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How Different Quality Paradigms Undermine a Shared Value Base for Integrated Care: The Need for Collective

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Integrated care development faces barriers due to differing values. Embracing uncertainty through collective reflexivity helps overcome these challenges and improve care coordination.

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Area of Science:

  • Healthcare Management
  • Organizational Psychology
  • Sociology of Health

Background:

  • Integrated care initiatives often encounter significant obstacles hindering their successful implementation.
  • These barriers are frequently rooted in divergent values and perspectives among stakeholders involved in care delivery.
  • Understanding these underlying value differences is crucial for advancing integrated care models.

Purpose of the Study:

  • To identify a key challenge in the ongoing development of integrated care.
  • To explore the role of collective reflexivity in addressing value-based barriers in integrated care.
  • To provide insights for integrated care research and practice.

Main Methods:

  • Conceptual analysis of integrated care development challenges.
  • Exploration of the concept of collective reflexivity.
  • Literature review on values and perspectives in inter-organizational collaboration.

Main Results:

  • Differences in values and perspectives represent a significant impediment to integrated care.
  • Professionals and managers must learn to manage and accept uncertainty inherent in integrated care.
  • Collective reflexivity enables the examination of partner values and the resolution of implementation roadblocks.

Conclusions:

  • Addressing value-based barriers is essential for the progress of integrated care.
  • Fostering collective reflexivity is a critical strategy for overcoming implementation challenges.
  • Further research should investigate practical applications of collective reflexivity in integrated care settings.