The Imperative for Integrating Public Health and Health Care Delivery Systems

NEJM Catalyst ◽  
2021 ◽  
Vol 2 (4) ◽  
Author(s):  
Frederick P. Cerise ◽  
Brett Moran ◽  
Philip P. Huang ◽  
Kavita P. Bhavan
Author(s):  
Norma Padron

IntroductionThis presentation will review the current strategies being used by health care delivery systems across the US to incorporate via linkage, publicly available data assets. The discussion will focus on lessons learned with a specific emphasis of collaborations between health systems to address the opioid crisis. Objectives and ApproachTo review ongoing strategies to incorporate local, publicly available data assets to clinical data assets that health systems have for purposes of collaborations with public health surveillance. The emphasis of the discussion presented will be in the data strategies that local health departments and health care delivery systems have used to address the opioid crisis in the US. This presentation will propose strategies to be explored and bring forth concerns about data fairness, accountability and transparency when collaborations for public health surveillance are in place. ResultsThe presentation will discuss the experiences learned in specific regions in the United States. The main results will center around assessing the effectiveness of current strategies to share and analyze data across health care delivery systems and local agencies and government partners. The lessons learned of what works and what hasn't will be discussed in light of the ongoing epidemic of opioid use and drug overdose deaths in the United States. Finally the presentation will present strategies that could be explored for collaborative public health surveillance that address issues and concers of fairness, accountability and transparency. Conclusion/ImplicationsThe implications of this report and presentation is that ongoing data linkage and sharing strategies have been -for the most part- insufficient to enable delivery systems and local public health departments and government address rising epidemiological concerns. The proposed strategies complement what is being done and advance data-driven public health


2021 ◽  
Vol 32 (3) ◽  
pp. 1236-1264
Author(s):  
Kassim Said Abasse ◽  
Muhammad Abbas ◽  
Kassim Said Mohamed ◽  
Mirza Muhammad Faran Ashraf Baig ◽  
Murad Habib ◽  
...  

2005 ◽  
Vol 44 (02) ◽  
pp. 273-277
Author(s):  
D. M. Lawrence

Summary Purpose: To compare organized and traditional health care delivery systems and their ability to meet several major challenges facing health care in the next 25 years. Approach: Analysis of traditional and organized health care systems based on a career spent in organized health care systems. Conclusions: The traditional health care system based on independent autonomous physicians is not able to meet the challenges of current healthcare. Stronger integration and coordination, i.e., organized health care delivery systems are required.


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