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Integrated Healthcare and the Dilemma of Public Health Emergencies

Author

Listed:
  • Krzysztof Goniewicz

    (Department of Aviation Security, Military University of Aviation, 08-521 Dęblin, Poland)

  • Eric Carlström

    (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)

  • Attila J. Hertelendy

    (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)

  • Frederick M. Burkle

    (Harvard Humanitarian Initiative, T.H. Chan School of Public Health, Harvard University, Boston, MA 02115, USA)

  • Mariusz Goniewicz

    (Department of Emergency Medicine, Medical University of Lublin, 20-059 Lublin, Poland)

  • Dorota Lasota

    (Department of Experimental and Clinical Pharmacology, Medical University of Warsaw, Banacha 1b Street, 02097 Warsaw, Poland)

  • John G. Richmond

    (School of Health and Related Research, The University of Sheffield, Sheffield S10 2TN, UK)

  • Amir Khorram-Manesh

    (Gothenburg Emergency Medicine Research Group (GEMREG), Sahlgrenska Academy, 40530 Gothenburg, Sweden
    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)

Abstract

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.

Suggested Citation

  • Krzysztof Goniewicz & Eric Carlström & Attila J. Hertelendy & Frederick M. Burkle & Mariusz Goniewicz & Dorota Lasota & John G. Richmond & Amir Khorram-Manesh, 2021. "Integrated Healthcare and the Dilemma of Public Health Emergencies," Sustainability, MDPI, vol. 13(8), pages 1-13, April.
    • Handle: RePEc:gam:jsusta:v:13:y:2021:i:8:p:4517-:d:538797
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    References listed on IDEAS

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    7. Krzysztof Goniewicz & Mariusz Goniewicz & Frederick M Burkle & Amir Khorram-Manesh, 2021. "Cohort research analysis of disaster experience, preparedness, and competency-based training among nurses," PLOS ONE, Public Library of Science, vol. 16(1), pages 1-12, January.
    8. Krzysztof Goniewicz & Amir Khorram-Manesh & Attila J. Hertelendy & Mariusz Goniewicz & Katarzyna Naylor & Frederick M. Burkle, 2020. "Current Response and Management Decisions of the European Union to the COVID-19 Outbreak: A Review," Sustainability, MDPI, vol. 12(9), pages 1-12, May.
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    Cited by:

    1. Rodney P. Jones, 2022. "A Model to Compare International Hospital Bed Numbers, including a Case Study on the Role of Indigenous People on Acute ‘Occupied’ Bed Demand in Australian States," IJERPH, MDPI, vol. 19(18), pages 1-27, September.
    2. Dorota Lasota & Dagmara Mirowska-Guzel & Krzysztof Goniewicz, 2021. "Analysis of Suicide Methods and Substances Influencing the State of Consciousness of Their Victims in Poland," IJERPH, MDPI, vol. 18(9), pages 1-12, May.
    3. Shah Muhammad Kamran & Abdelmohsen A. Nassani & Muhammad Moinuddin Qazi Abro & Mahvish Kanwal Khaskhely & Mohamed Haffar, 2023. "Government as a Facilitator versus Inhibitor of Social Entrepreneurship in Times of Public Health Emergencies," IJERPH, MDPI, vol. 20(6), pages 1-18, March.
    4. Krzysztof Goniewicz & Mariusz Goniewicz & Anna Włoszczak-Szubzda & Dorota Lasota & Frederick M. Burkle & Marta Borowska-Stefańska & Szymon Wiśniewski & Amir Khorram-Manesh, 2022. "The Moral, Ethical, Personal, and Professional Challenges Faced by Physicians during the COVID-19 Pandemic," IJERPH, MDPI, vol. 19(9), pages 1-13, May.
    5. Tomohiro Ishimaru & Shoichi Shimizu & Ayaka Teshima & Koki Ibayashi & Mihoko Arikado & Yoko Tsurugi & Seiichiro Tateishi & Makoto Okawara, 2022. "The Impact of COVID-19 Outbreak on Health Emergency and Disaster in Japan," Sustainability, MDPI, vol. 14(23), pages 1-13, November.
    6. Krzysztof Goniewicz & Frederick M. Burkle & Simon Horne & Marta Borowska-Stefańska & Szymon Wiśniewski & Amir Khorram-Manesh, 2021. "The Influence of War and Conflict on Infectious Disease: A Rapid Review of Historical Lessons We Have Yet to Learn," Sustainability, MDPI, vol. 13(19), pages 1-10, September.

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