Integration and continuity of primary care: polyclinics and alternatives – a patient-centred analysis of how organisation constrains care co-ordination

The aim of this study was to examine what differences the organisational integration of primary care makes, compared with network governance, to horizontal and vertical co-ordination of care; what difference provider ownership makes; how much scope either structure allows for managerial discretion and ‘performance’; differences between networked and hierarchical governance regarding the continuity and integration of primary care; and the implications of the above for managerial practice in primary care.


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