It's good to talk: social network analysis as a method for judging the strength of integrated care

Last year I was undertaking an interview with a health care manager in England who was bemoaning the lack of care integration between primary care (general practice) and secondary care (hospitals) in the management of people with diabetes.

When I asked her when she might know that the system had improved in the future she answered - 'when GPs routinely pick up the telephone and talk to the consultant about a patient’s diagnosis or care options… and actually work together to support the patient in the care they receive'.

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