{"id":239,"date":"2017-05-01T14:58:37","date_gmt":"2017-05-01T18:58:37","guid":{"rendered":"https:\/\/digital.hbs.edu\/platform-mhcdsolutions\/submission\/vertical-integration-in-changing-landscape\/"},"modified":"2017-05-01T15:10:42","modified_gmt":"2017-05-01T19:10:42","slug":"vertical-integration-in-a-changing-landscape","status":"publish","type":"hck-submission","link":"https:\/\/d3.harvard.edu\/platform-mhcdsolutions\/submission\/vertical-integration-in-a-changing-landscape\/","title":{"rendered":"Vertical integration in a changing landscape"},"content":{"rendered":"

A large-scale reform of health care and social services is taking place in Finland. The responsibility for providing services is taken from municipalities and given to larger districts. Publicly funded healthcare is going to be opened to private sector competition. The details of the reform are not known yet, so both public and private sector are preparing themselves somewhat frantically to the unknown future. For mental health sector the reform could enable services through larger units and better coordination than before. Small local mental health units that we have nowadays are vulnerable, tend to isolate themselves from the outer world and have a narrow repertory of treatments.<\/p>\n

Helsinki University Hospital Department of Psychiatry is a large public unit that provides both tertiary and secondary health care services to population of about 1,1 million through service lines (=main patient groups like Mood disorders or Psychoses). We are looking for possibilities\u00a0to both horizontal and vertical integration. We have already some experience of well integrated service chains for mental disorders, where patients get our online therapies and brief therapies while under responsibility of family doctors of primary health care. This has been relatively easy between stable public organizations, but things are going to be more complicated due to the ongoing reform. Secondary health care in psychiatry will probably stay mainly public, but the primary health care will probably be a rapidly changing landscape, and fairly difficult to integrate with.<\/p>\n

So the question would be how could our large psychiatric unit vertically integrate\u00a0with numerous and changing private primary health care units?<\/p>\n","protected":false},"excerpt":{"rendered":"

Integrating a large public psychiatric unit with private primary care units<\/p>\n","protected":false},"author":9150,"featured_media":0,"comment_status":"open","ping_status":"closed","template":"","categories":[46,47],"class_list":["post-239","hck-submission","type-hck-submission","status-publish","hentry","category-mental-health-services","category-vertical-integration"],"connected_submission_link":"https:\/\/d3.harvard.edu\/platform-mhcdsolutions\/conversation\/mhcd-solutions-ii\/","yoast_head":"\nVertical integration in a changing landscape - Managing Health Care Delivery<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/d3.harvard.edu\/platform-mhcdsolutions\/submission\/vertical-integration-in-a-changing-landscape\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Vertical integration in a changing landscape - 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