Translating the elements of health governance for integrated care from theory to practice: a case study approach
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Author(s)
Nicholson, Caroline
Hepworth, Julie
Burridge, Letitia
Marley, John
Jackson, Claire
Griffith University Author(s)
Year published
2018
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Show full item recordAbstract
Introduction: Against a paucity of evidence, a model describing elements of health governance best
suited to achieving integrated care internationally was developed. The aim of this study was to explore
how health meso-level organisations used, or planned to use, the governance elements.
Methods: A case study design was used to offer two contrasting contexts of health governance.
Semi-structured interviews were conducted with participants who held senior governance roles. Data
were thematically analysed to identify if the elements of health governance were being used, or intended
to be in the future.
Results: While all ...
View more >Introduction: Against a paucity of evidence, a model describing elements of health governance best suited to achieving integrated care internationally was developed. The aim of this study was to explore how health meso-level organisations used, or planned to use, the governance elements. Methods: A case study design was used to offer two contrasting contexts of health governance. Semi-structured interviews were conducted with participants who held senior governance roles. Data were thematically analysed to identify if the elements of health governance were being used, or intended to be in the future. Results: While all participants agreed that the ten elements were essential to developing future integrated care, most were not used. Three major themes were identified: (1) organisational versus system focus, (2) leadership and culture, and, (3) community (dis)engagement. Discussion: Several barriers and enablers to the use of the elements were identified and would require addressing in order to make evidence-based changes. Conclusion: Despite a clear international policy direction in support of integrated care this study identified a number of significant barriers to its implementation. The study reconfirmed that a focus on all ten elements of health governance is essential to achieve integrated care.
View less >
View more >Introduction: Against a paucity of evidence, a model describing elements of health governance best suited to achieving integrated care internationally was developed. The aim of this study was to explore how health meso-level organisations used, or planned to use, the governance elements. Methods: A case study design was used to offer two contrasting contexts of health governance. Semi-structured interviews were conducted with participants who held senior governance roles. Data were thematically analysed to identify if the elements of health governance were being used, or intended to be in the future. Results: While all participants agreed that the ten elements were essential to developing future integrated care, most were not used. Three major themes were identified: (1) organisational versus system focus, (2) leadership and culture, and, (3) community (dis)engagement. Discussion: Several barriers and enablers to the use of the elements were identified and would require addressing in order to make evidence-based changes. Conclusion: Despite a clear international policy direction in support of integrated care this study identified a number of significant barriers to its implementation. The study reconfirmed that a focus on all ten elements of health governance is essential to achieve integrated care.
View less >
Journal Title
International Journal of Integrated Care
Volume
18
Issue
1
Copyright Statement
© 2018 The Author(s). This is an open-access article distributed under the terms of the Creative Commons
Attribution 4.0 International License (CC-BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium,
provided the original author and source are credited. See http://creativecommons.org/licenses/by/4.0/.
Subject
Nursing
Health services and systems
Public health