Evidence map›Paper›PMID 34899105›Full record

ArticleInternational journal of integrated care

What does Success Look Like for Leaders of Integrated Health and Social Care Systems? a Realist Review.

Sarah Sims, Simon Fletcher, Sally Brearley, Fiona Ross, Jill Manthorpe, Ruth Harris

Abstract read
In one paragraph

Article in International journal of integrated care. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Just a story? Leadership, lived experience and integrated care.Health expectations : an international journal of public participation in health care and health policy · 2024
    Article
  4. Review
  5. Article
  6. Article
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Sarah SimsKing's College London, UK.ORCID https://orcid.org/0000-0001-7494-9030
Simon FletcherKingston University and St George's University London, UK.ORCID https://orcid.org/0000-0002-5905-1553
Sally BrearleyKingston University and St George's University London, UK.ORCID https://orcid.org/0000-0001-7918-7485
Fiona RossKingston University and St George's University London, UK.ORCID https://orcid.org/0000-0003-0909-6988
Jill ManthorpeKing's College London, UK.ORCID https://orcid.org/0000-0001-9006-1410
Ruth HarrisKing's College London, UK.ORCID https://orcid.org/0000-0002-4377-5063

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionHealth and social care services in England are moving towards greater integration, yet little is known about how leadership of integrated care teams and systems can be supported and improved. This realist review explores what works about the leadership of integrated care teams and systems, for whom, in what circumstances and why.

methodsA realist synthesis approach was undertaken in 2020 to explore English language literature on the leadership of integrated care teams and systems, complemented by ongoing stakeholder consultation.

resultsEvidence was identified for seven potentially important components of leadership in integrated care teams and systems: 'inspiring intent to work together'; 'creating the conditions'; 'balancing multiple perspectives'; 'working with power'; 'taking a wider view'; 'a commitment to learning and development' and 'clarifying complexity'. DISCUSSION: Research into the leadership of integrated care teams and systems is limited, with ideas often reverting to existing framings of leadership, where teams and organisations are less complex. Research also often focuses on the importance of who the leader is rather than what they do.

conclusionThis review has generated new perspectives on the leadership of integrated care teams and systems that can be built upon, developed, and tested further.

Indexed as

healthintegrated careintegrationleadershipsocial care

Identifiers

PMID34899105
PMCPMC8622249

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.