The path dependency theory: analytical framework to study institutional integration. The case of France
<p align="left"><strong>Background</strong>: The literature on integration indicates the need for an enhanced theorization of institutional integration. This article proposes path dependence as an analytical framework to study the systems in which integration takes place....
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Ubiquity Press
2010-06-01
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| Series: | International Journal of Integrated Care |
| Subjects: | |
| Online Access: | http://www.ijic.org/articles/544 |
| _version_ | 1818021835098292224 |
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| author | Hélène Trouvé Yves Couturier Francis Etheridge Olivier Saint-Jean Dominique Somme |
| author_facet | Hélène Trouvé Yves Couturier Francis Etheridge Olivier Saint-Jean Dominique Somme |
| author_sort | Hélène Trouvé |
| collection | DOAJ |
| description | <p align="left"><strong>Background</strong>: The literature on integration indicates the need for an enhanced theorization of institutional integration. This article proposes path dependence as an analytical framework to study the systems in which integration takes place. <p align="justify"><strong>Purpose</strong>: PRISMA proposes a model for integrating health and social care services for older adults. This model was initially tested in Quebec. The PRISMA France study gave us an opportunity to analyze institutional integration in France. <p align="justify"><strong>Methods</strong>: A qualitative approach was used. Analyses were based on semi-structured interviews with actors of all levels of decision-making, observations of advisory board meetings, and administrative documents. <p align="justify"><strong>Results</strong>: Our analyses revealed the complexity and fragmentation of institutional integration. The path dependency theory, which analyzes the change capacity of institutions by taking into account their historic structures, allows analysis of this situation. The path dependency to the Bismarckian system and the incomplete reforms of gerontological policies generate the coexistence and juxtaposition of institutional systems. In such a context, no institution has sufficient ability to determine gerontology policy and build institutional integration by itself. <strong>Conclusion</strong>: Using path dependence as an analytical framework helps to understand the reasons why institutional integration is critical to organizational and clinical integration, and the complex construction of institutional integration in France. |
| first_indexed | 2024-04-14T08:23:25Z |
| format | Article |
| id | doaj.art-a0eba5ddd23f4ecba763de7e3d035a8b |
| institution | Directory Open Access Journal |
| issn | 1568-4156 |
| language | English |
| last_indexed | 2024-04-14T08:23:25Z |
| publishDate | 2010-06-01 |
| publisher | Ubiquity Press |
| record_format | Article |
| series | International Journal of Integrated Care |
| spelling | doaj.art-a0eba5ddd23f4ecba763de7e3d035a8b2022-12-22T02:04:09ZengUbiquity PressInternational Journal of Integrated Care1568-41562010-06-0110210.5334/ijic.544524The path dependency theory: analytical framework to study institutional integration. The case of FranceHélène TrouvéYves CouturierFrancis EtheridgeOlivier Saint-JeanDominique Somme<p align="left"><strong>Background</strong>: The literature on integration indicates the need for an enhanced theorization of institutional integration. This article proposes path dependence as an analytical framework to study the systems in which integration takes place. <p align="justify"><strong>Purpose</strong>: PRISMA proposes a model for integrating health and social care services for older adults. This model was initially tested in Quebec. The PRISMA France study gave us an opportunity to analyze institutional integration in France. <p align="justify"><strong>Methods</strong>: A qualitative approach was used. Analyses were based on semi-structured interviews with actors of all levels of decision-making, observations of advisory board meetings, and administrative documents. <p align="justify"><strong>Results</strong>: Our analyses revealed the complexity and fragmentation of institutional integration. The path dependency theory, which analyzes the change capacity of institutions by taking into account their historic structures, allows analysis of this situation. The path dependency to the Bismarckian system and the incomplete reforms of gerontological policies generate the coexistence and juxtaposition of institutional systems. In such a context, no institution has sufficient ability to determine gerontology policy and build institutional integration by itself. <strong>Conclusion</strong>: Using path dependence as an analytical framework helps to understand the reasons why institutional integration is critical to organizational and clinical integration, and the complex construction of institutional integration in France.http://www.ijic.org/articles/544integrated careinstitutional integrationpath dependencegerontology |
| spellingShingle | Hélène Trouvé Yves Couturier Francis Etheridge Olivier Saint-Jean Dominique Somme The path dependency theory: analytical framework to study institutional integration. The case of France International Journal of Integrated Care integrated care institutional integration path dependence gerontology |
| title | The path dependency theory: analytical framework to study institutional integration. The case of France |
| title_full | The path dependency theory: analytical framework to study institutional integration. The case of France |
| title_fullStr | The path dependency theory: analytical framework to study institutional integration. The case of France |
| title_full_unstemmed | The path dependency theory: analytical framework to study institutional integration. The case of France |
| title_short | The path dependency theory: analytical framework to study institutional integration. The case of France |
| title_sort | path dependency theory analytical framework to study institutional integration the case of france |
| topic | integrated care institutional integration path dependence gerontology |
| url | http://www.ijic.org/articles/544 |
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