Achieving integrated care through CAS thinking and a collaborative mindset

• Published in: Journal of integrated care (Brighton, England) England), 2015-06, Vol.23 (3), p.108-119
• Main Authors: Edgren, Lars, Barnard, Keith
• Format: Article
• Language: English
• Subjects: Adaptive organizations; Collaboration; Collaborative mindset; Complex adaptive systems; Complex adaptive systems thinking; Conceptual analysis; Continuity of care; Coordination; Health & social care; Health care; Health Care Service and Management, Health Policy and Services and Health Economy; Healthcare management; Heart attacks; Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi; Integrated care; Leadership; Patient-centered care; Patients; Person-centred care; Risk reduction; Segmentation; Self-organization; Social services; Specialization; Weather forecasting
• ISSN: 1476-9018; 2042-8685
• DOI: 10.1108/JICA-02-2015-0012

Purpose – The purpose of this paper is to contribute to knowledge by exploring and distilling how providers in health and social care who have adopted complex adaptive systems thinking (CAS thinking) and have a collaborative mindset are in a better position to achieve integrated care than those who adopt reductionist approaches. Design/methodology/approach – This paper is a research review and a conceptual analysis of key aspects drawn from the literature on CAS thinking and collaborative mindset applied to integrated care. By choosing this approach the authors intend to promote understanding and efforts made to put it into action. The intended audience comprises managers responsible for addressing the problem of fragmentation and the research community challenged by the task of supporting those managers. Findings – Specialization of knowledge and skill has increased the risk of fragmentation. It is possible to reduce that risk and hence to foster integrated care when providers with different specializations stimulated by a collaborative mindset develop an understanding of how they connect with others in a CAS. The essence of CAS thinking applied to integrated care is the readiness to connect. This readiness is facilitated by adopting a collaborative mindset. Originality/value – Literature on CAS thinking and collaborative mindset have evolved independently of one another. The study points at the importance of connecting the two concepts to produce effective action.