Understanding inter-organizational trust among integrated care service provider networks: A perspective on organizational asymmetries. Issue 12 (December 2018)

• Record Type: Journal Article
• Authors: Li, Weizi; Islam, Aaquib; Johnson, Kevin; Lauchande, Priam; Shang, Xiaopu; Xu, Shen
• Is Part Of: Health policy. Volume 122:Issue 12(2018)
• Page Start: 1356
• Page End: 1363
• Publication Date: 2018-12
• Subjects: Trust -- Integration policy -- Service provider network -- Health and social care -- Joining up; Medical education -- Periodicals; Medical policy -- Periodicals; Delivery of Health Care -- Periodicals; Education, Medical -- Periodicals; Health Education -- Periodicals; Health Planning -- Periodicals; Public Policy -- Periodicals; Enseignement médical -- Périodiques; Politique sanitaire -- Périodiques; Medical education; Medical policy; Periodicals; Electronic journals; Electronic journals; 362.1
• DOI: 10.1016/j.healthpol.2018.09.003
• Languages: English
• ISSNs: 0168-8510

Abstract

Highlights: Integrating health and social care is an ongoing challenge in health policy. The loss of inter-organisational trust remains as a key barrier of the relationships. Recognition, capacity, finance asymmetries and cultural difference influence trust. Integration policies need to alleviate the trust loss for an improved system. Abstract: Objective: To explore the factors that influence trust among the integrated healthcare service provider network in the context of seeking combined health and care services in the UK. Data sources/study setting: Primary data were collected from three regional integrated care service provider networks from March 2016 to October 2017. Study design: Explorative qualitative study and inductive methods from emerging findings. Data collection/extraction methods: We conducted qualitative semi-structured interviews in three care networks and collected organizational documents from local integration boards from 2016 to 2017. Thematic analysis was performed in three large care networks with hospital staff, local councils, integration boards, and community and voluntary organizations under the NHS England Better Care Fund. Principal findings: Our findings reveal that trust among integrated care service provider networks is influenced by the following factors on various asymmetries: 1) recognition and knowledge asymmetries among care service partners of each other's skills, expertise and capabilities; 2) capacity and financial imbalances within the network; and 3) organizational differences in management, culture and attitudes toward change. Conclusion: There is a need to improve competence recognition and capacity imbalances and to foster open minds toward change within networks to build trust to overcome divisions and facilitate integrated services among health and care organizations.