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Implementing new forms of collaboration and participation in primary health care: leveraging past learnings to inform future initiatives.
- Source :
- Journal of Primary Health Care; Jun2024, Vol. 16 Issue 2, p198-205, 8p
- Publication Year :
- 2024
-
Abstract
- Introduction. Within primary health care policy, there is an increasing focus on enhancing involvement with secondary health care, social care services and communities. Yet, translating these expectations into tangible changes frequently encounters significant obstacles. As part of an investigation into the progress made in achieving primary health care reform in Aotearoa New Zealand, realist research was undertaken with those charged with responsibility for national and local policies. The specific analysis in this paper probes primary health care leaders' assessments of progress towards more collaboration with other health and non-health agencies, and communities. Aim. This study aimed to investigate how ideas for more integration and joinedup care have found their way into the practice of primary health care in Aotearoa New Zealand. Methods. Applying a realist logic of inquiry, data from semi-structured interviews with primary health care leaders were analysed to identify key contextual characteristics and mechanisms. Explanations were developed of what influenced leaders to invest energy in joined-up and integrated care activities. Results. Our findings highlight three explanatory mechanisms and their associated contexts: a willingness to share power, build trusting relationships and manage task complexity. These underpin leaders' accounts of the success (or otherwise) of collaborative arrangements. Discussion. Such insights have import in the context of the current health reforms for stakeholders charged with developing local approaches to the planning and delivery of health services. [ABSTRACT FROM AUTHOR]
- Subjects :
- INTERPROFESSIONAL relations
PRIMARY health care
HEALTH policy
INTERVIEWING
SOCIAL services
CONTINUUM of care
COMMUNITIES
DESCRIPTIVE statistics
HEALTH care reform
PATIENT-centered care
THEMATIC analysis
ATTITUDES of medical personnel
RESEARCH methodology
TRUST
INTERPERSONAL relations
INTEGRATED health care delivery
PATIENT participation
Subjects
Details
- Language :
- English
- ISSN :
- 11726164
- Volume :
- 16
- Issue :
- 2
- Database :
- Complementary Index
- Journal :
- Journal of Primary Health Care
- Publication Type :
- Academic Journal
- Accession number :
- 178202014
- Full Text :
- https://doi.org/10.1071/HC24026