Seriously working together: Integrated governance models to achieve sustainable partnerships between health care organisations

Claire L. Jackson*, Caroline Nicholson, Jenny Doust, Lily Cheung, John O'Donnell

*Corresponding author for this work

Research output: Contribution to journalArticleResearchpeer-review

15 Citations (Scopus)


Objective: To identify sustainable governance arrangements for health care organisations undertaking integrated health service delivery based on best available evidence.

Method: Systematic review of the literature (1990-2006), supported by key informant interviews as an integrative process.

Results: 16 studies met our selection criteria. All described enablers of and barriers to delivering integrated health services. We identified three models for integrated health care governance with a demonstrated ability to be sustained in the medium term. Common themes that emerged as the logical starting point for more ambitious integrated governance arrangements regionally were: the need for a clear separation between governance and operational management; and the need for local communities with the vision, leadership and commitment to extend health service integration. These themes were reinforced by interviews with key informants. Careful measurement of the process, impact and outcomes of such activities was often overlooked.

Conclusion: State governments are increasingly attempting to work with non-government organisations and the private sector to maximise scarce resources in the face of increasing health care demand. Ambitious integration agendas must be underpinned by effective governance mechanisms that are appropriate to the undertaking, the stakeholders involved and the scale of delivery,

Original languageEnglish
Pages (from-to)S57-S60
Number of pages4
JournalMedical Journal of Australia
Issue number8 SUPPL
Publication statusPublished - 21 Apr 2008
Externally publishedYes


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