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      Integrated care networks and quality of life: linking research and practice

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          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Purpose

          To report on the development of a project dedicated to improving the quality of life of older people through the creation of integrated networks.

          Context

          The project is set within a post-industrial community and against a backdrop of government re-organisation and devolution within Wales. The immediate research context is determined by utilising an approach to the structure of integration derived theoretically.

          Case description

          Project CHAIN (Community Health Alliances through Integrated Networks) adopts a network perspective as a means of addressing both the determinants of health and service delivery in health and social care. The Project partners are: healthcare commissioners and providers; local authority directorates including community services and transportation; the voluntary and private sectors; and a university institute. Co-opted participants include fora representing older people's interests.

          Data sources

          The Project incorporates an action research method. This paper highlights qualitative data elicited from interviews with health and social care managers and practitioners.

          Conclusions and discussion

          The Project is ongoing and we record progress in building five integrated networks.

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          Most cited references29

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          Five laws for integrating medical and social services: lessons from the United States and the United Kingdom.

          W Leutz (1999)
          Because persons with disabilities (PWDs) use health and social services extensively, both the United States and the United Kingdom have begun to integrate care across systems. Initiatives in these two countries are examined within the context of the reality that personal needs and use of systems differ by age and by type and severity of disability. The lessons derived from this scrutiny are presented in the form of five "laws" of integration. These laws identify three levels of integration, point to alternative roles for physicians, outline resource requirements, highlight friction from differing medical and social paradigms, and urge policy makers and administrators to consider carefully who would be most appropriately selected to design, oversee, and administer integration initiatives. Both users and caregivers must be involved in planning to ensure that all three levels of integration are attended to and that the borders between medical and other systems are clarified.
          Article 0 comments Cited 124 times – based on 0 reviews     Review now
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            The knowledge-based view of the firm: Implications for management practice

            Robert M Grant (1997)
            Article 0 comments Cited 105 times – based on 0 reviews     Review now
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              Three faces of integrative coordination: a model of interorganizational relations in community-based health and human services.

              Mark J. Bolland, Richard Wilson (1994)
              This study develops a theoretically justified, network-based model of integrative coordination in community-based health and human services, and it uses this model to measure and compare coordination in six elder service systems. We collected data between 1989 and 1991 in six Alabama counties, including two major MSAs, two small MSAs, and two rural areas. STUDY DESIGN AND DATA COLLECTION/EXTRACTION METHODS: Our measurement of coordination is based on patterns of interorganizational relationships connecting the agencies constituting a community-based health and human services system. Within each site, we interviewed representatives from these agencies, asking them to indicate client referral, generalized support, and agenda-setting relationships they had developed with each of the other agencies in the system. Using network analysis procedures we then identified the network associated with each of these organizational functions (i.e., service delivery, administration, and planning) in each site, and we assessed levels of coordination in each network. Our measure of integrative coordination is consistent with other indicators of coordination we derive from our data, suggesting its validity. In addition, levels of integrative coordination across sites for each organizational function are generally comparable. Comparisons across sites show integrative coordination to be consistently highest for service delivery networks and lowest for planning networks. Previous attempts to assess interorganizational coordination without regard to organizational function are subject to misinterpretation. The differing interorganizational dynamics involved in service delivery, administration, and planning appear to generate different patterns of interorganizational relationships, and different levels of coordination.
              Article 0 comments Cited 19 times – based on 0 reviews     Review now
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                Author and article information

                Contributors
                :
                Welsh Institute for Health and Social Care, School of Care Sciences, University of Glamorgan, Glyntaff Campus, Pontypridd, CF37 1DL, Phone: +01443 483070, Fax: +01443 483079
                :
                Welsh Institute for Health and Social Care, School of Care Sciences, University of Glamorgan, Glyntaff Campus, Pontypridd, CF37 1DL, Phone: +01443 483070, Fax: +01443 483079
                Journal
                Journal ID (nlm-ta): Int J Integr Care
                Journal ID (publisher-id): IJIC
                Title: International Journal of Integrated Care
                Publisher: Igitur, Utrecht Publishing & Archiving (Utrecht, The Netherlands )
                ISSN (Electronic): 1568-4156
                Publication date Collection: Oct-Dec 2003
                Publication date (Electronic): 9 October 2003
                Volume: 3
                Electronic Location Identifier: e23
                Affiliations
                Welsh Institute for Health and Social Care, School of Care Sciences, University of Glamorgan, Glyntaff Campus, Pontypridd, CF37 1DL, Phone: +01443 483070, Fax: +01443 483079
                Welsh Institute for Health and Social Care, School of Care Sciences, University of Glamorgan, Glyntaff Campus, Pontypridd, CF37 1DL, Phone: +01443 483070, Fax: +01443 483079
                Author notes
                Correspondence to: Morton Warner, Welsh Institute for Health and Social Care, School of Care Sciences, University of Glamorgan, Glyntaff Campus, Pontypridd, CF37 1DL, Phone: +01443 483070, Fax: +01443 483079, E-mail: mmwarner@ 123456glam.ac.uk
                Article
                Publisher ID: ijic200323
                PMC ID: 1483936
                PubMed ID: 16896421
                SO-VID: 0c5dd275-5289-49cd-9eed-5482060bafec
                Copyright © Copyright 2003, International Journal of Integrated Care (IJIC)
                History
                Date received : 21 March 2003
                Date revision received : 25 August 2003
                Date accepted : 29 September 2003
                Categories
                Subject: Projects and Developments

                ScienceOpen disciplines: Health & Social care
                Keywords: integrated care networks,quality of life,action research,structure of integration
                Data availability:
                ScienceOpen disciplines: Health & Social care
                Keywords: integrated care networks, quality of life, action research, structure of integration

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