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- W2289277587 abstract "Policymakers have increasingly promoted health services integration to improvequalityandefficiency. The US health care safety net, which comprises providers of health care to uninsured,Medicaid,andother vulnerable patients, remains a largely fragmented collection of providers. We interviewed leadership from safety net hospitals and communityhealthcentersin5US cities (Boston, MA; Denver, CO; Los Angeles, CA; Minneapolis, MN; and San Francisco, CA) throughout 2013 ontheirexperienceswithservice integration. We identify conflicts in organizational mission, identity, and consumer orientation that have fostered reluctance to enter into collaborative arrangements. We describe how smaller scale initiatives, such as capitated model for targetedpopulations,healthinformation exchange, and quality improvements led by health plans, can help bridge cultural differences to lay the groundwork for developing integrated care programs. (Am J Public Health. 2015; 105:S676‐S679. doi:10." @default.
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- W2289277587 date "2015-01-01" @default.
- W2289277587 modified "2023-09-27" @default.
- W2289277587 title "IntegratingHealthCarefortheMostVulnerable:Bridging theDifferencesinOrganizationalCulturesBetweenUS HospitalsandCommunityHealthCenters" @default.
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