‘They Made an Excellent Start…but After a While, It Started to Die Out’, Tensions in Combining Personalisation and Integration in English Adult Social Care
This article seeks to understand the challenges of combining the distinct aims of personalisation and integration in adult social care. Addressing the local context of service delivery in England through interviews with key stakeholders, we identify how personalisation and integration activities req...
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| Veröffentlicht in: | Social policy and society : a journal of the Social Policy Association 2023-01, Vol.22 (1), p.172-186 |
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| container_title | Social policy and society : a journal of the Social Policy Association |
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| creator | Allen, Kerry Burn, Emily Hall, Kelly Mangan, Catherine Needham, Catherine |
| description | This article seeks to understand the challenges of combining the distinct aims of personalisation and integration in adult social care. Addressing the local context of service delivery in England through interviews with key stakeholders, we identify how personalisation and integration activities require different, and potentially conflicting, approaches. We observe direct tensions when structural integration with health systems distracts focus from achieving personalised delivery of care or where a focus on clinical outcomes takes precedence over broader wellbeing aspirations. Integration can entail the prioritisation of health over social care and a population rather than personal orientation. We suggest that personalisation and integration are in ‘policy conflict’ (Weible and Heikkila, 2017) and that policy-makers need to acknowledge and address this rather than promise the ‘best of both worlds’. |
| doi_str_mv | 10.1017/S1474746422000392 |
| format | Article |
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| ispartof | Social policy and society : a journal of the Social Policy Association, 2023-01, Vol.22 (1), p.172-186 |
| issn | 1474-7464 1475-3073 |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); Cambridge Journals Online; PAIS Index; Sociological Abstracts |
| subjects | Adult care services Aspiration Clinical outcomes Collaboration Customization Funding Health care Health services Integrated care Integrated delivery systems Local government Long term health care Older people Policy making Prioritizing Social services Themed Section on Personalisation and Collaboration: Dual Tensions in Individualised Funding Policy for Older and Disabled Persons Treatment outcomes Well being |
| title | ‘They Made an Excellent Start…but After a While, It Started to Die Out’, Tensions in Combining Personalisation and Integration in English Adult Social Care |
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