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Integration and collaboration in public health--a conceptual framework
Runo Axelsson1, Susanna Bihari Axelsson
1Nordic School of Public Health, P.O. Box 12133, SE-402 42 Göteborg, Sweden. Runo@nhv.se
Public health organizations need better integration as they become more specialized. This requires inter-organizational collaboration across sectors, often through multidisciplinary teams, which need strong management support to succeed.
Area of Science:
- Public Health
- Organizational Studies
- Social Welfare
Background:
- Increasing differentiation in public health organizations necessitates enhanced inter-organizational integration.
- Existing research on inter-organizational integration in public health and welfare services provides a foundation for theoretical reconstruction.
Purpose of the Study:
- To theoretically reconstruct inter-organizational integration in public health.
- To define and relate different forms of integration within a conceptual framework.
- To explore the requirements for successful integration in public health.
Main Methods:
- Theoretical reconstruction based on published research.
- Conceptual framework development integrating diverse theoretical perspectives.
- Analysis of inter-organizational collaboration and its organizational forms.
Main Results:
- Integration in public health requires cross-sectoral inter-organizational collaboration.
- Multidisciplinary teams across organizational and sector boundaries are a key organizational form.
- Such collaborative structures are inherently fragile and require substantial management support.
Conclusions:
- Effective public health integration hinges on robust inter-organizational and intersectoral collaboration.
- The success of multidisciplinary teams in public health is contingent upon dedicated management support.
- A theoretical framework is presented to guide understanding and practice of integration in public health.
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