Factors that promote and hinder joint and integrated working between health and social care services: a review of research literature
- 11 June 2013
- journal article
- review article
- Published by Hindawi Limited in Health & Social Care in the Community
- Vol. 22 (3), 225-233
- https://doi.org/10.1111/hsc.12057
Abstract
This article reports the results of a review of the research evidence related to joint working in the field of adult health and social care services in the UK. It explores whether recent reforms to joint working have met the objectives set by policy-makers. The review followed an established methodology: electronic databases were searched using predetermined terms, abstracts were screened against inclusion criteria, studies that met the criteria were read in full and assessed for inclusion and data were extracted systematically. The findings of the review suggest that there is some indication that recent developments, in particular the drive to greater integration of services, may have positive benefits for organisations as well as for users and carers of services. However, the evidence consistently reports a lack of understanding about the aims and objectives of integration, suggesting that more work needs to be done if the full potential of the renewed policy agenda on integration is to be realised. Additionally, while the review acknowledges that greater emphasis has been placed on evaluating the outcome of joint working, studies largely report small-scale evaluations of local initiatives and few are comparative in design and therefore differences between 'usual care' and integrated care are not assessed. This makes it difficult to draw firm conclusions about the effectiveness of UK-based integrated health and social care services.Keywords
This publication has 37 references indexed in Scilit:
- Why Hasn't Integrated Health Care Developed Widely in the United States and Not at All in England?Journal of Health Politics, Policy and Law, 2011
- Improving the quality of care for mild to moderate dementia: an evaluation of the Croydon Memory Service ModelInternational Journal of Geriatric Psychiatry, 2007
- An evaluation of a multidisciplinary team for intermediate care at homeInternational Journal of Integrated Care, 2004
- Integration and Targeting of Community Care for People with Severe and Enduring Mental Health Problems: Users' Experiences of the Care Programme Approach and Care ManagementThe British Journal of Social Work, 2004
- Intermediate Care: Its Place in a Whole‐Systems ApproachJournal of Integrated Care, 2003
- Working in Multidisciplinary Community Mental Health Teams: The Impact on Social Workers and Health Professionals of Integrated Mental Health CareThe British Journal of Social Work, 2003
- Factors Promoting and Obstacles Hindering Joint Working: A Systematic Review of the Research EvidenceJournal of Integrated Care, 2003
- Evaluating the impact of integrated health and social care teams on older people living in the communityHealth & Social Care in the Community, 2003
- Intermediate care rapid assessment support service: an evaluationBritish Journal of Community Nursing, 2002
- Collaboration, facilities and communities in day care services for older peopleHealth & Social Care in the Community, 2001