chALLENGES IN SATISFYING CONSUMERS WIHT THE USE OF INTEGRATED HEALTHCARE DELIVERY SYSTEM

FOur-level model of healthcare system

Based on DOH and WHO healthcare integrated system is a holistic approach specifically for the patient. As current healthcare delivery system approaches the demand of patient, healthcare providers innovate the healthcare delivery system to provide accessibility and convenience for the patient by setting the patient as the core of the delivery system.This model theory is derived from Ferlie and shortell theory of healthcare delivery system model , where IDS is divided into for nested levels: (1) the individual patient; (2) the care team, which includes professional care providers (e.g., clinicians, pharmacists, and others), the patient, and family members; (3) the organization (e.g., hospital, clinic, nursing home, etc.) that supports the development and work of care teams by providing infrastructure and complementary resources; and (4) the political and economic environment (e.g., regulatory, financial, payment regimes, and markets), the conditions under which organizations, care teams, individual patients, and individual care providers operate.To support patient-cantered care delivery by well functioning clinical care teams or Microsystems, health organizations must find ways to bridge the health care professional/ delivery system management divide and invest in information/ communications technologies, systems-engineering tools, and associated knowledge. Integrated, patient-cantered, team-based care requires material, managerial, logistical, and technical support that can cross organizational/institutional boundariessupport that is very difficult to provide in a highly fragmented, distributed-care delivery system.Patient in needs and preferences should be defining factors in patient centered healthcare system. Changes in policy will reflect and emphasis on consumer-driven healthcare. Overall, the role of the patient has changed form a passive recipient of care for a more active participant in care delivery. Fragmented delivery system, combined with the growing burden of chronic disease and the need for contiguous care have all but forced may patents to assume in an active role for coordination for production and implementation of their healthcare. Considering the roles, needs and objectives of first level actors their independence is a tool to improve the overall performance of the healthcare team.The care team is the second level of the healthcare system, consist of the individual phycician and a group of care providers , including health professionals, patient family members and others, hose collective efforts result in the delivery of care to a patient or population of the patients . the healthcare providers are so called clinical microsystem defined as the smallest sense that it contains with in itself including financial, and technological resources to do its work.The third level of healthcare delivery system is the organization ( e.g hospital , clinc, nursing home ) that provides infrastructure and other complementary resources to support te work and development of care teams and micro systems. With this healthcare organization face a lo of problems.The fourth and last of healthcare system is political environment , with include structure and performance of healthcare organizations. Many actors of known people can affect the organization using this fourth type. The federal government influencescare through the reimbursement practices of medicare.As this four model approaches the healthcare delivery system patient will be given a chance to understand , promote and most importantly to participate with their own healthcare delivery system. For patient not to be taken for granted since integrated delivery system focuses on the patient and to the healthcare providers. As a conclusion this model is a helpful to ll in organizing and participate in their own care.