Inter-agency services in England and The Netherlands

摘要: In England and the Netherlands there is much comparable experience in developing delivering integrated services, provided by different health care agencies to people with multiple demands. The achievement of provision such cases appears be very difficult laborious both countries. This article may considered a first step exploring reasons for this framework that not context specific, as contribution more generally applicable analysis obstacles integration means overcoming them. After analysing English Dutch social systems their development recent decades, we conclude basically are clear system similarities which hindering instance predominant complexity lot stakeholders having roles, tasks, interests power positions. We have identified common mechanisms play dominant role systems; only social, economic political context, but also local legal funding streams. Other relevant factors procedural structural arrangements at levels collaborative culture tradition. way these work practice, however, Netherlands, due differences. emphasis on bargaining non-hierarchical structured networks, whilst hierarchies interplay between hierarchies, markets networks role. spite differences problems countries found similar recognition interdependence willingness pursue services multi-problem patients.