Journal article
Is the Kaiser Permanente model superior in terms of clinical integration?: A comparative study of Kaiser Permanente, Northern California and the Danish healthcare system
M Strandberg-Larsen, ML Schiøtz, JD Silver, A Frølich, JS Andersen, I Graetz, M Reed, J Bellows, A Krasnik, T Rundall, J Hsu
BMC Health Services Research | Published : 2010
Abstract
Abstract. Background. Integration of medical care across clinicians and settings could enhance the quality of care for patients. To date, there is limited data on the levels of integration in practice. Our objective was to compare primary care clinicians' perceptions of clinical integration and three sub-aspects in two healthcare systems: Kaiser Permanente, Northern California (KPNC) and the Danish healthcare system (DHS). Further, we examined the associations between specific organizational factors and clinical integration within each system. Methods. Comparable questionnaires were sent to a random sample of primary care clinicians in KPNC (n = 1103) and general practitioners in DHS (n = 70..
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Funding Acknowledgements
We thank the Danish Graduate School in Public Health Science, Faculty of Health Sciences, University of Copenhagen; the Health Insurance Foundation, and the Rockwool Foundation who funded this study. We also thank: Augustinus Fonden, Frimodt-Heineke Fonden, Julie von Mullens Fond, Knud Hojgaards Fond, Oticon Fonden, and the Faculty of Health Sciences, University of Copenhagen for providing funding for a research stay at the School of Public Health, University of California, Berkeley. Thanks to the Agency for Healthcare Research and Quality (AHRQ), who funded the collection of data in KPNC. A final thanks to Research Assistant, Mikkel B. Nielsen, MScPH who contributed to the questionnaire construction and data collection in the Danish setting and Associate Professor Thomas Alexander Gerds for biostatistical advice.