Slowing Down to Accelerate: The Innovation of the Fundamentals of Integrated Care Governance

Minkman, Mirella

doi:10.5334/ijic.6548

Cited by 4 publications

(4 citation statements)

References 14 publications

(14 reference statements)

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“…Our study provides several implications for the networked and multi-level nature of integrated care governance [36]. First, network platforms are a promising strategy to govern, facilitate, and nurture networkbuilding actions to enhance integrated care.…”

Section: Discussionmentioning

confidence: 93%

How does a Network Platform Work for Participating Actors Towards Integrated Care Governance? A Case Study of a Dutch Hospital Region

Woerd¹,

Veen-Berkx

Scheer

et al. 2022

Int J Integr Care

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Introduction: Network platforms are interesting for integrated care governance as they seek solutions for the problem of competition and tensions between networks. In this paper, we analyse how a network platform functions for the actors involved, and how it is used in their work. Methods:We employed a case study in a Dutch urbanised hospital region, and conducted 17 interviews with hospital physicians, directors, and supporting staff who are involved in a network platform called "BeterKeten" (BK).Results: Actors assign different functions and purposes to BK: facilitating and legitimising professional (learning) communities; adapting to a changing policy context; enlarging professionals' and the networks' circle of influence; and extending governing possibilities. Network platform' dynamics and frictions entail changing professional and managerial practices; embedding a BK network in a partner network; and alignment of (conflicting) network platforms.Discussion: Network platforms are a promising strategy to govern, facilitate, and nurture network-building actions to enhance integrated care, offering new ways of working to cope with its multi-level nature. Conclusion:BK is a dynamic actor with steering capacities that enables the coexistence of multiple purposes. Further research could pay attention to how network platforms are able to develop modalities of integrated care governance that suit healthcare system's networked character.

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Section: Discussionmentioning

confidence: 93%

How does a Network Platform Work for Participating Actors Towards Integrated Care Governance? A Case Study of a Dutch Hospital Region

Woerd¹,

Veen-Berkx

Scheer

et al. 2022

Int J Integr Care

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“…My hope is to stimulate the recognition and further study of the role of managers as catalysts for strategic openness in healthcare, with a particular interest in public policy and governance innovations for more equitable and sustainable population health. 15 …”

Section: Discussionmentioning

confidence: 99%

How Openness Serves Innovation in Healthcare? Comment on "What Managers Find Important for Implementation of Innovations in the Healthcare Sector – Practice Through Six Management Perspectives"

Côté-Boileau

2022

Int J Health Policy Manag

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The recent study of which enabling factors can facilitate the specific step of moving from idea generation to implementation in healthcare supports that managing innovation is a context-driven process that goes through six categories of change. While this research provides a general and rather comprehensives overview of what successful innovation work needs, it does not offer deeper insights into how categories of change can be operated in the context of accelerated openness in healthcare. I use the concepts of open innovation and open strategy to trying better understand how openness, in terms of greater inclusion and transparency, may or may not serve healthcare innovation through three theoretical questions: to whom, how and when to open up to foster innovation? Whilst diversity of knowledge, actors and systems are growing drivers of innovation, strategizing openness for more deliberate and impactful inclusion and transparency in healthcare management is key to co-producing better health.

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“…This makes the implementation of integrated care services a long-term achievement which should be based on strong fundamentals. We can only accelerate in the long run if we slow down to build these essential fundamentals like adaptive governance mechanisms on every scale [15].…”

Section: The Implementation Gapmentioning

confidence: 99%

The Time is Now, but Mind the Gaps: Communities – Governance – Implementation

Minkman

2023

International Journal of Integrated Care

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Supported by the increasing body of knowledge on how to achieve coherent, integrated care and support in communities and countries, the movement towards integrated care is now stronger than ever. The current stress on many healthcare systems increases the urgency. International bodies have pointed out the need to focus on person-and community-centred integrated care. The WHO frameworks, knowledge collected by the International Foundation of Integrated care, plus the abundance of practice and research experiences worldwide, highlight the vital elements, preconditions and lessons learned. Although contexts differ and must be taken into account, it is no longer arguable that elements such as enhanced coordination, goal driven and domain overarching collaboration and supportive governance structures need to be implemented [1]. However, the gaps between what is and what could be remains. For decades, the London Underground has been warning us to 'mind the gap' when disembarking from the train onto the platform. It is a simple but effective intervention that keeps everyone alert and helps to get everybody on board safely. How to mind the gaps in integrated care? BRIDGING THE GAPSThere are many gaps, and to bridge them all it helps to begin by briefly discussing three of the gaps you might cross.

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Slowing Down to Accelerate: The Innovation of the Fundamentals of Integrated Care Governance

Cited by 4 publications

References 14 publications

How does a Network Platform Work for Participating Actors Towards Integrated Care Governance? A Case Study of a Dutch Hospital Region

How does a Network Platform Work for Participating Actors Towards Integrated Care Governance? A Case Study of a Dutch Hospital Region

How Openness Serves Innovation in Healthcare? Comment on "What Managers Find Important for Implementation of Innovations in the Healthcare Sector – Practice Through Six Management Perspectives"

The Time is Now, but Mind the Gaps: Communities – Governance – Implementation

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