Convergence Health Care: A Coherence-Based Framework for Measuring and Reducing Systemic Fragmentation in the U.S. Health System

Importance-Fragmentation is widely recognized as a defining weakness of the U.S. health system, yet it remains weakly defined and rarely measured as a structural system property. Objective-To propose Convergence Health Care (CHC), a conceptual and measurement framework that treats systemic fragmentation as a quantifiable loss mechanism and coherence as an improvable engineering target. Design-Synthesis of evidence on administrative waste, integrated-delivery performance, behavioral-health integration, interoperability failures, and workforce instability into a unified coherence architecture.