Table 3

Synthetic presentation of cases results

Integration
DifferentiationVerticalHorizontalOrganic
Integration dimensionExpectationDegrees of freedom reductionExpectationDegrees of freedom reductionExpectationDegrees of freedom reduction
Case 1 – Strong integration Strong expectations from direction General limitations of functionings No effective expectation from the centre Strong RDF by a periphery service Strong expectation from the Continuous Quality Improvement (CQI) Strong RDF by the CQI department 
Case 2 – Weak integration Weak (and declining) expectations from direction General limitations of functionings No effective expectation from the centre Weak RDF anywhere on the centre-periphery spectrum Moderate and punctual expectations from diverse services Weak and punctual RDF 
Case 3 – Middle integration Middle expectation from diverse direction General limitations of functionings No effective expectation from the centre Middle RDF at the periphery Acute expectation from one service and punctual expectation from others Strong RDF by one service 
Integration
DifferentiationVerticalHorizontalOrganic
Integration dimensionExpectationDegrees of freedom reductionExpectationDegrees of freedom reductionExpectationDegrees of freedom reduction
Case 1 – Strong integration Strong expectations from direction General limitations of functionings No effective expectation from the centre Strong RDF by a periphery service Strong expectation from the Continuous Quality Improvement (CQI) Strong RDF by the CQI department 
Case 2 – Weak integration Weak (and declining) expectations from direction General limitations of functionings No effective expectation from the centre Weak RDF anywhere on the centre-periphery spectrum Moderate and punctual expectations from diverse services Weak and punctual RDF 
Case 3 – Middle integration Middle expectation from diverse direction General limitations of functionings No effective expectation from the centre Middle RDF at the periphery Acute expectation from one service and punctual expectation from others Strong RDF by one service 
Source(s): Authors’ own work

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