Shi & Singh (2015) states integration refers to the health care organizations strategies in order to achieve economies success in operation, diversify exiting operations with new products, and services. Integration in healthcare grew from the need for alternative delivery services for medical care and the growth of innovative technology and managed care (p. 361). According to Shi & Singh (2015), the two major service strategies for integration health care are horizontal integration and vertical integration. Horizontal integration involves expanding its product and service through acquiring possession of developing or existing health services. The horizontal integration strategy focuses on achieving control of geographic of health services.
