000			01913nam a2200241 4500
999			_c50491 _d50491
003			OSt
005			20181126143624.0
008			181126b ||||| |||| 00| 0 eng d
100			_aPrætorius, Thim _932620
245			_a Achieving Better Integration in Trauma Care Delivery in India Insights from a Patient Survey
300			_a234–254 p.
520			_aInterdependencies among healthcare providers result in complex healthcare supply chains with fragmented healthcare processes characterized by coordination failure and incentive misalignment. In developing countries where resources are scarce such coordination failures can have a severe impact on patient health. However, limited knowledge exists about how coordination takes place across and within the different healthcare service providers and how this influences hospital transfer time and length of stay. This article research this gap by studying trauma care delivery in India using a patient survey (n = 104). The Indian healthcare system is insightful because India has to provide low-cost care to large populations living in geographically big areas and the healthcare infrastructure struggles to meet increasing demands. The findings suggest mechanisms to better integrate the processes from the accident site to the hospital which include setting up referral processes, 24-hour ambulance services, using third-party coordinators and process improvement within the hospital following lean principles.
653			_aIntegration
653			_acoordination
653			_ahealthcare supply chains
653			_a trauma care, India
700			_aChaudhuri, Atanu _932621
700			_aVenkataramanaiah, S. _929987
700			_aHasle, Peter _932622
700			_aSingh, Ajai _932623
773	0		_029022 _972765 _aSAGE PUBLICATIONS _dNEW DELHI SAGE PUBLICATIONS 2012 _o5559440 _tJOURNAL OF HEALTH MANAGEMENT _x0972-0634
942			_2ddc _cJA-ARTICLE