Integrated care.
J Health Organ Manag
; 32(1): 85-100, 2018 Mar 19.
Article
em En
| MEDLINE
| ID: mdl-29508672
ABSTRACT
Purpose The purpose of this paper is to try and understand how several organisations in one area in England are working together to develop an integrated care programme. Weick's (1995) concept of sensemaking is used as a lens to examine how the organisations are working collaboratively and maintaining the programme. Design/methodology/approach Qualitative methods included non-participant observations of meetings, interviews with key stakeholders and the collection of documents relating to the programme. These provided wider contextual information about the programme. Comprehensive field notes were taken during observations and analysed alongside interview transcriptions using NVIVO software. Findings This paper illustrates the importance of the construction of a shared identity across all organisations involved in the programme. Furthermore, the wider policy discourse impacted on how the programme developed and influenced how organisations worked together. Originality/value The role of leaders from all organisations involved in the programme was of significance to the overall development of the programme and the sustained momentum behind the programme. Leaders were able to generate a "narrative of success" to drive the programme forward. This is of particular relevance to evaluators, highlighting the importance of using multiple methods to allow researchers to probe beneath the surface of programmes to ensure that evidence moves beyond this public narrative.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Inovação Organizacional
/
Prestação Integrada de Cuidados de Saúde
/
Atenção à Saúde
Tipo de estudo:
Qualitative_research
Aspecto:
Determinantes_sociais_saude
Limite:
Humans
Idioma:
En
Revista:
J Health Organ Manag
Ano de publicação:
2018
Tipo de documento:
Article