Abstract
The growth in the volume and diversity of #wellbeing practices as
frontline service outlets poses fresh challenges for the adoption of new
technical and scientific developments in health care. This short
article reports the findings of a review undertaken in the United
Kingdom of recent local evaluations of new social enterprises, in order
to identify their formative relationships. Drawing on relational audit
#methodologies a gap analysis highlights three types of relationship
where shortfalls hinder knowledge exchange across contemporary primary
health care. The findings suggest that further research is required to
understand the routes and mechanisms needed for the effective future
integration of biomedical innovations into what are, in #organisational
terms, increasingly hybrid public health systems. In 2008 the World Health Organisation recognised the growing diversity
of #frontline services 'across sectors' as a key 'challenge in a changing
world' for 'integrating public health actions into primary care’ [1].Its Annual Report then highlighted the pursuant risks of fragmentation
and 'pervasive #commercialisation' as new projects and #programmes
multiply.
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