A flow chart illustrating the relationship of cause and effect between types of integration. Contextual factors affect organizational features (structural and functional integration), which affect social features (normative and interpersonal integration), which affect process integration, which lead to intermediate outcomes (such as integrated patient care) and then outcomes (such as technical quality, efficiency, patient experience, provider satisfaction, and patient health).

FIGURE 5-1Comprehensive Theory of Integration

SOURCE: Singer et al., 2020.

From: 5, Integrated Primary Care Delivery

Cover of Implementing High-Quality Primary Care
Implementing High-Quality Primary Care: Rebuilding the Foundation of Health Care.
National Academies of Sciences, Engineering, and Medicine; Health and Medicine Division; Board on Health Care Services; Committee on Implementing High-Quality Primary Care; Robinson SK, Meisnere M, Phillips RL Jr., et al., editors.
Washington (DC): National Academies Press (US); 2021 May 4.
Copyright 2021 by the National Academy of Sciences. All rights reserved.

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