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Path Dependence and Integrated Care

In: Handbook Integrated Care

Author

Listed:
  • Carolin Auschra

    (Freie Universität Berlin)

  • Jörg Sydow

    (Freie Universität Berlin)

Abstract

Using the theory of path dependence, this chapter increases our understanding of the hyper-stability of certain practices in health care as well as of the whole health system. Technological, institutional and organizational path dependences are based on self-reinforcing mechanisms that create such stability, making deviations from existing paths extremely difficult. If coordination and complementarity or learning and adaptive expectation effects are at work, transformation towards more integrated care will be difficult, if not impossible. Policy makers, health professionals and health care managers should be aware of these difficulties when aiming for technological, institutional or organizational change.

Suggested Citation

  • Carolin Auschra & Jörg Sydow, 2021. "Path Dependence and Integrated Care," Springer Books, in: Volker Amelung & Viktoria Stein & Esther Suter & Nicholas Goodwin & Ellen Nolte & Ran Balicer (ed.), Handbook Integrated Care, edition 2, chapter 0, pages 119-129, Springer.
    • Handle: RePEc:spr:sprchp:978-3-030-69262-9_8
    DOI: 10.1007/978-3-030-69262-9_8
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