1. The development of integration in the elderly care sector: a qualitative analysis of national policies and local initiatives in France and Sweden.
- Author
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LE BIHAN, BLANCHE and SOPADZHIYAN, ALIS
- Subjects
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COMPARATIVE studies , *FEDERAL government , *INTEGRATED health care delivery , *LOCAL government , *MEDICAL needs assessment , *HEALTH policy , *NEGOTIATION , *POLICY sciences , *QUALITATIVE research , *GOVERNMENT policy , *HUMAN services programs - Abstract
Due to a significant increase in the complexity of the care demands of older people having multiple care needs, the necessity for integrated care is increasingly acknowledged. Proposing a qualitative approach based on a secondary literature analysis and an empirical survey, this paper explores the integration policy of health and social care for older people having complex needs in two European countries – France and Sweden – where various policy measures aiming at developing and delivering integrated care can be identified: at the national level, through the supportive measures of organisational, institutional and/or professional integration from central government, and at the local level, with the implementation of concrete integrative initiatives. Using a comparative qualitative approach, the authors investigate both of these levels, as well as the interplay between them. They show the importance of this double – local and national – approach of the issue of integration and highlight the continuous negotiation process which underlies the integration activities. Local integration initiatives are in fact constantly reshaped by top-down and bottom-up dynamics which appear to be strongly interconnected. [ABSTRACT FROM AUTHOR]
- Published
- 2019
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