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Rouse WB, Johns MME, Pepe KM. Service supply chains for population health: Overcoming fragmentation of service delivery ecosystems. Learn Health Syst. 2019;3(2):e10186doi: 10.1002/lrh2.10186.
Rouse, W. B., Johns, M. M. E., & Pepe, K. M. (2019). Service supply chains for population health: Overcoming fragmentation of service delivery ecosystems. Learning health systems, 3(2), e10186. https://doi.org/10.1002/lrh2.10186
Rouse, William B, et al. "Service supply chains for population health: Overcoming fragmentation of service delivery ecosystems." Learning health systems vol. 3,2 (2019): e10186. doi: https://doi.org/10.1002/lrh2.10186
Rouse WB, Johns MME, Pepe KM. Service supply chains for population health: Overcoming fragmentation of service delivery ecosystems. Learn Health Syst. 2019 Feb 05;3(2):e10186. doi: 10.1002/lrh2.10186. eCollection 2019 Apr. PMID: 31245604; PMCID: PMC6508805.
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Learn Health Syst. 2019 Feb 05;3(2):e10186. doi: 10.1002/lrh2.10186. eCollection 2019 Apr.

Service supply chains for population health: Overcoming fragmentation of service delivery ecosystems.

Learning health systems

William B Rouse, Michael M E Johns, Kara M Pepe

Affiliations

  1. Center for Complex Systems & Enterprises Stevens Institute of Technology Hoboken New Jersey.
  2. Schools of Medicine and Public Health Emory University Atlanta Georgia.

PMID: 31245604 PMCID: PMC6508805 DOI: 10.1002/lrh2.10186

Abstract

INTRODUCTION: Population health involves integration of health, education, and social services to keep a defined population healthy, to address health challenges holistically, and to assist with the realities of being mortal. The fragmentation of the US population health delivery system is addressed. The impacts of this fragmentation on the treatment of substance abuse in the United States are considered. Innovations needed to overcome this fragmentation are proposed.

APPROACH: Treatment capacity issues, including scheduling practices, are discussed. Costs of treatment and lack of treatment are considered. Models of integrated care delivery are reviewed. Potential innovations from systems science, behavioral economics, and social networks are considered. The implications of these innovations are discussed in terms of information technology (IT) systems and governance.

CONCLUSIONS: Enormous savings are possible with more integrated treatment. Based on a range of empirical findings, it is argued that investments of these resources in integrated delivery of care have the potential to dramatically improve health outcomes, thereby significantly reducing the costs of population health.

Keywords: behavioral economics; governance; population health; social networks; substance abuse; systems science

Conflict of interest statement

The authors have no conflicts of interest.

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