Organisational development to support integrated care in East London: the perspective of clinicians and social workers on the ground.

Journal of Health Organization and Management
Sonia Bussu, Martin Marshall

Abstract

Organisational Development (OD), with its focus on partnership working and distributed leadership, is increasingly advocated as an effective approach to driving change. Our evaluation of the impact of OD on delivery of integrated care in three London boroughs sheds light on how OD is being understood and implemented within health services, and what impact it is having on delivery of care. The findings presented here are based on a qualitative and participatory evaluation. The authors looked at how health and social care professionals communicated and coordinated delivery of care and evaluated the impact of current OD activities on the ground to evidence whether and to which degree they are enabling frontline staff to change their working routines towards greater coordination. Our findings highlight the limited reach and scope of a top-down approach to OD based on ad hoc coaching and staff engagement events, often delivered by external consultancies, and mostly focused at the senior management level. This approach fell short of enabling the creation of sustainable, integrated and collaborative organisations. Instead, some of the professionals that participated in our study tried to develop spaces that facilitated ongoing dialogu...Continue Reading

References

Aug 4, 2012·Journal of Health Organization and Management·Eric D Carlström, Inger Ekman
Jun 5, 2014·BMJ Quality & Safety·Martin MarshallAllan Goldmann
Jan 18, 2015·Journal of Health Services Research & Policy·Anne MasonMartin Chalkley
Jan 23, 2015·BMC Health Services Research·Pim P ValentijnMarc A Bruijnzeels
Dec 8, 2015·Journal of Evaluation in Clinical Practice·Loraine BusettoHubertus Johannes Maria Vrijhoef
Jan 6, 2016·Social Science & Medicine·Elisa Giulia LiberatiGiuseppe Scaratti
Mar 12, 2016·Journal of Health Organization and Management·Cameron David WillisJennifer Bitz
Mar 7, 2018·Journal of Health Organization and Management·Lynsey Warwick-Giles, Kath Checkland
Mar 7, 2018·Journal of Health Organization and Management·Gudbjörg ErlingsdottirChristofer Rydenfält
Sep 18, 2018·International Journal of Integrated Care·Ben HanniganAled Jones

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