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Achieving provider engagement : providers' perceptions of implementing and delivering integrated care

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Ignatowicz, Agnieszka, Greenfield, Geva, Pappas, Yannis, Car, Josip, Majeed, Azeem and Harris, M. (2014) Achieving provider engagement : providers' perceptions of implementing and delivering integrated care. Qualitative Health Research, 24 (12). pp. 1711-1720. doi:10.1177/1049732314549024 ISSN 1049-7323.

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Official URL: http://dx.doi.org/10.1177/1049732314549024

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Abstract

The literature on integrated care is limited with respect to practical learning and experience. Although some attention has been paid to organizational processes and structures, not enough is paid to people, relationships, and the importance of these in bringing about integration. Little is known, for example, about provider engagement in the organizational change process, how to obtain and maintain it, and how it is demonstrated in the delivery of integrated care. Based on qualitative data from the evaluation of a large-scale integrated care initiative in London, United Kingdom, we explored the role of provider engagement in effective integration of services. Using thematic analysis, we identified an evolving engagement narrative with three distinct phases: enthusiasm, antipathy, and ambivalence, and argue that health care managers need to be aware of the impact of professional engagement to succeed in advancing the integrated care agenda.

Item Type: Journal Article
Subjects: R Medicine > RA Public aspects of medicine
Divisions: Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Social Science & Systems in Health (SSSH)
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH): Integrated delivery of health care -- England -- London, Medical care -- England -- London, Medical personnel -- England -- London
Journal or Publication Title: Qualitative Health Research
Publisher: Sage Publications, Inc.
ISSN: 1049-7323
Official Date: December 2014
Dates:
DateEvent
December 2014Published
11 September 2014Available
Volume: 24
Number: 12
Page Range: pp. 1711-1720
DOI: 10.1177/1049732314549024
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Open Access (Creative Commons)
RIOXX Funder/Project Grant:
Project/Grant IDRIOXX Funder NameFunder ID
UNSPECIFIEDImperial College Healthcare Charityhttp://dx.doi.org/10.13039/100012912
UNSPECIFIED[NIHR] National Institute for Health Researchhttp://dx.doi.org/10.13039/501100000272
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