TY - JOUR ID - 4231 TI - Overcoming Political Fragmentation: The Potential of Meso-Level Mechanisms; Comment on “Integration or Fragmentation of Health Care? Examining Policies and Politics in a Belgian Case Study” JO - International Journal of Health Policy and Management JA - IJHPM LA - en SN - AU - Steele Gray, Carolyn AD - Bridgepoint Collaboratory for Research and Innovation, Lunenfeld-Tanenbaum Research Institute, Sinai Health, Toronto, ON, Canada Y1 - 2023 PY - 2023 VL - 12 IS - Issue 1 SP - 1 EP - 3 KW - Health Policy KW - Integrated Care KW - Change Mechanisms KW - Belgium DO - 10.34172/ijhpm.2022.7075 N2 - Martens and colleagues’ paper “Integration or Fragmentation of Health Care? Examining Policies and Politics in a Belgian Case Study,” offers an in-depth examination of integrated care policy efforts in Belgium. A key finding in this case study was that political fragmentation proved too great an obstacle for integration efforts. In this commentary, I draw on the organizational behaviour and integrated care literatures to suggest how meso-level mechanisms related to sensemaking, distributive leadership, and evaluation could help overcome policy (or macro) level challenges like those experienced in Belgium. The commentary also suggests we need to consider and address both the process and normative challenges in these transformation efforts. UR - https://www.ijhpm.com/article_4231.html L1 - https://www.ijhpm.com/article_4231_09979fc814fc443cfc24e5f6ea30992e.pdf ER -