TY - JOUR
AU - M. Pirouzi
AU - V. Selak
AU - T. Tenbensel
A1 - 
AB - INTRODUCTION: Why do integrated care programmes succeed in some settings but not others, even when national leadership and funding are aligned? This persistent question shaped our examination of the New Zealand Falls and Fracture Prevention Programme (FFPP), a complex, cross-sector initiative targeting older adults. We applied and extended the Context and Capabilities for Integrating Care (CCIC) framework to explore how organisational and inter-organisational factors contributed to variation in implementation and outcomes. METHOD: We conducted a qualitative comparative case study of four large districts with differences in FFPP implementation including 28 semi-structured interviews. Thematic analysis was primarily deductive, using the CCIC framework, but remained open to emergent, context-specific themes. RESULTS: We identified 43 organisational and implementation factors, of which five had a particularly important effect on FFPP implementation and outcomes: a well-structured governance team, collaborative leadership, engagement with primary care and private organisations, positive prior collaboration experience, and applying a population-based approach. We modified the CCIC framework to more fully reflect our observations by adding prior collaboration experience and a life-cycle approach (from pre-engagement to establishment). CONCLUSION: The CCIC framework captured most key organisational dynamics but was enhanced by incorporating temporal and historical dimensions of collaboration.
AD - School of Population Health, Faculty of Medical and Health Sciences, University of Auckland, Bldg. 507, Level 3, 22-30 Park Ave, Grafton, Auckland 1023, New Zealand.; School of Population Health, Faculty of Medical and Health Sciences, University of Auckland, Bldg. 507, Level 1, 22-30 Park Ave, Grafton, Auckland 1023, New Zealand.
AN - 41626237
BT - Int J Integr Care
C5 - Healthcare Disparities
CP - 1
DA - Jan-Mar
DO - 10.5334/ijic.8924
DP - NLM
ET - 20260130
IS - 1
JF - Int J Integr Care
LA - eng
N2 - INTRODUCTION: Why do integrated care programmes succeed in some settings but not others, even when national leadership and funding are aligned? This persistent question shaped our examination of the New Zealand Falls and Fracture Prevention Programme (FFPP), a complex, cross-sector initiative targeting older adults. We applied and extended the Context and Capabilities for Integrating Care (CCIC) framework to explore how organisational and inter-organisational factors contributed to variation in implementation and outcomes. METHOD: We conducted a qualitative comparative case study of four large districts with differences in FFPP implementation including 28 semi-structured interviews. Thematic analysis was primarily deductive, using the CCIC framework, but remained open to emergent, context-specific themes. RESULTS: We identified 43 organisational and implementation factors, of which five had a particularly important effect on FFPP implementation and outcomes: a well-structured governance team, collaborative leadership, engagement with primary care and private organisations, positive prior collaboration experience, and applying a population-based approach. We modified the CCIC framework to more fully reflect our observations by adding prior collaboration experience and a life-cycle approach (from pre-engagement to establishment). CONCLUSION: The CCIC framework captured most key organisational dynamics but was enhanced by incorporating temporal and historical dimensions of collaboration.
PY - 2026
SN - 1568-4156 (Print)
SP - 2
ST - Which Inter-Organisational Characteristics Supported More Effective Implementation of a New Zealand Falls and Fractures Prevention Programme? Applying and Adapting the Context and Capabilities for Integrated Care Framework
T1 - Which Inter-Organisational Characteristics Supported More Effective Implementation of a New Zealand Falls and Fractures Prevention Programme? Applying and Adapting the Context and Capabilities for Integrated Care Framework
T2 - Int J Integr Care
TI - Which Inter-Organisational Characteristics Supported More Effective Implementation of a New Zealand Falls and Fractures Prevention Programme? Applying and Adapting the Context and Capabilities for Integrated Care Framework
U1 - Healthcare Disparities
U3 - 10.5334/ijic.8924
VL - 26
VO - 1568-4156 (Print)
Y1 - 2026
ER -