Organizing Health Care Networks: Balancing Markets, Government and Civil Society

Raus, Kasper; Mortier, Éric; Eeckloo, Kristof

doi:10.5334/ijic.3960

Cited by 9 publications

(8 citation statements)

References 32 publications

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“…Interorganizational collaboration for integrated care can come about in a variety of ways-for example, through market mechanisms or health care institutions coming together around particular values [15]. In this paper, we focus on the role of policy, as we believe that at least some involvement of policy-makers and political commitment is required.…”

Section: Policy Politics and Healthmentioning

confidence: 99%

Challenges in turning a great idea into great health policy: the case of integrated care

Raus

Mortier

Eeckloo

2020

BMC Health Serv Res

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Background: In the organization of health care and health care systems, there is an increasing trend towards integrated care. Policy-makers from different countries are creating policies intended to promote cooperation and collaboration between health care providers, while facilitating the integration of different health care services. Hopes are high, as such collaboration and integration of care are believed to save resources and improve quality. However, policy-makers are likely to encounter various challenges and limitations when attempting to turn these great ideas into effective policies. In this paper, we look into these challenges. Main body: We argue that the organization of health care and integrated care is of public concern, and should thus be of crucial interest to policy-makers. We highlight three challenges or limitations likely to be encountered by policy-makers in integrated care. These are: (1) conceptual challenges; (2) empirical/methodological challenges; and (3) resource challenges. We will argue that it is still unclear what integrated care means and how we should measure it. 'Integrated care' is a single label that can refer to a great number of different processes. It can describe the integration of care for individual patients, the integration of services aimed at particular patient groups or particular conditions, or it can refer to institution-wide collaborations between different health care providers. We subsequently argue that health reform inevitably possesses a political context that should be taken into account. We also show how evidence supporting integrated care may not guarantee success in every context. Finally, we will discuss how promoting collaboration and integration might actually demand more resources. In the final section, we look at three different paradigmatic examples of integrated care policy: Norway, the UK's NHS, and Belgium. Conclusions: There seems widespread agreement that collaboration and integration are the way forward for health care and health care systems. Nevertheless, we argue that policy-makers should remain careful; they should carefully consider what they hope to achieve, the amount of resources they are willing to invest, and how they will evaluate the success of their policy.

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Section: Policy Politics and Healthmentioning

confidence: 99%

Challenges in turning a great idea into great health policy: the case of integrated care

Raus

Mortier

Eeckloo

2020

BMC Health Serv Res

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“…As shown in the results difficulties of inteorganisational integration in multiple services. Mechanisms for organizing health care networks should strike a balance between government, market-based consideration and civil society following ethical issues of integration and collaboration [33]. We corroborated the previous results in strengthening the services in health care networks, following the definition of networks of groups of three or more legally autonomous organizations that work together to achieve not only their own goals but also a collective goal to a defined population [35,36].…”

Section: Discussionsupporting

confidence: 77%

“…It is acknowledged that integrated care requires interprofessional collaboration and interorganizational integration, cooperation and/or collaboration [33,34]. As shown in the results difficulties of inteorganisational integration in multiple services.…”

Section: Discussionmentioning

confidence: 97%

Primary health and emergency care network: interfaces in health regions in Brazil and Canada

Uchimura¹

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Introduction: There are many factors to be identified and flows to be established in the interface between primary care and the emergency care network. Comparing different health systems with processes of health policies based on regionalization can result in new health planning instruments. In this sense, understanding the regional arrangements and dynamics of the Canadian health system in a comparative study with the Brazilian reality enabled the implementation of strategies for the development of innovations and health management planning in Brazil. Objective: To identify the factors that interfere in the establishment of primary care and emergency care network interfaces in different socio-spatial realities (regions) and in different health systems. Methods: Two case studies: in Brazil, using mixed methods and in Canada, qualitative methods. The study in the North-Barretos and South-Barretos regions (São Paulo, Brazil) consists of interviews with key informants and analysis of secondary data. In the Mississauga

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“…Interest in collaboration, coordination, and networking organization has grown in the public administration literature [22232425]. Along with the increased demands on society to manage and solve complex societal problems, interest has increased among scholars in developing concepts and theories that can help us understand underlying mechanisms and identify possible solutions and to enhance effectiveness and quality of care.…”

Section: Theory and Methodsmentioning

confidence: 99%

Democratic Accountability in Strategic Coordination Bodies — An Investigation of Governance in Swedish Elder Care

Johansson

Liljegren

2019

International Journal of Integrated Care

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The establishment of strategic coordination bodies with members from different agencies and that are governed by various laws and regulations can be understood as an answer to the demand for improved coordinated care for citizens with complex needs, such as frail older people. However, this demand raises fundamental questions of democratic control and accountability in the modern welfare state. Although these issues are addressed in current literature on network governance, they have not been investigated empirically very much. The aim of this paper is to investigate coordination bodies as important actors in integrated care, and especially to investigate how the members of these governance networks perceive their own influence and how they are held accountable by their principals. This study is conceptually built on theories of network governance and accountability. The empirical investigation is based on a survey with 545 respondents from 73 different coordination bodies in Sweden. The analysis shows that there seems to be an imbalance between perceived influence and perceived demands from different stakeholders to account for the services. This imbalance provides an opening for a discussion of how to improve the current situation for vulnerable groups and about new perspectives on accountability and power in the modern welfare state.

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Organizing Health Care Networks: Balancing Markets, Government and Civil Society

Cited by 9 publications

References 32 publications

Challenges in turning a great idea into great health policy: the case of integrated care

Challenges in turning a great idea into great health policy: the case of integrated care

Primary health and emergency care network: interfaces in health regions in Brazil and Canada

Democratic Accountability in Strategic Coordination Bodies — An Investigation of Governance in Swedish Elder Care

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