ArticleInternational journal of integrated care2020
The Odyssey of Integration: Is Management its Achilles' Heel?
Article in International journal of integrated care, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
What it found
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The trial behind it
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Who cites it
11 citing papers in PubMed.
- Navigating the complexities of digital health technology implementation: a scoping review of barriers and facilitators.Implementation science communications · 2026Review
- Just a story? Leadership, lived experience and integrated care.Health expectations : an international journal of public participation in health care and health policy · 2024Article
- The Fourth Dimension of the Quadruple Aim: Empowering the Workforce to Become Partners in Health and Care.International journal of integrated care · 2021Article
- Towards an Integrated Care Organisation from a CEO Perspective.International journal of integrated care · 2020Article
- Inner Fire: Building Competence and Resilience to Enable the Effective Management of Integrated Care Systems.International journal of integrated care · 2020Article
- Workforce Development in Integrated Care: A Scoping Review.International journal of integrated careArticle
- Values Underpinning Integrated, People-Centred Health Services: Similarities and Differences among Actor Groups Across Europe.International journal of integrated careArticle
- Integration of Mental Health Support Teams in COVID-19 Units within French General Hospitals: A Qualitative Study.International journal of integrated careArticle
- Nursing Care Coordination in Primary Healthcare for Patients with Complex Needs: A Comparative Case Study.International journal of integrated careArticle
- Health and Social Care Reform in Scotland - What Next?International journal of integrated careArticle
- Optimising Integrated Stroke Care in Regional Networks: A Nationwide Self-Assessment Study in 2012, 2015 and 2019.International journal of integrated careArticle
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThe importance of management to the implementation of integrated care is recognised in evidence and practice. Despite this recognition, there is a lack of clarity about what 'good' management of integrated care looks like, if the competences are different to management for 'traditional' care, and how such competences can be acquired. THEORY AND
methodsThis exploratory study is based on qualitative interviews with participants with extensive experience of implementing integrated care in senior professional, research, administrative and/or policy roles. It conceptualises management as working at 'strategic' and 'operational' levels.
resultsManagement of integrated care was seen to require an ability to create networks across professions and organisations, to be comfortable with distributing responsibilities, and to thoroughly understand the wider system. Competences to support these new ways of working included an understanding of how to implement people-centredness, to have courage to challenge the status quo, and to demonstrate humility to learn from others. Structured development opportunities for managers were lacking, but seen as vital for the sustainability of change. DISCUSSION AND
conclusionManagement for integrated care remains an underdeveloped concept and practice. A first formulation of the competences necessary was achieved, but more work is urgently required to understand how to better prepare and support managers to achieve necessary changes in practice and culture.
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