The effective organizational factors in the health system integration

An integrated delivery system is a coordinated system providing safer, more appropriate, and more economic health services. The present paper aims at investigating the organizational variables affecting the health system integration in Iran. This is an applied cross-sectional exploratory study. Successful patterns of integration in the health system were extracted and studied through literature review. Then, different dimensions of these models were compared in a comparative matrix. A questionnaire was designed and filled by experts. Exploratory factor analysis was performed to determine the effective factors and the model fit was examined through confirmatory factor analysis (CFA). The effect of organizational factor on the integration of the health system was estimated to be 0.93. Based on exploratory factor analysis (EFA), "learning organization" with factor load of 0.691 and based on the confirmatory factor analysis the "Interest Management" with factor load of 0.81 have the highest importance in the health care integration in Iran. The health system can be successful through the establishment of supportive policies, the development of the contract and the strategic alliance between the organizations and by increasing the coordination of care and information and increasing the collective learning ability in the organization.