title: Achieving provider engagement: providers' perceptions of implementing and delivering integrated care.
abstract: The literature on integrated care is limited with respect to practical learning and experience. Although some attention has been paid to organizational processes and structures, not enough is paid to people, relationships, and the importance of these in bringing about integration. Little is known, for example, about provider engagement in the organizational change process, how to obtain and maintain it, and how it is demonstrated in the delivery of integrated care. Based on qualitative data from the evaluation of a large-scale integrated care initiative in London, United Kingdom, we explored the role of provider engagement in effective integration of services. Using thematic analysis, we identified an evolving engagement narrative with three distinct phases: enthusiasm, antipathy, and ambivalence, and argue that health care managers need to be aware of the impact of professional engagement to succeed in advancing the integrated care agenda.
authors.affiliation: University of Birmingham, Birmingham, United Kingdom a.m.ignatowicz@bham.ac.uk.
authors.forename: Agnieszka
authors.initials: A
authors.lastname: Ignatowicz
authors.affiliation: Imperial College London, London, United Kingdom.
authors.forename: Geva
authors.initials: G
authors.lastname: Greenfield
authors.affiliation: University of Bedfordshire, Luton, United Kingdom.
authors.forename: Yannis
authors.initials: Y
authors.lastname: Pappas
authors.affiliation: Imperial College London, London, United Kingdom.
authors.forename: Josip
authors.initials: J
authors.lastname: Car
authors.affiliation: Imperial College London, London, United Kingdom.
authors.forename: Azeem
authors.initials: A
authors.lastname: Majeed
authors.affiliation: Imperial College London, London, United Kingdom.
authors.forename: Matthew
authors.initials: M
authors.lastname: Harris
mesh_terms: D001291:Attitude of Health Personnel; D019033:Delivery of Health Care, Integrated; D017598:Efficiency, Organizational; D017144:Focus Groups; D006801:Humans; D007407:Interviews as Topic; D008131:London; D009936:Organizational Innovation; D011057:Politics; D036301:Qualitative Research; D013222:State Medicine
keywords: Europe, Western; health care; health care professionals; relationships, health care; research, qualitative