IDEAS home Printed from https://ideas.repec.org/a/gam/jsusta/v13y2021i8p4517-d538797.html
   My bibliography  Save this article

Integrated Healthcare and the Dilemma of Public Health Emergencies

Author

Listed:
  • Krzysztof Goniewicz

    (Department of Aviation Security, Military University of Aviation, 08-521 Dęblin, Poland)

  • Eric Carlström

    (Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, 40530 Gothenburg, Sweden
    Gothenburg Emergency Medicine Research Group (GEMREG), Sahlgrenska Academy, 40530 Gothenburg, Sweden)

  • Attila J. Hertelendy

    (Department of Information Systems and Business Analytics, College of Business, Florida International University, Miami, FL 33199, USA
    Fellowship in Disaster Medicine, Department of Emergency Medicine, Beth Israel Deaconess Medical Centre, Boston, MA 02215, USA)

  • Frederick M. Burkle

    (Harvard Humanitarian Initiative, T.H. Chan School of Public Health, Harvard University, Boston, MA 02115, USA)

  • Mariusz Goniewicz

    (Department of Emergency Medicine, Medical University of Lublin, 20-059 Lublin, Poland)

  • Dorota Lasota

    (Department of Experimental and Clinical Pharmacology, Medical University of Warsaw, Banacha 1b Street, 02097 Warsaw, Poland)

  • John G. Richmond

    (School of Health and Related Research, The University of Sheffield, Sheffield S10 2TN, UK)

  • Amir Khorram-Manesh

    (Gothenburg Emergency Medicine Research Group (GEMREG), Sahlgrenska Academy, 40530 Gothenburg, Sweden
    Institute of Clinical Sciences, Department of Surgery, Sahlgrenska Academy, Gothenburg University, 413 45 Gothenburg, Sweden
    Department of Development and Research, Armed Forces Center for Defense Medicine, Gothenburg, 426 76 Västra Frölunda, Sweden)

Abstract

Traditional healthcare services have demonstrated structural shortcomings in the delivery of patient care and enforced numerous elements of integration in the delivery of healthcare services. Integrated healthcare aims at providing all healthcare that makes humans healthy. However, with mainly chronically ill people and seniors, typically suffering from numerous comorbidities and diseases, being recruited for care, there is a need for a change in the healthcare service structure beyond direct-patient care to be compatible in peacetime and during public health emergencies. This article’s objective is to discuss the opportunities and obstacles for increasing the effectiveness of healthcare through improved integration. A rapid evidence review approach was used by performing a systematic followed by a non-systematic literature review and content analysis. The results confirmed that integrated healthcare systems play an increasingly important role in healthcare system reforms undertaken in European Union countries. The essence of these changes is the transition from the episodic treatment of acute diseases to the provision of coordinated medical services, focused on chronic cases, prevention, and ensuring patient continuity. However, integrated healthcare, at a level not yet fully defined, will be necessary if we are to both define and attain the integrated practice of both global health and global public health emergencies. This paper attains the necessary global challenges to integrate healthcare effectively at every level of society. There is a need for more knowledge to effectively develop, support, and disseminate initiatives related to coordinated healthcare in the individual healthcare systems.

