What is integrated care?
(Feachem and Sekhri, 2005).
·The interplay between different types of integration can influence the value that
can be secured. For instance, integrating administrative processes can significantly
aid integration of clinical services into a single process (Shortell, 2000). Similarly,
simply focusing on organisational integration in an attempt to integrate providers
is unlikely to create improvements in care for patients (Ramsey and Fulop, 2008)
and can fail to alter the way in which doctors practise medicine and collaborate
with other health care professionals (Burns and Pauly, 2002), which also requires
underpinning clinical and normative changes in teamwork and care delivery.
·Integrative processes can have unintended effects. For instance, whilst targeted
financial incentives can provide a valuable means of changing clinician behaviour,