Tuurnas Sanna, Paananen Henna, Kork Anna-Aurora
Faculty of Management and Business, Tampere University, Finland.
School of Management, University of Vaasa, Finland.
Int J Integr Care. 2025 Aug 6;25(3):19. doi: 10.5334/ijic.9813. eCollection 2025 Jul-Sep.
In integrated care models, third sector organisations (TSOs) are essential but often undervalued parts of the health and care ecosystem to address care fragmentation and inequity of access. In this study, we illustrate the value contributed by TSOs in a co-production setting.
In this qualitative study, frame analysis was used to explore the varied interpretations of TSOs' value contributions at different levels of the ecosystem. The qualitative interview data were collected from 16 informants in the context of a Nordic welfare state, Finland. The interviewees represented a variety of health and care TSOs.
The resulting frames were seen as organising principles that are socially shared. The analysis revealed a threefold interpretative schema of TSOs' value contributions: strengthening the ideals of civil society, advancing the public service system and connecting people to communities.
The findings demonstrate that TSOs contribute values in health and care ecosystems at all levels-micro, meso and macro-by integrating short- and long-term policy objectives, ensuring that their actions result in meaningful and sustainable benefits across all levels of the public service ecosystem.
This study underlines the need to integrate civil society into the health and care ecosystem and, specifically, to acknowledge the holistic contribution of TSOs when developing integrated care models. The key contribution of this study is demonstrating the diverse ways in which TSOs can contribute value for integrated care.
在综合护理模式中，第三部门组织（TSO）是健康与护理生态系统中不可或缺但往往被低估的部分，有助于解决护理碎片化和获取不平等问题。在本研究中，我们阐述了TSO在共同生产环境中所做出的贡献。
在这项定性研究中，采用框架分析来探讨生态系统不同层面上对TSO价值贡献的各种解读。定性访谈数据收集自北欧福利国家芬兰的16名受访者。受访者代表了各类健康与护理TSO。
所得框架被视为社会共享的组织原则。分析揭示了TSO价值贡献的三重解释模式：强化公民社会理想、推进公共服务体系以及将人们与社区联系起来。
研究结果表明，TSO通过整合短期和长期政策目标，在健康与护理生态系统的微观、中观和宏观各个层面都做出了贡献，确保其行动在公共服务生态系统的各个层面都能带来有意义且可持续的效益。
本研究强调将公民社会纳入健康与护理生态系统的必要性，特别是在制定综合护理模式时要认可TSO的整体贡献。本研究的关键贡献在于展示了TSO为综合护理贡献价值的多样方式。
