Abstract
Integrated care accountability (ICA) and integrated care regulation (ICR) are perceived as something new and different from the traditional governing approach. Accountability is understood as the process of ‘being called to account to some authority for one’s actions’. Whereas, following Selznick, supervision is the ‘sustained and focused control exercised by a public agency over activities which are valued by a community’. ICA and ICR are presumed to be fundamentally different to traditional forms of exercising them. But how exactly are accountability and regulation considered under the integrated care prism?
Through two systematic literature reviews and semi-structured interviews with key international experts, the workshop organisers have developed a set of propositions that capture the constituting features of ICA and ICR. These working propositions have been initially discussed with people with live experience.
Aim
The aim of this workshop will be to validate with key international experts and workshop participants the constituting features of integrated care accountability and integrated care regulation, that is, the added values that integrated care boosts to traditional accountability and regulation.
Who is it for?
- International experts on integrated care governance, accountability and regulation personally invited to participate as discussants, including IFIC Senior Associates and former members of the IFIC SIG on Regulation (no longer active)
- Representatives from regulatory agencies that have been adopting an integrated care approach, including the Portuguese regulator - the Entidade Reguladora da Saúde (ERS).
- People-at-the-centre of care
- Policymakers; health and care providers (managers and care practitioners).
Structure
- Introduction and presentation of the features of ICA and ICR (20 min)
- Whole audience: live voting (10 min) on each feature of ICA and ICR on:
oImportance of each feature (rating from low importance to high importance) as a constituent feature of ICA and ICR
oOpen question: is there any other ICA or ICR feature missing that should be incorporated into the list?
- Table discussions: separate discussion on ICA and ICR (20 min). Two goals:
oReflect on the results of the voting
oDiscuss the wording of the propositions
oAny other idea/suggestion that the groups might want to add
- Whole audience: Quick feedback from the Table discussions (10 min).
- International Experts and People-at-the-centre of care (20 min):
oReflect on the results of the voting
oDiscuss the wording of the propositions
oReflect on the feedback from Table discussions
oAny other consideration/suggestion that they might want to add
- Response from workshop organisers, wrap up and closing the session (10 min)
How are you going to summarize the take home messages?
The Workshop will help to validate/refine/strengthen the list of features of ICA and ICR, which will then constitute the analytical framework to conduct two empirical investigations:
- to what extent has ICA been adopted by organisations and systems that are on the journey towards integrated care?
- to what extent has ICR been adopted by regulatory agencies in the countries that are on the journey towards integrated care?