The U.S. health care delivery system is often described as a kaleidoscope, puzzle, or patchwork quilt to emphasize that health care delivery in this country involves multiple, loosely coordinated components, and does not function through one integrated system (Shi & Singh, 2015). The organization of this “system” has a significant impact on the delivery of services. As a health care administrator, it is important to understand how the health care industry has been shaped over time and the various factors that influence health care delivery today.
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