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Media type:
E-Article
Title:
Joint Management in Community Care
Contributor:
Wistow, Gerald;
Hardy, Brian
imprint:
Emerald, 1991
Published in:Journal of Management in Medicine
Language:
English
DOI:
10.1108/eum0000000001322
ISSN:
0268-9235
Origination:
Footnote:
Description:
<jats:p>Government ministers have stressed that inter‐agency co‐ordination
will be crucial to the success of their community care proposals. Yet
the history of collaboration between health and local authorities has
been one of limited achievements. Notwithstanding this general record
there are a growing number of examples of apparently successful
co‐ordination; moreover, amongst these are projects involving joint
management, which is inter‐agency co‐ordination at its most complex.
This article reports on a detailed study of five such projects, across a
range of client groups, undertaken on behalf of the Department of
Health. We found that the essence of such schemes is their fragility and
vulnerability to a range of organisational pressures. We concluded that
these pressures are sufficient to threaten the survival of newly
established projects unless managers address certain key imperatives
which we outline here.</jats:p>