
Contents
-
-
-
-
-
-
-
-
-
Divisions and boundaries Divisions and boundaries
-
Sam and Esther Sam and Esther
-
Realigning relationships: gluing and ungluing connections Realigning relationships: gluing and ungluing connections
-
Integration unpacked Integration unpacked
-
Conclusion Conclusion
-
Notes Notes
-
-
-
-
Six The challenge of integration
Get access-
Published:October 2017
Cite
Abstract
This chapter analyses the increasingly influential idea that healthcare systems, or health and social care systems more broadly, need to be better integrated—that both services and the experiences of individuals need to be less ‘fractured’ and that this depends upon attending to the overall architecture of systems. In order to approach the integration agenda, it is worth acknowledging the ‘problem’ that gives rise to it. The agenda is closely bound up with divisions and boundaries that are both necessary and a source of difficulties. The way in which health systems seek to provide diverse goods is through a division of labour that structures both services and roles. Yet the necessary division of labour inevitably and notoriously creates problems. Perhaps the central device through which health policy addresses and manages this tension—between differentiated provision and consolidated needs—is by supporting both specialism and generalism.
Sign in
Personal account
- Sign in with email/username & password
- Get email alerts
- Save searches
- Purchase content
- Activate your purchase/trial code
- Add your ORCID iD
Purchase
Our books are available by subscription or purchase to libraries and institutions.
Purchasing informationMonth: | Total Views: |
---|---|
November 2022 | 1 |
March 2023 | 1 |
January 2024 | 3 |
April 2024 | 2 |
June 2024 | 2 |
July 2024 | 1 |
November 2024 | 4 |
Get help with access
Institutional access
Access to content on Oxford Academic is often provided through institutional subscriptions and purchases. If you are a member of an institution with an active account, you may be able to access content in one of the following ways:
IP based access
Typically, access is provided across an institutional network to a range of IP addresses. This authentication occurs automatically, and it is not possible to sign out of an IP authenticated account.
Sign in through your institution
Choose this option to get remote access when outside your institution. Shibboleth/Open Athens technology is used to provide single sign-on between your institution’s website and Oxford Academic.
If your institution is not listed or you cannot sign in to your institution’s website, please contact your librarian or administrator.
Sign in with a library card
Enter your library card number to sign in. If you cannot sign in, please contact your librarian.
Society Members
Society member access to a journal is achieved in one of the following ways:
Sign in through society site
Many societies offer single sign-on between the society website and Oxford Academic. If you see ‘Sign in through society site’ in the sign in pane within a journal:
If you do not have a society account or have forgotten your username or password, please contact your society.
Sign in using a personal account
Some societies use Oxford Academic personal accounts to provide access to their members. See below.
Personal account
A personal account can be used to get email alerts, save searches, purchase content, and activate subscriptions.
Some societies use Oxford Academic personal accounts to provide access to their members.
Viewing your signed in accounts
Click the account icon in the top right to:
Signed in but can't access content
Oxford Academic is home to a wide variety of products. The institutional subscription may not cover the content that you are trying to access. If you believe you should have access to that content, please contact your librarian.
Institutional account management
For librarians and administrators, your personal account also provides access to institutional account management. Here you will find options to view and activate subscriptions, manage institutional settings and access options, access usage statistics, and more.