The Odyssey of Integration: Is Management its Achilles' Heel?

The importance of management to the implementation of integrated care is recognised in evidence and practice. Despite this recognition, there is a lack of clarity about what 'good' management of integrated care looks like, if the competences are different to management for 'traditiona...

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Bibliographic Details
Published inInternational journal of integrated care Vol. 20; no. 1; p. 7
Main Authors Miller, Robin, Stein, K Viktoria
Format Journal Article
LanguageEnglish
Published England Ubiquity Press 26.02.2020
Subjects
Caregivers
Collaboration
competences
culture
integrated care
Integrated delivery systems
Leadership
management
Managers
Quality improvement
Research and Theory
North America
Europe
competences
integrated care
management
culture
leadership
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Summary:The importance of management to the implementation of integrated care is recognised in evidence and practice. Despite this recognition, there is a lack of clarity about what 'good' management of integrated care looks like, if the competences are different to management for 'traditional' care, and how such competences can be acquired. This exploratory study is based on qualitative interviews with participants with extensive experience of implementing integrated care in senior professional, research, administrative and/or policy roles. It conceptualises management as working at 'strategic' and 'operational' levels. Management of integrated care was seen to require an ability to create networks across professions and organisations, to be comfortable with distributing responsibilities, and to thoroughly understand the wider system. Competences to support these new ways of working included an understanding of how to implement people-centredness, to have courage to challenge the status quo, and to demonstrate humility to learn from others. Structured development opportunities for managers were lacking, but seen as vital for the sustainability of change. Management for integrated care remains an underdeveloped concept and practice. A first formulation of the competences necessary was achieved, but more work is urgently required to understand how to better prepare and support managers to achieve necessary changes in practice and culture.
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ISSN:1568-4156
1568-4156
DOI:10.5334/ijic.5440