The integration of social and health sectors in Scotland

Detalhes bibliográficos
Autor(a) principal: Correia de Matos, Ricardo
Data de Publicação: 2025
Outros Autores: Nascimento, Generosa do, Fernandes, Adalberto Campos, Matos, Cristiano
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
Texto Completo: http://hdl.handle.net/10362/183374
Resumo: Publisher Copyright: © 2025 by the authors.
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spelling The integration of social and health sectors in Scotlandan analysis from the prism of different public policy modelshealthcare sectorintegrated careintegrated public policysocial sectorHealth PolicyHealth InformaticsSDG 3 - Good Health and Well-beingPublisher Copyright: © 2025 by the authors.The integration of health and social care has been a key focus in Scotland, driven by demographic changes, rising healthcare costs, and the need for more efficient service delivery. The Public Bodies (Joint Working) (Scotland) Act 2014 sought to formalise this integration by restructuring governance and service provision to improve coordination between health and social care sectors. Despite these efforts, challenges remain in fully achieving the intended outcomes of the integration. This study analysed Scotland’s integrated health and social care through the theoretical frameworks of public choice, institutionalism, and functionalism. The objective was to examine policy drivers, structural mechanisms, and governance implications, providing insights into the broader impact of integrated care reforms. A qualitative research approach was employed, synthesising data from peer-reviewed literature, government publications, and policy documents. The findings on integration were systematically examined through the lens of each public policy model, allowing for a nuanced analysis of how Scotland’s approach to integration aligns with and diverges from these frameworks. A literature search was performed on PUBMED, Google Scholar, and Scottish government portals. While integration improved coordination and service delivery in some areas, limitations in funding allocation, workforce distribution, and governance autonomy limited its overall success. Scotland’s integrated care model demonstrates potential benefits in reducing service fragmentation and improving patient-centred care; however, persistent challenges such as funding constraints, workforce shortages, and governance conflicts indicate that integration alone is not sufficient to resolve systemic healthcare inefficiencies. This study provides a perspective on Scotland’s health and social care integration, offering valuable lessons for other European countries facing similar demographic and healthcare challenges.Escola Nacional de Saúde Pública (ENSP)RUNCorreia de Matos, RicardoNascimento, Generosa doFernandes, Adalberto CamposMatos, Cristiano2025-05-23T21:15:33Z2025-032025-03-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10362/183374eng2001-6689PURE: 116656197https://doi.org/10.3390/jmahp13010008info:eu-repo/semantics/openAccessreponame:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)instname:FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiainstacron:RCAAP2025-05-26T01:43:14Zoai:run.unl.pt:10362/183374Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireinfo@rcaap.ptopendoar:https://opendoar.ac.uk/repository/71602025-05-29T07:36:43.314219Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) - FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiafalse
dc.title.none.fl_str_mv The integration of social and health sectors in Scotland
an analysis from the prism of different public policy models
title The integration of social and health sectors in Scotland
spellingShingle The integration of social and health sectors in Scotland
Correia de Matos, Ricardo
healthcare sector
integrated care
integrated public policy
social sector
Health Policy
Health Informatics
SDG 3 - Good Health and Well-being
title_short The integration of social and health sectors in Scotland
title_full The integration of social and health sectors in Scotland
title_fullStr The integration of social and health sectors in Scotland
title_full_unstemmed The integration of social and health sectors in Scotland
title_sort The integration of social and health sectors in Scotland
author Correia de Matos, Ricardo
author_facet Correia de Matos, Ricardo
Nascimento, Generosa do
Fernandes, Adalberto Campos
Matos, Cristiano
author_role author
author2 Nascimento, Generosa do
Fernandes, Adalberto Campos
Matos, Cristiano
author2_role author
author
author
dc.contributor.none.fl_str_mv Escola Nacional de Saúde Pública (ENSP)
RUN
dc.contributor.author.fl_str_mv Correia de Matos, Ricardo
Nascimento, Generosa do
Fernandes, Adalberto Campos
Matos, Cristiano
dc.subject.por.fl_str_mv healthcare sector
integrated care
integrated public policy
social sector
Health Policy
Health Informatics
SDG 3 - Good Health and Well-being
topic healthcare sector
integrated care
integrated public policy
social sector
Health Policy
Health Informatics
SDG 3 - Good Health and Well-being
description Publisher Copyright: © 2025 by the authors.
publishDate 2025
dc.date.none.fl_str_mv 2025-05-23T21:15:33Z
2025-03
2025-03-01T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10362/183374
url http://hdl.handle.net/10362/183374
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 2001-6689
PURE: 116656197
https://doi.org/10.3390/jmahp13010008
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
instname:FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia
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instname_str FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia
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reponame_str Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
collection Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
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