ArticleInternational journal of integrated care2021
Organisational and Professional Integration Between Specialist and Primary Healthcare Services: A Municipal Perspective.
Article in International journal of integrated care, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- The politics of integrating health systems and public programs: a review of political headwinds, tailwinds, and policy maker recommendations.European journal of public health · 2026Review
- Integration of Care in Complex and Fragmented Service Systems: Experiences of Staff in Flexible Assertive Community Treatment Teams.International journal of integrated careArticle
- Implementation of Integrated Care for the Aged Population in Anhui and Fujian Province of China: A Qualitative Study.International journal of integrated careArticle
- From Integrated Care to Integrating Care: A Conceptual Framework of Behavioural Processes Underlying Effective Collaboration in Care.International journal of integrated careArticle
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Authors and funding
3 authors.
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Abstract
introductionCare transitions between specialist and primary healthcare services for people with concurrent substance abuse and mental health problems are characterised by vulnerability and arbitrariness.
objectivesBy studying factors that influence integration in a Norwegian context, this study aims to investigate, from a municipal perspective, why care transitions are still tricky after the introduction of the key Coordination Reform.
methodsThis study has an explorative approach based on interviews with managers and front-line professionals in primary care. We applied the conceptual framework of functional and normative integration of the Rainbow Model.
resultsThe municipal actors emphasise that integration is hampered by limited cooperation with general practitioners in referrals to hospital, challenges of communication and loss of meeting points. They experienced close cooperation with sociomedical polyclinics for substance abuse, while challenges in cooperation with district psychiatric centres indicated an interdependence of functional and normative integration. Questioning hospital discharge of patients to primary care was a recurring theme for the municipal actors. Thus, the governing framework of the Coordination Reform has coexisted with fragmentation in organisational structures and divided professional cultures.
conclusionsThe coexistence of the new and the old regimes seems to hamper functional and normative integration in care transitions.
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