Suggested Citation

  • Krzysztof Goniewicz & Eric Carlström & Attila J. Hertelendy & Frederick M. Burkle & Mariusz Goniewicz & Dorota Lasota & John G. Richmond & Amir Khorram-Manesh, 2021. "Integrated Healthcare and the Dilemma of Public Health Emergencies," Sustainability, MDPI, vol. 13(8), pages 1-13, April.
    • Handle: RePEc:gam:jsusta:v:13:y:2021:i:8:p:4517-:d:538797
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/2071-1050/13/8/4517/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/2071-1050/13/8/4517/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Anna Wernhart & Susanne Gahbauer & Daniela Haluza, 2019. "eHealth and telemedicine: Practices and beliefs among healthcare professionals and medical students at a medical university," PLOS ONE, Public Library of Science, vol. 14(2), pages 1-13, February.
    2. Robert Boyer, 2019. "How Scientific Breakthroughs and Social Innovations Shape the Evolution of the Healthcare Sector," Creative Economy, in: Sébastien Lechevalier (ed.), Innovation Beyond Technology, chapter 0, pages 89-119, Springer.
    3. Rodney P. Jones, 2020. "A pragmatic method to compare hospital bed provision between countries and regions: Beds in the States of Australia," International Journal of Health Planning and Management, Wiley Blackwell, vol. 35(3), pages 746-759, May.
    4. Randall D. Cebul & James B. Rebitzer & Lowell J. Taylor & Mark E. Votruba, 2008. "Organizational Fragmentation and Care Quality in the U.S. Healthcare System," Journal of Economic Perspectives, American Economic Association, vol. 22(4), pages 93-113, Fall.
    5. Krzysztof Goniewicz & Amir Khorram-Manesh & Attila J. Hertelendy & Mariusz Goniewicz & Katarzyna Naylor & Frederick M. Burkle, 2020. "Current Response and Management Decisions of the European Union to the COVID-19 Outbreak: A Review," Sustainability, MDPI, vol. 12(9), pages 1-12, May.
    6. Reckers-Droog, V.T. & van Exel, N.J.A. & Brouwer, W.B.F., 2018. "Looking back and moving forward: On the application of proportional shortfall in healthcare priority setting in the Netherlands," Health Policy, Elsevier, vol. 122(6), pages 621-629.
    7. Muhammad Tariq Majeed & Farzana Naheed Khan, 2019. "Do information and communication technologies (ICTs) contribute to health outcomes? An empirical analysis," Quality & Quantity: International Journal of Methodology, Springer, vol. 53(1), pages 183-206, January.
    8. Krzysztof Goniewicz & Mariusz Goniewicz & Frederick M Burkle & Amir Khorram-Manesh, 2021. "Cohort research analysis of disaster experience, preparedness, and competency-based training among nurses," PLOS ONE, Public Library of Science, vol. 16(1), pages 1-12, January.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Tomohiro Ishimaru & Shoichi Shimizu & Ayaka Teshima & Koki Ibayashi & Mihoko Arikado & Yoko Tsurugi & Seiichiro Tateishi & Makoto Okawara, 2022. "The Impact of COVID-19 Outbreak on Health Emergency and Disaster in Japan," Sustainability, MDPI, vol. 14(23), pages 1-13, November.
    2. Rodney P. Jones, 2022. "A Model to Compare International Hospital Bed Numbers, including a Case Study on the Role of Indigenous People on Acute ‘Occupied’ Bed Demand in Australian States," IJERPH, MDPI, vol. 19(18), pages 1-27, September.
    3. Dorota Lasota & Dagmara Mirowska-Guzel & Krzysztof Goniewicz, 2021. "Analysis of Suicide Methods and Substances Influencing the State of Consciousness of Their Victims in Poland," IJERPH, MDPI, vol. 18(9), pages 1-12, May.
    4. Shah Muhammad Kamran & Abdelmohsen A. Nassani & Muhammad Moinuddin Qazi Abro & Mahvish Kanwal Khaskhely & Mohamed Haffar, 2023. "Government as a Facilitator versus Inhibitor of Social Entrepreneurship in Times of Public Health Emergencies," IJERPH, MDPI, vol. 20(6), pages 1-18, March.
    5. Krzysztof Goniewicz & Frederick M. Burkle & Simon Horne & Marta Borowska-Stefańska & Szymon Wiśniewski & Amir Khorram-Manesh, 2021. "The Influence of War and Conflict on Infectious Disease: A Rapid Review of Historical Lessons We Have Yet to Learn," Sustainability, MDPI, vol. 13(19), pages 1-10, September.
    6. Krzysztof Goniewicz & Mariusz Goniewicz & Anna Włoszczak-Szubzda & Dorota Lasota & Frederick M. Burkle & Marta Borowska-Stefańska & Szymon Wiśniewski & Amir Khorram-Manesh, 2022. "The Moral, Ethical, Personal, and Professional Challenges Faced by Physicians during the COVID-19 Pandemic," IJERPH, MDPI, vol. 19(9), pages 1-13, May.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Pierre-Thomas Léger & Erin C. Strumpf, 2010. "Système de paiement des médecins : bref de politique," CIRANO Project Reports 2010rp-12, CIRANO.
