). Washington, D.C.: National Academies Press.

Integrating mental health into primary care: a global perspective.. (2008). Geneva, Switzerland: World Health Organization ;.

Joumard, I., André, C., & Nicq, C. (2010). Health Care Systems. Paris: OECD.

Kronenfeld, J. J. (2004). Chronic care, health care systems, and services integration. Amsterdam: Elsevier JAI.

Lorenzi, N. M. (2005). Transforming health care through information (2nd ed.). New York: Springer.

Mesa-Lago, C. (2007). Social Security In Latin America: Pension And Health Care Reforms In The Last Quarter Century. Latin American Research Review, 42(2), 181-201.

Morrison, J. (2013). CPhA and other health care professions: Working for a better health care system. Canadian Pharmacists Journal / Revue des Pharmaciens du Canada, 146(3), 171-172.

Rathwell, T. (1994). Health Care In Canada: A System In Turmoil. Health Policy, 27(1), 5-17.

SciELO Salud Publica. (n.d.). SciELO Salud Publica. Retrieved August 25, 2014, from

Suter, E., Oelke, N., Adair, C., & Armitage, G. (1930, March 6). Abstract. National Center for Biotechnology Information. Retrieved August 25, 2014, from

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"Integrating health care systems" StudyScroll, 16 October 2015,

StudyScroll. (2015). Integrating health care systems [Online]. Available at: [Accessed: 28 January, 2023]

"Integrating health care systems" StudyScroll, Oct 16, 2015. Accessed Jan 28, 2023.

"Integrating health care systems" StudyScroll, Oct 16, 2015.

"Integrating health care systems" StudyScroll, 16-Oct-2015. [Online]. Available: [Accessed: 28-Jan-2023]

StudyScroll. (2015). Integrating health care systems. [Online]. Available at: [Accessed: 28-Jan-2023]

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