Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2013 Sep 25:13:e039.
doi: 10.5334/ijic.1206. eCollection 2013.

Transforming health care: an approach to system-wide implementation

Affiliations

Transforming health care: an approach to system-wide implementation

Rafael Bengoa. Int J Integr Care. .

Abstract

There are enormous financial, demographic, epidemiological and clinical safety pressures on health care systems around the world. These pressures are well known and are increasing every day. This perspective paper describes one possible way forward to meeting these pressures undertaken through the system-wide transformation of the health care system in the Basque Country to a population of over 2.3 million people. The overall goal has been to turn the health care system to become more proactive than reactive and more collaborative than fragmented. This ambitious plan started in 2009.

Keywords: integrated care; population health; proactive care; system transformation; telesilos; triple aim.

PubMed Disclaimer

Figures

Figure 1.
Figure 1.
Aligned management processes as integrators

References

    1. Daniel HB. Architect and town planner of cities. In: Moore C, editor. Closing in 1911–1912. Vol. 2. Houghton Mifflin; 1921. pp. 545–555.
    1. MacColl Centre for Health Care Innovation . The chronic care model. Group Health Research Institute; Available from: http://www.improvingchroniccare.org/index.php?p=Model_Elements&s=18.
    1. Department of Health A strategy to tackle the challenge of chronicity in the Basque Country. 2009. [cited 2012 18 Dec] Available from: http://cronicidad.blog.euskadi.net/descargas/plan/ChronicityBasqueCountr....
    1. Berwick DM, Nolan TW, Whittington J. The triple aim: care, health, and cost. Health Affairs. 2008;27(3):759–69. - PubMed
    1. Rittenhouse DR, Shortell SM, Gillies RR, Casalino LP, Robinson JC, McCurdy RK, Siddique J. Improving chronic illness care: findings from a National Study of Care Management Processes in large physician practices. Medical Care Research and Review. 2010;67(3):301–20. - PubMed

LinkOut - more resources