How Different Quality Paradigms Undermine a Shared Value Base for Integrated Care: The Need for Collective Reflexivity

Abstract

In the development process of integrated care many impeding factors occur. Our premise is, that many of these barriers are related to the differences in values or perspectives. This article aims to clarify what an important challenge is for the further development of integrated care and for integrated care research. Professionals and managers in integrated care need to cope with and embrace uncertainty. However, that requires collective reflexivity. Collective reflexivity is a means to investigate the values of the partners interacting to co-create integrated care and to remove the roadblocks on the way.

Keywords

• quality paradigms
• complexity
• collective reflexivity
• integrated care