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

Agnieszka Ignatowicz, Geva Greenfield, Yannis Pappas, Josip Car, Azeem Majeed, Matthew Harris

Research output: Contribution to journalArticlepeer-review

15 Citations (Scopus)
28 Downloads (Pure)

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.

Original languageEnglish
Pages (from-to)1711-1720
Number of pages10
JournalQualitative Health Research
Volume24
Issue number12
Early online date11 Sep 2014
DOIs
Publication statusPublished - 1 Dec 2014

Keywords

  • Attitude of Health Personnel
  • Delivery of Health Care, Integrated
  • Efficiency, Organizational
  • Focus Groups
  • Humans
  • Interviews as Topic
  • London
  • Organizational Innovation
  • Politics
  • Qualitative Research
  • State Medicine
  • Journal Article
  • Research Support, Non-U.S. Gov't
  • Europe, Western
  • health care
  • health care professionals
  • relationships, health care
  • research, qualitative

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