Community first: a systems approach to implementing integrated care.
Purpose: Integrating health and social care services is a longstanding aspiration in England, but the question remains as to how to achieve it. This article compares the implementation approaches and its enablers and barriers of a strengths-based intervention (community-led support, CLS) in two site...
| Publicado en: | Journal of Integrated Care Vol. 34; no. 5; pp. 77 - 90 |
|---|---|
| Autores principales: | , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Emerald Publishing Limited
2026
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=195151333&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 195151333 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 14769018 FWI jtl: Journal of Integrated Care issn: 14769018 maglogo: N pubinfo: dt: 2026 vid: 34 iid: 5 pid: 465 pub: Emerald Publishing Limited artinfo: ui: 195151333 195151333 195151333 195151333 ppf: 77 ppct: 13 formats: tig: atl: Community first: a systems approach to implementing integrated care. aug: au: Mahesh, Sharanya Waterman, Chloe Toma, Madalina Jackson, Caroline Mayrhofer, Andrea Tingle, Alison Miller, Robin affil: Department of Social Work and Social Care, University of Birmingham, Birmingham, UK sug: subj: Health Care Delivery, Integrated England Social Work Service Systems Analysis Implementation Science National Health Programs Authority Human England Diffusion of Innovation Qualitative Studies Semi-Structured Interview Thematic Analysis Seminars and Workshops Community Health Services Funding Source ab: Purpose: Integrating health and social care services is a longstanding aspiration in England, but the question remains as to how to achieve it. This article compares the implementation approaches and its enablers and barriers of a strengths-based intervention (community-led support, CLS) in two sites, one led by a health organisation, i.e. National Health Service (NHS) and the other by a social care organisation, i.e. local authority. Design/methodology/approach: This study was part of a wider research project that examined the implementation of CLS within five areas in England. A qualitative research design was adopted, drawing on seventeen semi-structured interviews with managers and frontline staff leading the implementation of CLS across health, social care and voluntary sector organisations. Data was analysed inductively for each site before comparing emerging codes between the sites. Findings: Supportive leadership structures at various levels, a shared vision, pre-existing relationships with other sectors and introducing champions were helpful factors to adopt CLS. However, staff anxieties towards creative ways of working, the lack of involvement of individuals with lived experience and the insufficient integration of processes and systems hindered embedding CLS across the whole system. Originality/value: Emphasis on a community oriented approach encourages local innovation based on the needs of a community. This study provides helpful insights into aspects supportive of implementation while highlighting unique challenges arising from integration. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|