TY - JOUR AB - Purpose– The purpose of this paper is to demonstrate that, if teams in healthcare focus on the patient using the framework of a care pathway, change can occur without the overt need to “manage” it directly.Design/methodology/approach– In this paper the relevant literature is reviewed and it is demonstrated that if this approach is used it also provides a means for addressing difficult professional and organisational issues that are often unresolved in broader projects of organisational change. This is not presented as a panacea or the solution to all change projects, rather the contention here is that it is one means among many that can be used to bring about important changes in practice.Findings– The paper finds that care pathways represent a useful tool, which teams can use to work through the contextual and practical issues involved in changing practice.Originality/value– The paper describes the development of integrated care pathways, which can be regarded as a fortunate fusion of managerial and professional concerns. VL - 21 IS - 3 SN - 1477-7266 DO - 10.1108/14777260710751753 UR - https://doi.org/10.1108/14777260710751753 AU - Whittle Claire AU - Hewison Alistair PY - 2007 Y1 - 2007/01/01 TI - Integrated care pathways: pathways to change in health care? T2 - Journal of Health Organization and Management PB - Emerald Group Publishing Limited SP - 297 EP - 306 Y2 - 2024/04/20 ER -