Exploring the Applicability of Case Study Research in Investigating Service Integration

Introduction: The primary focus of this paper is the application of case study design to investigate the integration of complex health services.

Description: This paper presents a co-created case study research project that examined the integration of a regional palliative care service. It outlines the study’s design including the mixed-methods approach to data collection and the processes used for analysis and triangulation. The paper also details the tools and strategies implemented across the macro, meso, and micro levels of the service, offering practical insights into how case study research can be applied to explore the dynamics of integrated care.

Discussion: Case study methodology enables comprehensive, context-rich data collection and supports theory development through real-world observation. Its adaptability makes it particularly suited for evaluating complex systems. Co-creation added significant value by fostering interest-holders’ engagement and enhancing the relevance and applicability of the findings. The iterative and flexible design also allowed the study to respond effectively to challenges such as COVID-19 restrictions and a national cyber-attack.

Conclusion: Case study research is a robust and flexible approach that provides deep insights into the integration of complex healthcare systems. Its co-creation potential and adaptability make it particularly useful in real-world health service evaluations.