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The development of integration in the elderly care sector

A qualitative analysis of national policies and local initiatives in France and Sweden

Bibliographic Data

ID11201932
AuthorsBlanche Le Bihan (0000-0002-5195-4109, École des Hautes Études en Santé Publique, corresponding author), Alis Sopadzhiyan (0000-0002-9008-5209, École des Hautes Études en Santé Publique)
Year2019
Volume39
Issue5
Pages1022-1049
Publication date2019-05-01
Open AccessYes
TypeARTICLE
VenueAgeing and Society (JOURNAL)
Journal identifiersISSN: 0144-686X • E-ISSN: 1469-1779
PublisherCambridge University Press (CUP) (PUBLISHER)
DOI10.1017/s0144686x17001350
OpenAlexW2776141894
LanguageEN
Citations received1
References cited38

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

Economic growth · Economics · Government (linguistics) · Health care · Integrated care · Local government · Negotiation · Older people · Political science · Process (computing) · Public relations · Qualitative research · Regional science · Social care · Social science · Sociology · Computer Science · Healthcare innovation and challenges · Healthcare Systems and Practices · Interprofessional Education and Collaboration · Medicine · Nursing · Public Administration · Gerontology

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Citations per year0.25
Citation span2022 - 2022 (1)
Highly citedNo

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