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The development of integration in the elderly care sector: a qualitative analysis of national policies and local initiatives in France and Sweden

Abstract : Due to a significant increase in the complexity of the care demands of older people having multiple care needs, the necessity for integrated care is increasingly acknowledged. Proposing a qualitative approach based on a secondary literature analysis and an empirical survey, this paper explores the integration policy of health and social care for older people having complex needs in two European countries-France and Sweden-where various policy measures aiming at developing and delivering integrated care can be identified: At the national level, through the supportive measures of organisational, institutional and/or professional integration from central government, and at the local level, with the implementation of concrete integrative initiatives. Using a comparative qualitative approach, the authors investigate both of these levels, as well as the interplay between them. They show the importance of this double-local and national- A pproach of the issue of integration and highlight the continuous negotiation process which underlies the integration activities. Local integration initiatives are in fact constantly reshaped by top-down and bottom-up dynamics which appear to be strongly interconnected.
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https://hal.ehesp.fr/hal-02441411
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Submitted on : Wednesday, January 15, 2020 - 6:05:11 PM
Last modification on : Tuesday, July 7, 2020 - 3:39:38 AM

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Blanche Le Bihan, Alis Sopadzhiyan. The development of integration in the elderly care sector: a qualitative analysis of national policies and local initiatives in France and Sweden. Ageing and Society, Cambridge University Press (CUP), 2019, 39 (5), pp.1022-1049. ⟨10.1017/S0144686X17001350⟩. ⟨hal-02441411⟩

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