Roth Marco
Public Financial Management, Tampere University's Faculty of Management and Business, FI.
Wellbeing Services County of Pirkanmaa, FI.
Int J Integr Care. 2025 Mar 27;25(1):15. doi: 10.5334/ijic.8587. eCollection 2025 Jan-Mar.
This review examines the institutional diversity in integrated care due to various institutional logics and explores the essential management strategies for navigating this diversity effectively.
This systematic literature review involved a comprehensive search across Scopus, Medline and Google Scholar. This process identified 1747 articles, with rigorous screening narrowing them down to eight key articles.
The study unveils five primary institutional logics in integrated care, focusing on their unique characteristics and how they interrelate, and highlights crucial management strategies for maintaining a balance among these diverse logics.
Applying the institutional logic perspective, this study uncovers the complex interplay of diverse logics shaping integrated care-a previously underexamined facet. Examining the foundational beliefs underlying organizational behaviour offers deeper insights into institutional complexities often overlooked in previous literature. This highlights the necessity for effective management strategies to reconcile conflicting logics, promoting more sustainable integrated care solutions.
The review comprehensively explores institutional logics in integrated care, emphasizing the importance of holistic management strategies. It highlights the imperative for policymakers and healthcare administrators to balance operational efficiency, patient-focused care, and professional independence-essential elements in crafting successful integrated care frameworks.
本综述探讨了由于各种制度逻辑导致的综合医疗服务中的机构多样性，并探索了有效应对这种多样性的基本管理策略。
本系统文献综述对Scopus、Medline和谷歌学术进行了全面检索。这一过程共识别出1747篇文章，经过严格筛选后缩小至8篇关键文章。
该研究揭示了综合医疗服务中的五种主要制度逻辑，重点关注它们的独特特征及其相互关系，并强调了在这些不同逻辑之间保持平衡的关键管理策略。
运用制度逻辑视角，本研究揭示了塑造综合医疗服务的各种逻辑之间复杂的相互作用——这是一个此前未得到充分研究的方面。审视组织行为背后的基本信念，能更深入地洞察以往文献中常常被忽视的制度复杂性。这凸显了有效管理策略对于协调相互冲突的逻辑、推动更可持续的综合医疗服务解决方案的必要性。
本综述全面探讨了综合医疗服务中的制度逻辑，强调了整体管理策略的重要性。它强调政策制定者和医疗管理者必须在运营效率、以患者为中心的护理和专业独立性之间取得平衡，这些是构建成功的综合医疗服务框架的关键要素。
