HEALTH PROMOTION AND DISEASE PREVENTION IN INTEGRATED DELIVERY SYSTEMS - THE ROLE OF MARKET FORCES

This article proposes a frramework for the study of the effects of mar ket forces on health promotion and disease prevention (HP/DP) in integ rated delivery systems (IDSs). We describe the evolution of IDSs in th e United States and review the limited research on the extent to which IDSs have integrated HP/DP. We propose a typology of HP/DP activities that provides a comprehensive model of the types of HP/DP services an d functions that an IDSs may incorporate. Finally, we identify and dis cuss the major market stages through which IDSs are transitioning, and within each market stage we identify the major forces that may influe nce IDS decisions to incorporate HP/DP services. Medical Subject Headi ngs (MeSH): delivery of care, integrated; health maintenance organizat ions; health promotion; preventive health services; preventive medicin e; managed care programs; marketing of health services.