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Integrated Healthcare and the Dilemma of Public Health Emergencies

Department of Aviation Security, Military University of Aviation, 08-521 Dęblin, Poland
Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, 40530 Gothenburg, Sweden
Gothenburg Emergency Medicine Research Group (GEMREG), Sahlgrenska Academy, 40530 Gothenburg, Sweden
Department of Information Systems and Business Analytics, College of Business, Florida International University, Miami, FL 33199, USA
Fellowship in Disaster Medicine, Department of Emergency Medicine, Beth Israel Deaconess Medical Centre, Boston, MA 02215, USA
Harvard Humanitarian Initiative, T.H. Chan School of Public Health, Harvard University, Boston, MA 02115, USA
Department of Emergency Medicine, Medical University of Lublin, 20-059 Lublin, Poland
Department of Experimental and Clinical Pharmacology, Medical University of Warsaw, Banacha 1b Street, 02097 Warsaw, Poland
School of Health and Related Research, The University of Sheffield, Sheffield S10 2TN, UK
Institute of Clinical Sciences, Department of Surgery, Sahlgrenska Academy, Gothenburg University, 413 45 Gothenburg, Sweden
Department of Development and Research, Armed Forces Center for Defense Medicine, Gothenburg, 426 76 Västra Frölunda, Sweden
Authors to whom correspondence should be addressed.
Academic Editor: Maxim A. Dulebenets
Sustainability 2021, 13(8), 4517;
Received: 31 March 2021 / Revised: 15 April 2021 / Accepted: 16 April 2021 / Published: 19 April 2021
Traditional healthcare services have demonstrated structural shortcomings in the delivery of patient care and enforced numerous elements of integration in the delivery of healthcare services. Integrated healthcare aims at providing all healthcare that makes humans healthy. However, with mainly chronically ill people and seniors, typically suffering from numerous comorbidities and diseases, being recruited for care, there is a need for a change in the healthcare service structure beyond direct-patient care to be compatible in peacetime and during public health emergencies. This article’s objective is to discuss the opportunities and obstacles for increasing the effectiveness of healthcare through improved integration. A rapid evidence review approach was used by performing a systematic followed by a non-systematic literature review and content analysis. The results confirmed that integrated healthcare systems play an increasingly important role in healthcare system reforms undertaken in European Union countries. The essence of these changes is the transition from the episodic treatment of acute diseases to the provision of coordinated medical services, focused on chronic cases, prevention, and ensuring patient continuity. However, integrated healthcare, at a level not yet fully defined, will be necessary if we are to both define and attain the integrated practice of both global health and global public health emergencies. This paper attains the necessary global challenges to integrate healthcare effectively at every level of society. There is a need for more knowledge to effectively develop, support, and disseminate initiatives related to coordinated healthcare in the individual healthcare systems. View Full-Text
Keywords: healthcare; integrated care; integrated healthcare delivery; quality of healthcare; hospital management healthcare; integrated care; integrated healthcare delivery; quality of healthcare; hospital management
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MDPI and ACS Style

Goniewicz, K.; Carlström, E.; Hertelendy, A.J.; Burkle, F.M.; Goniewicz, M.; Lasota, D.; Richmond, J.G.; Khorram-Manesh, A. Integrated Healthcare and the Dilemma of Public Health Emergencies. Sustainability 2021, 13, 4517.

AMA Style

Goniewicz K, Carlström E, Hertelendy AJ, Burkle FM, Goniewicz M, Lasota D, Richmond JG, Khorram-Manesh A. Integrated Healthcare and the Dilemma of Public Health Emergencies. Sustainability. 2021; 13(8):4517.

Chicago/Turabian Style

Goniewicz, Krzysztof; Carlström, Eric; Hertelendy, Attila J.; Burkle, Frederick M.; Goniewicz, Mariusz; Lasota, Dorota; Richmond, John G.; Khorram-Manesh, Amir. 2021. "Integrated Healthcare and the Dilemma of Public Health Emergencies" Sustainability 13, no. 8: 4517.

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