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Integrated care is central to current health care reforms as policy makers and practitioners struggle to address fragmentation of care planning and delivery. However, those pursuing integration have failed to appreciate the complex nature of fragmentation. We seek to bring some much-needed clarity to current debate by considering fragmentation as a 'wicked problem' requiring a locally driven and multifaceted approach to integration. © SAGE Publications Ltd 2013.

Original publication




Journal article


Journal of Health Services Research and Policy

Publication Date





61 - 64