Lawton R. Burns and Mark V. Pauly
Health Affairs, 2002
This paper reviews the rationales and evidence for horizontal and vertical integration involving hospitals. We find a disjunction between the integration rationales espoused by providers and those cited in the academic literature. We also generally find that integration fails to improve hospitals’ economic performance. We offer seven lessons from hospitals’ efforts to integrate and then suggest four alternative models for achieving integrated delivery of health care services.
Section: Making Integration Work
Sector: Health system
Organization type: Hospital
Professions: Doctors or physicians
Integration type: Amalgamations, Back office, Behind the scenes, Clinical/service, Coordination/cooperation, Joint initiatives, Mergers
Organization size: Large
Document type: Case study, Research and analysis
Administrative concerns: Cost/benefit, Financial, Governance, Legal
Source: Other non-governmental
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