公衆衛生と安全の国際ジャーナル

Applying a European Key Component Framework to Compare and Contrast Cross-Country Case Studies in Health and Wellness of a Population

Abstract

Pascal Briot,Pierre-Henri Bréchat, Lucy A Savitz, Alice Teil and Didier Tabuteaut

Abstract Introduction: American healthcare delivery systems and accountable care organizations are increasingly implementing population health management programs at the organizational level. Most European countries, including France, have already adopted programs that link social welfare, public health, and healthcare delivery. This study aim at exploring the applicability of the French model to health systems in the United States in order to promote population health. Methods: A cross-case comparison between France multi-level organizational care networks and a U.S.-based integrated delivery system (Intermountain Healthcare in Salt Lake City, Utah) focuses on selected conditions and specific population health interventions. Results: The French healthcare delivery system responds to the needs of its population via a top-down, bottomup integration with its public health and welfare systems. Intermountain Healthcare relies on an ambulatory-hospital centrist system driven by standardized clinical protocols and outcomes measurement. Conclusions: If the United States is to improve the quality of its healthcare delivery systems, it must go beyond its current focus on the viability of its ambulatory-hospital centrist care delivery system. It would benefit also to coordinate and integrate with governmental and other health agencies taking into consideration all the factors affecting the health of its local populations.