Abstract:
BACKGROUND:The literature on integration indicates the need for an enhanced theorization of institutional integration. This article proposes path dependence as an analytical framework to study the systems in which integration takes place. PURPOSE:PRISMA proposes a model for integrating health and social care services for older adults. This model was initially tested in Quebec. The PRISMA France study gave us an opportunity to analyze institutional integration in France. METHODS:A qualitative approach was used. Analyses were based on semi-structured interviews with actors of all levels of decision-making, observations of advisory board meetings, and administrative documents. RESULTS:Our analyses revealed the complexity and fragmentation of institutional integration. The path dependency theory, which analyzes the change capacity of institutions by taking into account their historic structures, allows analysis of this situation. The path dependency to the Bismarckian system and the incomplete reforms of gerontological policies generate the coexistence and juxtaposition of institutional systems. In such a context, no institution has sufficient ability to determine gerontology policy and build institutional integration by itself. CONCLUSION:Using path dependence as an analytical framework helps to understand the reasons why institutional integration is critical to organizational and clinical integration, and the complex construction of institutional integration in France.
journal_name
Int J Integr Carejournal_title
International journal of integrated careauthors
Trouvé H,Couturier Y,Etheridge F,Saint-Jean O,Somme Ddoi
10.5334/ijic.544subject
Has Abstractpub_date
2010-06-30 00:00:00pages
e049issn
1568-4156journal_volume
10pub_type
杂志文章abstract:INTRODUCTION:The 2004 Children Act in the UK saw the introduction of integrated working in children's services. A raft of change followed with processes designed to make joint working easier, and models and theories to support the development of integrated work. This paper explores the links between key concepts and pr...
journal_title:International journal of integrated care
pub_type: 杂志文章
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journal_title:International journal of integrated care
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abstract:CONTEXT:In 2006 the Labour Government in England published its long awaited White Paper on 'community services', following on from the 2005 Green Paper on the future of social care. The policy envisages an unprecedented shift of activity and resources from acute care to community settings, along with a much stronger fo...
journal_title:International journal of integrated care
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journal_title:International journal of integrated care
pub_type: 杂志文章
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journal_title:International journal of integrated care
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journal_title:International journal of integrated care
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journal_title:International journal of integrated care
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journal_title:International journal of integrated care
pub_type: 杂志文章
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更新日期:2018-12-13 00:00:00
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journal_title:International journal of integrated care
pub_type: 杂志文章
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更新日期:2013-03-14 00:00:00
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journal_title:International journal of integrated care
pub_type: 杂志文章
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journal_title:International journal of integrated care
pub_type: 杂志文章
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更新日期:2001-01-01 00:00:00
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journal_title:International journal of integrated care
pub_type: 杂志文章
doi:10.5334/ijic.187
更新日期:2007-05-30 00:00:00
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journal_title:International journal of integrated care
pub_type: 杂志文章
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journal_title:International journal of integrated care
pub_type: 杂志文章
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更新日期:2018-12-31 00:00:00
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journal_title:International journal of integrated care
pub_type: 杂志文章
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pub_type: 杂志文章
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更新日期:2013-06-26 00:00:00
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journal_title:International journal of integrated care
pub_type: 杂志文章
doi:10.5334/ijic.4721
更新日期:2020-04-01 00:00:00
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journal_title:International journal of integrated care
pub_type: 杂志文章
doi:10.5334/ijic.5422
更新日期:2020-09-28 00:00:00
abstract:INTRODUCTION:Collaboration between welfare organizations is an important strategy for integrating different health and welfare services. This article reports a review of the international literature on vocational rehabilitation, focusing on different organizational models of collaboration as well as different barriers ...
journal_title:International journal of integrated care
pub_type: 杂志文章
doi:10.5334/ijic.670
更新日期:2011-10-01 00:00:00
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journal_title:International journal of integrated care
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journal_title:International journal of integrated care
pub_type: 杂志文章
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更新日期:2016-08-19 00:00:00
abstract:INTRODUCTION:Increasing continuity of care has been identified as a strategy to improve patient outcomes, but previous studies of integrated care have tended to focus on pilot areas, which limit their generalisability and the ability to determine in which contexts integrated care was most successful. OBJECTIVE:This st...
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journal_title:International journal of integrated care
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journal_title:International journal of integrated care
pub_type: 杂志文章
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更新日期:2012-09-18 00:00:00
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journal_title:International journal of integrated care
pub_type: 杂志文章
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更新日期:2010-11-16 00:00:00
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journal_title:International journal of integrated care
pub_type: 杂志文章
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更新日期:2019-04-05 00:00:00
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journal_title:International journal of integrated care
pub_type: 杂志文章
doi:10.5334/ijic.39
更新日期:2001-01-01 00:00:00
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journal_title:International journal of integrated care
pub_type: 杂志文章
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更新日期:2018-07-05 00:00:00
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journal_title:International journal of integrated care
pub_type: 杂志文章
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更新日期:2017-09-25 00:00:00