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Reconciling practice, research and reality of integrated care. Critical reflections on the state of a discipline

Reconciling practice, research and reality of integrated care. Critical reflections on the state... The purpose of this paper is to critically reflect on the practice, rhetoric and reality of integrating care. Echoing Le Grand's framework of motivation, agency and policy, it is argued that the stories the authors tell themselves why the authors embark on integration programmes differ from the reasons why managers commit to these programmes. This split between policy rhetoric and reality has implications for the way the authors investigate integration.Design/methodology/approachExamining current integration policy, practice and research, the paper adopts the critical framework articulated by Le Grand about the underlying assumptions of health care policy and practice.FindingsIt is argued that patient perspectives are speciously placed at the centre of integration policy but mask the existing organizational and managerial rationalities of integration. Making the patient the measure of all things integration would turn this agenda back on its feet.Originality/valueThe paper discusses the underlying assumptions of integration policy, practice and research. Increasing the awareness about the gap between what the authors do, why the authors do it and the stories the authors tell themselves about it injects a much needed amount of criticality into research and practice. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Integrated Care Emerald Publishing

Reconciling practice, research and reality of integrated care. Critical reflections on the state of a discipline

Kaehne, Axel
Journal of Integrated Care , Volume 28 (3): 8 – Jul 22, 2020
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References (46)

Publisher
Emerald Publishing
Copyright
© Emerald Publishing Limited
ISSN
1476-9018
DOI
10.1108/jica-07-2020-078
Publisher site
See Article on Publisher Site

Abstract

The purpose of this paper is to critically reflect on the practice, rhetoric and reality of integrating care. Echoing Le Grand's framework of motivation, agency and policy, it is argued that the stories the authors tell themselves why the authors embark on integration programmes differ from the reasons why managers commit to these programmes. This split between policy rhetoric and reality has implications for the way the authors investigate integration.Design/methodology/approachExamining current integration policy, practice and research, the paper adopts the critical framework articulated by Le Grand about the underlying assumptions of health care policy and practice.FindingsIt is argued that patient perspectives are speciously placed at the centre of integration policy but mask the existing organizational and managerial rationalities of integration. Making the patient the measure of all things integration would turn this agenda back on its feet.Originality/valueThe paper discusses the underlying assumptions of integration policy, practice and research. Increasing the awareness about the gap between what the authors do, why the authors do it and the stories the authors tell themselves about it injects a much needed amount of criticality into research and practice.

Journal

Journal of Integrated Care – Emerald Publishing

Published: Jul 22, 2020

Keywords: Health policy; Rhetoric; Integration; Health care; Patient-centred care

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