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

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.