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dc.contributor.authorNicholson, Caroline
dc.contributor.authorHepworth, Julie
dc.contributor.authorBurridge, Letitia
dc.contributor.authorMarley, John
dc.contributor.authorJackson, Claire
dc.date.accessioned2019-05-29T12:35:19Z
dc.date.available2019-05-29T12:35:19Z
dc.date.issued2018
dc.identifier.issn1568-4156
dc.identifier.doi10.5334/ijic.3106
dc.identifier.urihttp://hdl.handle.net/10072/380322
dc.description.abstractIntroduction: 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.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherUtrecht University Library Open Access Journals
dc.publisher.placeNetherlands
dc.relation.ispartofchapter11
dc.relation.ispartofpagefrom1
dc.relation.ispartofpageto13
dc.relation.ispartofissue1
dc.relation.ispartofjournalInternational Journal of Integrated Care
dc.relation.ispartofvolume18
dc.subject.fieldofresearchNursing
dc.subject.fieldofresearchHealth services and systems
dc.subject.fieldofresearchPublic health
dc.subject.fieldofresearchcode4205
dc.subject.fieldofresearchcode4203
dc.subject.fieldofresearchcode4206
dc.titleTranslating the elements of health governance for integrated care from theory to practice: a case study approach
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
dcterms.licensehttp://creativecommons.org/licenses/by/4.0/
dc.description.versionVersion 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.hasfulltextFull Text
gro.griffith.authorBurridge, Letitia H.


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