Systems integration literature review

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Purpose: Over the past 7 decades, theories in the systems and complexity sciences have had a major influence on academic thinking and research. Hand searches and snowballing retrieved another Between and , articles described the complex adaptive nature of this discipline.
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Context: Because of rising health care costs, wide variations in quality, and increased patient complexity, the US health care system is undergoing rapid changes that include payment reform and movement toward integrated delivery systems. Well-established integrated delivery systems, such as Kaiser Permanente KP , should work to identify the specific system-level factors that result in superior patient outcomes in response to policymakers' concerns. Comparative health systems research can provide insights into which particular aspects of the integrated delivery system result in improved care delivery. Objective: To provide a baseline understanding of comparative health systems research related to integrated delivery systems and KP. Design: Systematic literature review.
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