Please use this identifier to cite or link to this item:
http://bura.brunel.ac.uk/handle/2438/13227
Full metadata record
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Shaw, J | - |
dc.contributor.author | Kontos, P | - |
dc.contributor.author | Martin, W | - |
dc.contributor.author | Victor, C | - |
dc.date.accessioned | 2016-09-26T09:54:28Z | - |
dc.date.available | 2016-09-26T09:54:28Z | - |
dc.date.issued | 2017-03-20 | - |
dc.identifier.citation | Shaw, J.A., Kontos, P., Martin, W. and Victor, C. (2017) 'The institutional logic of integrated care: an ethnography of patient transitions', Journal of Health Organization and Management, 31 (1), pp. 82 - 95. doi: 10.1108/JHOM-06-2016-0123. | en_US |
dc.identifier.issn | 1477-7266 | - |
dc.identifier.uri | https://bura.brunel.ac.uk/handle/2438/13227 | - |
dc.description.abstract | © Shaw, Kontos, Martin and Victor. Purpose: To use theories of institutional logics and institutional entrepreneurship to examine how and why macro-, meso-, and micro-level influences inter-relate in the implementation of integrated transitional care out of hospital in the English National Health Service. Design/Methodology/Approach: We conducted an ethnographic case study of a hospital and surrounding services within a large urban centre in England. Specific methods included qualitative interviews with patients/caregivers, health/social care providers, and organizational leaders; observations of hospital transition planning meetings, community “hub” meetings, and other instances of transition planning; reviews of patient records; and analysis of key policy documents. Analysis was iterative and informed by theory on institutional logics and institutional entrepreneurship. Findings: Organizational leaders at the meso-level of health and social care promoted a partnership logic of integrated care in response to conflicting institutional ideas found within a key macro-level policy enacted in 2003 (The Community Care (Delayed Discharges) Act). Through institutional entrepreneurship at the micro-level, the partnership logic became manifest in the form of relationship work among health and social care providers; they sought to build strong interpersonal relationships to enact more integrated transitional care. Originality/Value: Our study has three key implications. First, efforts to promote integrated care should strategically include institutional entrepreneurs at the organizational and clinical levels. Second, integrated care initiatives should emphasize relationship-building among health and social care providers. Finally, theoretical development on institutional logics should further examine the role of interpersonal relationships in facilitating the “spread” of logics between macro-, meso-, and micro-level influences on inter-organizational change. | en_US |
dc.description.sponsorship | Canadian Institutes of Health Research and Brunel University. | - |
dc.format.medium | Print-Electronic | - |
dc.language.iso | en | en_US |
dc.publisher | Emerald | en_US |
dc.relation.isreplacedby | 2438/14304 | - |
dc.relation.isreplacedby | https://bura.brunel.ac.uk/handle/2438/14304 | - |
dc.subject | integrated Care | en_US |
dc.subject | health Policy | en_US |
dc.subject | transitional Care | en_US |
dc.subject | ethnography | en_US |
dc.subject | England’s National Health Service | en_US |
dc.title | The institutional logic of integrated care: An ethnography of patient transitions | en_US |
dc.type | Article | en_US |
dc.identifier.doi | https://doi.org/10.1108/JHOM-06-2016-0123 | - |
dc.relation.isPartOf | Journal of Health Organization and Management | - |
pubs.publication-status | Published | - |
dc.identifier.eissn | 1758-7247 | - |
Appears in Collections: | Dept of Computer Science Research Papers |
Files in This Item:
File | Description | Size | Format | |
---|---|---|---|---|
FullText.pdf | 182.91 kB | Adobe PDF | View/Open |
Items in BURA are protected by copyright, with all rights reserved, unless otherwise indicated.