Policy delusions and dutiful daughters: imagined versus real care integration for older people

Kristiana Ludlow, Jackie Bridges, Catherine Pope, Johanna Westbrook, Jeffrey Braithwaite

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review


Policymakers advocate for integrated care as a solution to care fragmentation. In the case of older adults, informal carers (especially ‘dutiful daughters’) play a significant role in integrating and coordinating care. Ludlow and colleagues examine how the role of informal carers in integrating care across services and systems is reflected in policy (the blunt-end of the system) and the experiences of dutiful daughters (the sharp-end) in England and Australia. They present the findings from content analysis of key policy documents, as well as four case accounts of dutiful daughters. The authors found that unpaid carers, and the gender imbalance of caregiving, were largely invisible in the policy documents, accentuating the disconnect between policymakers’ vision for integrated care and the accomplishment of integration on the ground.
Original languageEnglish
Title of host publicationManaging healthcare organisations in challenging policy contexts
EditorsRoman Kislov, Diane Burns, Bjørn Erik Mørk, Kathleen Montgomery
Place of PublicationCham
PublisherPalgrave Macmillan
Number of pages26
ISBN (Electronic)9783030810931
ISBN (Print)9783030810924
Publication statusPublished - 2021

Publication series

NameOrganizational Behaviour in Healthcare
PublisherPalgrave Macmillan
ISSN (Print)2662-1045
ISSN (Electronic)2662-1053


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