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Vertical integration in the Australian community care setting: Can it work? A theoretical review of current literature

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  • Sarah Young
  • Kevin Swarts
  • Sarah J. Prior
  • Douglass Doherty
  • Steven J. Campbell

Abstract

Vertical integration (VI) is considered a strategic management plan whereby an organisation has ownership of its supply chain. It is utilised as a method for managing the economic needs and approaches of an organisation and ensuring that a product is readily available for use. From a healthcare perspective, this pertains to the coordination of services or levels of care and allows for adaptation to changing circumstances. This study reviews existing literature on VI in a healthcare setting to assess feasibility and effectiveness of this proposed solution. A theoretical literature review was performed utilising conceptual categorisation to understand how VI may benefit community care organisations, using the needs of a local organisation as an example. Seventeen articles were included from a range of databases and grey literature with findings categorised according to two research questions. The findings suggest that for VI to be effective and efficient it is important to consider the following themes: market failure, barriers to entry, productive capabilities and specific healthcare issues. In conclusion, from a management and economic perspective, when markets are not functioning efficiently and are in disequilibrium, VI may provide an appropriate avenue to address these problems, in particular for community care organisations.

Suggested Citation

  • Sarah Young & Kevin Swarts & Sarah J. Prior & Douglass Doherty & Steven J. Campbell, 2022. "Vertical integration in the Australian community care setting: Can it work? A theoretical review of current literature," International Journal of Health Planning and Management, Wiley Blackwell, vol. 37(3), pages 1299-1310, May.
  • Handle: RePEc:bla:ijhplm:v:37:y:2022:i:3:p:1299-1310
    DOI: 10.1002/hpm.3412
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    References listed on IDEAS

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    1. Srinivasan Balakrishnan & Birger Wernerfelt, 1986. "Technical change, competition and vertical integration," Strategic Management Journal, Wiley Blackwell, vol. 7(4), pages 347-359, July.
    2. Vining, Aidan R. & Globerman, Steven, 1999. "Contracting-out health care services: a conceptual framework," Health Policy, Elsevier, vol. 46(2), pages 77-96, January.
    3. Wang, Jian & Zhao, Zhong & Mahmood, Amir, 2006. "Relative Efficiency, Scale Effect, and Scope Effect of Public Hospitals: Evidence from Australia," IZA Discussion Papers 2520, Institute of Labor Economics (IZA).
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