Health Affairs

Health Affairs, 26, no. 5 (2007): 1366-1372 doi: 10.1377/hlthaff.26.5.1366 © 2007 by Project HOPE	New Online   Getting Health Reform Done   After the State of the Union   Incremental Reform   E-Health in Developing World   Most-Read Articles in 2009

This Article Full Text (HTML) Reprint (PDF) Submit a response to this article Comments: View responses Alert me when this article is cited Alert me when Comments are posted Alert me if a correction is posted Services E-mail this article to a friend Similar articles in this journal Similar articles in Web of Science Similar articles in PubMed Alert me to new issues of the journal Add to My Personal Archive Download to Citation Manager Reprints & Permissions Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Enthoven, A. C. Articles by Shortell, S. M. Search for Related Content PubMed PubMed Citation Articles by Enthoven, A. C. Articles by Shortell, S. M. Related Collections Health Reform Insurance Coverage Insurance - Employer-Based System Managed Care Managed Care - Consumers Business Of Health Consumer Issues Insurance Market

Commentary

‘Redefining Health Care’: Medical Homes Or Archipelagos To Navigate?

Alain C. Enthoven, Francis J. Crosson and Stephen M. Shortell

This paper provides an analysis of the structure of the health care delivery system, emphasizing physician group practices. The authors argue for comprehensive integrated delivery systems (IDSs). The jumping-off point for their analysis is the recently published Redefining Health Care: Creating Value-Based Competition on Results, by Michael Porter and Elizabeth Teisberg. The authors focus on the book’s core idea that competitors should be freestanding integrated practice units (or "islands in archipelagos") versus IDSs (or "medical homes"). In any case, the authors contend that this issue should be resolved by competition to attract and serve informed, cost-conscious, responsible consumers on a level playing field.

                      What's this?

This article has been cited by other articles:

				T. C. Rosenthal The Medical Home: Growing Evidence to Support a New Approach to Primary Care J Am Board Fam Med, September 1, 2008; 21(5): 427 - 440. [Abstract] [Full Text] [PDF]

Comments: