dc.contributor.author | Nicholson, Caroline | |
dc.contributor.author | Hepworth, Julie | |
dc.contributor.author | Burridge, Letitia | |
dc.contributor.author | Marley, John | |
dc.contributor.author | Jackson, Claire | |
dc.date.accessioned | 2019-05-29T12:35:19Z | |
dc.date.available | 2019-05-29T12:35:19Z | |
dc.date.issued | 2018 | |
dc.identifier.issn | 1568-4156 | |
dc.identifier.doi | 10.5334/ijic.3106 | |
dc.identifier.uri | http://hdl.handle.net/10072/380322 | |
dc.description.abstract | 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. | |
dc.description.peerreviewed | Yes | |
dc.language | English | |
dc.language.iso | eng | |
dc.publisher | Utrecht University Library Open Access Journals | |
dc.publisher.place | Netherlands | |
dc.relation.ispartofchapter | 11 | |
dc.relation.ispartofpagefrom | 1 | |
dc.relation.ispartofpageto | 13 | |
dc.relation.ispartofissue | 1 | |
dc.relation.ispartofjournal | International Journal of Integrated Care | |
dc.relation.ispartofvolume | 18 | |
dc.subject.fieldofresearch | Nursing | |
dc.subject.fieldofresearch | Health services and systems | |
dc.subject.fieldofresearch | Public health | |
dc.subject.fieldofresearchcode | 4205 | |
dc.subject.fieldofresearchcode | 4203 | |
dc.subject.fieldofresearchcode | 4206 | |
dc.title | Translating the elements of health governance for integrated care from theory to practice: a case study approach | |
dc.type | Journal article | |
dc.type.description | C1 - Articles | |
dc.type.code | C - Journal Articles | |
dcterms.license | http://creativecommons.org/licenses/by/4.0/ | |
dc.description.version | Version of Record (VoR) | |
gro.rights.copyright | © 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/. | |
gro.hasfulltext | Full Text | |
gro.griffith.author | Burridge, Letitia H. | |