Inter-organizational collaboration among health and social care: TRT©, a transactional approach

Inter-organizational collaboration (IOC) supported by information and communication technologies (ICTs) faces challenges on many fronts in 21st century England as well as globally. Between the somewhat desirable ideal of 'joined up' systems providing efficient services to customers and clients on one side of the continuum, and the costs and risk factors associated with integrating data or constructing large databases on the other side, a fundamental tension exists.

This paper addresses this issue in two parts. Firstly, it argues that there is a way forward for information sharing among heterogeneous organizations which does not involve the integration of systems, interoperability, joined up recordkeeping, database linkage, or construction of yet another large database. Transactions in Real Time© (TRT©), the transaction by transaction information sharing approach, satisfies all the requirements of each collaborating organization for information sharing.

Secondly, this paper briefly considers the future of IOC among health and social care and possible pathways forward through this uncertain area. The health and social care information sharing transaction is often unique among the particular transaction situation, and the micro and macro environments.