Healthcare delivery as a service system

Barriers to co-production and implications of healthcare reform

Arjun Parasher, Pascal Goldschmidt-Clermont, James M. Tien

Research output: Chapter in Book/Report/Conference proceedingChapter

7 Citations (Scopus)

Abstract

Both during and after the recent reform efforts, healthcare delivery has been identified as the key to transforming the U.S. healthcare system. In light of this background, we borrow from systems engineering and business management to present the concept of service co-production as a new paradigm for healthcare delivery and, using the foresight afforded by this model, to systematically identify the barriers to healthcare delivery functioning as a service system. The service co-production model requires for patient, provider, insurer, administrator, and all the related healthcare individuals to collaborate at all stages - prevention, triage, diagnosis, treatment, and follow-up - of the healthcare delivery system in order to produce optimal health outcomes. Our analysis reveals that the barriers to co-production - the misalignment of financial and legal incentives, limited incorporation of collaborative point of care systems, and poor access to care - also serve as the source of many of the systemic failings of the U.S. healthcare system. The Patient Protection and Affordable Care Act takes steps to reduce these barriers, but leaves work to be done. Future research and policy reform is needed to enable effective and efficient co-production in the twenty-first century. With this review, we assess the state of service co-production in the U.S. healthcare system, and propose solutions for improvement.

Original languageEnglish
Title of host publicationManagement Engineering for Effective Healthcare Delivery: Principles and Applications
PublisherIGI Global
Pages191-214
Number of pages24
ISBN (Print)9781609608729
DOIs
StatePublished - Dec 1 2011

Fingerprint

Health Care Reform
Delivery of Health Care
Point-of-Care Systems
Patient Protection and Affordable Care Act
Insurance Carriers
Triage
Administrative Personnel
Motivation
Health

ASJC Scopus subject areas

  • Health Professions(all)

Cite this

Parasher, A., Goldschmidt-Clermont, P., & Tien, J. M. (2011). Healthcare delivery as a service system: Barriers to co-production and implications of healthcare reform. In Management Engineering for Effective Healthcare Delivery: Principles and Applications (pp. 191-214). IGI Global. https://doi.org/10.4018/978-1-60960-872-9.ch009

Healthcare delivery as a service system : Barriers to co-production and implications of healthcare reform. / Parasher, Arjun; Goldschmidt-Clermont, Pascal; Tien, James M.

Management Engineering for Effective Healthcare Delivery: Principles and Applications. IGI Global, 2011. p. 191-214.

Research output: Chapter in Book/Report/Conference proceedingChapter

Parasher, A, Goldschmidt-Clermont, P & Tien, JM 2011, Healthcare delivery as a service system: Barriers to co-production and implications of healthcare reform. in Management Engineering for Effective Healthcare Delivery: Principles and Applications. IGI Global, pp. 191-214. https://doi.org/10.4018/978-1-60960-872-9.ch009
Parasher A, Goldschmidt-Clermont P, Tien JM. Healthcare delivery as a service system: Barriers to co-production and implications of healthcare reform. In Management Engineering for Effective Healthcare Delivery: Principles and Applications. IGI Global. 2011. p. 191-214 https://doi.org/10.4018/978-1-60960-872-9.ch009
Parasher, Arjun ; Goldschmidt-Clermont, Pascal ; Tien, James M. / Healthcare delivery as a service system : Barriers to co-production and implications of healthcare reform. Management Engineering for Effective Healthcare Delivery: Principles and Applications. IGI Global, 2011. pp. 191-214
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