Cover: A Comprehensive Theory of Integration

A Comprehensive Theory of Integration

Published in: Medical Care Research and Review (2019). doi: 10.1177%2F1077558718767000

Posted on rand.org Dec 3, 2019

by Sara J. Singer, Michaela J. Kerrissey, Mark W. Friedberg, Russell S. Phillips

Efforts to transform health care delivery to improve care have increasingly focused on care integration. However, variation in how integration is defined has complicated efforts to design, synthesize, and compare studies of integration in health care. Evaluations of integration initiatives would be enhanced by describing them according to clear definitions of integration and specifying which empirical relationships they seek to test—whether among types of integration or between integration and outcomes of care. Drawing on previous work, we present a comprehensive theoretical model of relationships between types of integration and propose how to measure them.

Research conducted by

This report is part of the RAND external publication series. Many RAND studies are published in peer-reviewed scholarly journals, as chapters in commercial books, or as documents published by other organizations.

RAND is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.