Interagency and interprofessional collaboration in community care: the interdependence of structures and values.
This paper considers the problems of interagency and interprofessional collaboration in community care in Great Britain from the combined perspectives of UK and US researchers. The research team drew on empirical and theoretical literature from both countries to construct a framework for analysing inter- and intra-organisational theories of joint working. This analysis, supplemented and supported by local case studies conducted by the researchers, generates a framework recommendation against which the government's initiatives for partnership working in the NHS plan 2000 and subsequently can be critically reviewed. In particular, at a time when structural integration--via Care Trusts--is being seriously considered, they highlight the vital importance of integrated systems of goal setting, authority and multidisciplinary service delivery rather than a narrow focus on structural integration alone.
Johnson
Pauley
P
Nuffield Institute for Health, University of Leeds, 71-75 Clarendon Road, Leeds LS2 9PL, UK.
Wistow
Gerald
G
Schulz
Rockwell
R
Hardy
Brian
B
D003153:Community Health Services / Q000458:organization & administration*; D006801:Humans; D007373:Interinstitutional Relations; D007400:Interprofessional Relations; D019982:Organizational Case Studies; D013222:State Medicine / Q000458:organization & administration; D006113:United Kingdom; D014481:United States