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Barriers and leverage points for seeing alcohol differently in integrated care systems in England: a senior stakeholder interview study.


ABSTRACT:

Introduction

Integrated care systems (ICSs) are the latest major innovation aiming to develop localised, integrated health and social care services to improve population health in England. Nationally, alcohol has received limited attention in National Health Service (NHS) strategic decision-making relative to its burden of harm, which varies considerably in localities. We examined decision-making and progress on alcohol in two contrasting ICSs, identifying systemic barriers to dealing with alcohol harm and potential leverage points, particularly in primary care.

Methods

Qualitative case study in two ICSs differing in strategic prioritisation of alcohol in Northern England. In-depth semistructured interviews with 14 senior stakeholders followed by constructionist thematic ana

SUBMITTER: Madden M 

PROVIDER: S-EPMC11812887 | biostudies-literature | 2024 Jun

REPOSITORIES: biostudies-literature