Organizing integrated care in a university hospital: application of a conceptual framework – International Journal Of Integrated Care Article
Finds that integrated care can be a relevant concept for a hospital. Although the organizational models may challenge established professional boundaries and financial control systems, this concept can be a more promising way to improve the quality of care than the industrial models that have been imported into health care. This application of the concept may also contribute to widen the field of integrated care.
Future organisational models for the NHS – The King’s Fund
This publication explores some of the organisational options available, including how high-performing NHS organisations might support providers in difficulty.
Future organisational models for the NHS: Perspectives for the Dalton review – The King’s Fund
Report from the King’s Fund that finds:
- Most of the organisational models reviewed (buddying, learning and clinical networks, partnerships and joint ventures, managerial/operational franchise, mergers, and hospital chains) could help drive improvements in the quality of NHS services.
- The higher the degree of organisational change, the higher the risk that the benefits will not be delivered
- Common success factors across all the different organisational models include: good working relationships; a strong and shared focus on quality improvement that can be measured; and a focus on changing organisational culture.
- The skills required to lead different organisational models are often different from those required to run a successful single institution.
There is also growing consensus that a trust’s problems cannot be solved without taking a whole system solution and perspective