uu.seUppsala University Publications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Barriers of inter-organisational integration in vocational rehabilitation
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research. (Health Services Research)
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research. (Health Services Research)
2008 (English)In: International Journal of Integrated Care, ISSN 1568-4156, Vol. 19, no 8, 1-12 p.Article in journal (Refereed) Published
Abstract [en]

INTRODUCTION: A project of vocational rehabilitation was studied in Sweden between 1999 and 2002. The project included four public organisations: the social insurance office, the local health services, the municipal social service and the office of the state employment service. The aim of this paper was to analyse perceived barriers in the development of inter-organisational integration. THEORY: Theories of inter-professional and inter-organisational integration, and theories on organisational change. METHODS: In total, 51 semi-structured interviews and 14 focus group discussions were performed with actors within the project between 1999 and 2002. A thematic approach was used for the analysis of the data. RESULTS: THREE DIFFERENT MAIN THEMES OF BARRIERS EMERGED FROM THE DATA: A Uncertainty, B Prioritising own organisation and C Lack of communication. The themes are interconnected in an intricate web and hence not mutually exclusive. CONCLUSIONS AND DISCUSSION: The barriers found are all related partly to organisational change in general and partly to the specific development of organisational integration. Prioritising of own organisation led to flaws in communication, which in turn led to a high degree of uncertainty within the project. This can be seen as a circular relationship, since uncertainty might increase focus on own organisation and lack of communication. A way to overcome these barriers would be to take the needs of the clients as a point of departure in the development of joint services and to also involve them in the development of inter-organisational integration.

Place, publisher, year, edition, pages
2008. Vol. 19, no 8, 1-12 p.
Keyword [en]
inter-organisational integration, barriers, vocational rehabilitation, thematic analysis
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:uu:diva-102468PubMedID: 18690291OAI: oai:DiVA.org:uu-102468DiVA: diva2:216205
Available from: 2009-05-17 Created: 2009-05-07 Last updated: 2010-06-07Bibliographically approved

Open Access in DiVA

No full text

PubMed

Authority records BETA

Holmström, Inger

Search in DiVA

By author/editor
Holmström, Inger
By organisation
Health Services Research
In the same journal
International Journal of Integrated Care
Medical and Health Sciences

Search outside of DiVA

GoogleGoogle Scholar

pubmed
urn-nbn

Altmetric score

pubmed
urn-nbn
Total: 444 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf