A comparison of organized and traditional health care: implications for health promotion and prospective medicine.
OBJECTIVE
To compare organized and traditional health care delivery systems and their ability to meet several major challenges facing health care in the next 25 years.


METHODS
Analysis of traditional and organized health care systems based on a career spent in organized health care systems.


CONCLUSIONS
The traditional health care system based on independent autonomous physicians is not able to meet the challenges of current healthcare. Stronger integration and coordination, i.e., organized health care delivery systems are required.
Lawrence
D M
DM
Kaiser Foundation Health Plan & Hospitals, 1 Kaiser Plaza, Oakland, CA 94612, USA. david.lawrence@kp.org
D018672:Community Health Planning; D003266:Continuity of Patient Care; D003695:Delivery of Health Care / Q000145:classification / Q000458:organization & administration* / Q000639:trends; D019033:Delivery of Health Care, Integrated; D019317:Evidence-Based Medicine; D018588:Fee-for-Service Plans; D006293:Health Promotion / Q000458:organization & administration*; D006801:Humans; D007373:Interinstitutional Relations; D017146:Models, Organizational; D012922:Social Change; D012962:Sociology, Medical / Q000639:trends; D014481:United States