    2. Ali Zackery & Joseph Amankwah-Amoah & Zahra Heidari Darani & Shiva Ghasemi, 2022. "COVID-19 Research in Business and Management: A Review and Future Research Agenda," Sustainability, MDPI, vol. 14(16), pages 1-32, August.
    3. Matthijs M. Versteegh & Isaac Corro Ramos & Nasuh C. Buyukkaramikli & Amir Ansaripour & Vivian T. Reckers-Droog & Werner B. F. Brouwer, 2019. "Severity-Adjusted Probability of Being Cost Effective," PharmacoEconomics, Springer, vol. 37(9), pages 1155-1163, September.
    4. Isabel Marques & Zélia Serrasqueiro & Fernanda Nogueira, 2021. "Managers’ Competences in Private Hospitals for Investment Decisions during the COVID-19 Pandemic," Sustainability, MDPI, vol. 13(4), pages 1-14, February.
    5. Sonia Adam-Ledunois & Sébastien Damart, 2016. "The art of collective "making do"... When silos are gone!," Post-Print hal-01362382, HAL.
    6. Hermann Ndoya & Simplice A. Asongu, 2022. "Digital divide, globalization and income inequality in sub-Saharan African countries: analysing cross-country heterogeneity," Social Responsibility Journal, Emerald Group Publishing Limited, vol. 20(1), pages 1-19, October.
    7. Simona Grassi & Ching-to Albert Ma, 2016. "Information acquisition, referral, and organization," RAND Journal of Economics, RAND Corporation, vol. 47(4), pages 935-960, November.
    8. Agha, Leila & Frandsen, Brigham & Rebitzer, James B., 2019. "Fragmented division of labor and healthcare costs: Evidence from moves across regions," Journal of Public Economics, Elsevier, vol. 169(C), pages 144-159.
    9. Katarzyna Czech & Michał Wielechowski & Pavel Kotyza & Irena Benešová & Adriana Laputková, 2020. "Shaking Stability: COVID-19 Impact on the Visegrad Group Countries’ Financial Markets," Sustainability, MDPI, vol. 12(15), pages 1-19, August.
    10. Samba Diop & Simplice A. Asongu, 2022. "Information and Communication Technologies (ICTs) as catalyst for the achievement of Sustainable Development Goals (SGDs) at the local level in Africa," Working Papers of the African Governance and Development Institute. 22/084, African Governance and Development Institute..
    11. Ruixin Su & Bojan Obrenovic & Jianguo Du & Danijela Godinic & Akmal Khudaykulov, 2022. "COVID-19 Pandemic Implications for Corporate Sustainability and Society: A Literature Review," IJERPH, MDPI, vol. 19(3), pages 1-23, January.
    12. Emad Kazemzadeh & José Alberto Fuinhas & Narges Salehnia & Fariba Osmani, 2023. "The effect of economic complexity, fertility rate, and information and communication technology on ecological footprint in the emerging economies: a two-step stirpat model and panel quantile regressio," Quality & Quantity: International Journal of Methodology, Springer, vol. 57(1), pages 737-763, February.
    13. Randall D. Cebul & James B. Rebitzer & Lowell J. Taylor & Mark E. Votruba, 2008. "Organizational Fragmentation and Care Quality in the U.S. Healthcare System," Journal of Economic Perspectives, American Economic Association, vol. 22(4), pages 93-113, Fall.
    14. Marton, James & Yelowitz, Aaron & Talbert, Jeffery C., 2014. "A tale of two cities? The heterogeneous impact of medicaid managed care," Journal of Health Economics, Elsevier, vol. 36(C), pages 47-68.
    15. Yaqi Wang & Rodrigo Viseu Cardoso & Claudiu Forgaci, 2022. "Urban Pandemic Vulnerability and COVID-19: A New Framework to Assess the Impacts of Global Pandemics in the Metropolitan Region of Amsterdam," Sustainability, MDPI, vol. 14(7), pages 1-19, April.
    16. Timothy Simcoe & Maryaline Catillon & Paul Gertler, 2019. "Who benefits most in disease management programs: Improving target efficiency," Health Economics, John Wiley & Sons, Ltd., vol. 28(2), pages 189-203, February.
    17. Giuliana Campanelli Andreopoulos & John Malindretos & Alexandros Panayides & Alfred Verrios, 2023. "A Complex Relationship Price / Quality: The Case of the US Health Care System," European Research Studies Journal, European Research Studies Journal, vol. 0(4), pages 238-254.
    18. Leila Agha & Keith Marzilli Ericson & Xiaoxi Zhao, 2020. "The Impact of Organizational Boundaries on Healthcare Coordination and Utilization," NBER Working Papers 28179, National Bureau of Economic Research, Inc.
    19. Olli-Pekka Hilmola & Oskari Lähdeaho & Ville Henttu & Per Hilletofth, 2020. "Covid-19 Pandemic: Early Implications for North European Manufacturing and Logistics," Sustainability, MDPI, vol. 12(20), pages 1-13, October.
    20. Larry G. Epstein & Hiroaki Kaido & Kyoungwon Seo, 2016. "Robust Confidence Regions for Incomplete Models," Econometrica, Econometric Society, vol. 84, pages 1799-1838, September.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jsusta:v:13:y:2021:i:8:p:4517-:d:538797. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.