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INTEGRATED CAREAt The Nexus of the Health Value Chain“A re-orientated healthcare system will ensurethe future sustainability of service delivery. ”
Integrated Care At The Nexus Of The Health Value ChainTHE HOSPITAL CENTRIC SYSTEMTraditionally thecenter of gravity of thehealthcare system isthe general hospital,which still accounts for40%+of healthcare expenditure,in many developed countries.This hospital-centric system deals efficiently andeffectively with acute episodes, such as serious infections,or surgeries. These conditions require providing severaldays of acute care for a relatively small number of very illpatients.This system, however, does not deal efficiently andeffectively with noncomunicable diseases (NCDs) thatrequire continuous care for a large number of patientswhose conditions are less acute but are often associatedwith long-term disabilities and premature deaths.5
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