Connected Health and Social Care Communities

在服务整合和发展的背景下，卫生和社会保健领域的社区需要进行询问：分析可以确定与治理、专业实践和用户/公民选区有关的社区。如果要开展跨社区参与和发展工作，就需要承认不同社区内的知识、理解和身份；那些自己跨社区或认同多个卫生和社会保健社区的人可能是有价值的“联络人”，担任正式或非正式的角色。与组织研究中的主流理论（如功能主义、社会学习）相比，人文学科提供了美德伦理的视角，用来研究社区的连通性和随时间的变化。讲习班活动发现，虽然政策可能破坏现有社区的保健和社会护理，但社区可以作出反应，确认其目的，并寻求与他人共同理解目的。未来的研究应探讨卫生和社会护理社区如何应对不断变化的环境，以及哪些因素影响社区形式和能力是受到政策和实践发展的推动还是威胁。

In the context of service integration and development, communities in Health and Social Care require interrogation: analysis enables identification of community in relation to governance, professional practice and user/citizen constituencies. Knowledge, understandings and identities within different communities need recognition if cross-community engagement and development work is to be undertaken; those who themselves cross communities or identify with multiple health and social care communities may be valuable 'connectors', in either formal or informal roles. In contrast to predominant theories in organisational studies (e.g. functionalist; social learning), humanities offers the lens of virtue ethics with which to examine connectedness in communities and change over time. Workshop activity found that whilst policy can be disruptive of pre-existing communities in health and social care, communities can respond, to affirm their purpose and seek joint understandings of purpose with others. Future research should explore how communities in health and social care respond to changing circumstances, and what factors influence whether community forms and capacity are enabled or threatened by policy and practice developments.