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

Everard Van Kemenade,Marjolijn Booij,Mirella Minkman,Marlou De Kuiper

doi:10.5334/ijic.5935

Abstract

In the development process of integrated care many impeding factors occur. Our premise is, that many of these barriers are related to the differences in values or perspectives. This article aims to clarify what an important challenge is for the further development of integrated care and for integrated care research. Professionals and managers in integrated care need to cope with and embrace uncertainty. However, that requires collective reflexivity. Collective reflexivity is a means to investigate the values of the partners interacting to co-create integrated care and to remove the roadblocks on the way.

Highlights

In the development process of integrated care many impeding factors occur [1,2,3].Researchers have found barriers that are general to all large-scaleorganizational change, such as leadership and organizational culture
To research the role of this normative integration, Zonneveld et al [6] identified 18 values which play a role in integrated care practices
The quality paradigms that are used to reflect on integrated care developments are influenced by values themselves

Summary

Introduction

In the development process of integrated care many impeding factors occur [1,2,3].Researchers have found barriers that are general to all large-scale (inter-)organizational change, such as leadership and organizational culture. Values play an important role in this, since (inter)organizational behavior, interaction and decision-making in integrated health services networks are strongly influenced by the values of the stakeholders involved [7]. Those values lie hidden underneath these processes and are not often made explicit [8]. To research the role of this normative integration, Zonneveld et al [6] identified 18 values which play a role in integrated care practices These values can be used as “a basis for the guidance of collaboration and governance processes in integrated care and add to conceptual knowledge and theory building of integrated care” The quality paradigms that are used to reflect on integrated care developments are influenced by values themselves

Objectives

Conclusion