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The study presents the findings from a study over a four-year period of the emergence of an integrated healthcare organisation in response to policy changes within the United Kingdom (UK). The aim of the research was to understand the process of healthcare organisation integration through the lens of actor–network theory (ANT).

An instrumental case study approach to data collection was selected. Three methods of data collection were used to trace the healthcare organisation integration process: in depth semistructured interviews using a virtual patient journey across services with 36 purposefully selected informants, document analysis and field observations and notes.

The findings of this study suggest that neither the context nor the actors were the sole determinants of the outcome of the integration. Rather it was the dynamic interplay between the actors, their context, the shared agency and the resources available to them as the change emerged shaped the end result.

The findings denote that organisations need to attend to frontline workers as key contributors to change and development that is meaningful for service users. Methodologically, combining the ANT and constructive case study to understand the integration process provided us with new perspective to understand the trajectory of change process.

This original case study fills a gap in information about the role of healthcare professionals in healthcare policy process and the interactive relationship between all stakeholders of policy process including nonhuman actors.

The seminal literature on state formation proposes a model of “co-opt and expand” to explain the rise of centralized nation-states in modern and early modern Europe. Building on this literature’s distinction between direct and indirect rule, other analysts have expanded the scope of this model to explain patterns of state building in the non-Western world, particularly in the construction of centralized authority in postcolonial and postimperial contexts. According to this literature, the failure of central rulers to co-opt local elites has frequently produced weak states lacking capacities of rule in their peripheries. Using archival materials to examine the Albanian state’s relatively successful penetration of the country’s highland communities during its early decades of national independence, this article suggests that state building can proceed along an alternative path called “co-opt and bind,” in which state builders “bind” peasant communal institutions to the institutional idea of the nation-state to legitimize and implement state building goals. The article identifies three mechanisms used by early Albanian state builders to generate legitimacy and institute political order in its remote communities, including disarmament, the institution of new forms of economic dependency, and the invocation of peasant cultural codes of honor.

Avant‐propos sous les auspices de l'Institut international de Coopération intellectuelle, paraissait en 1934 le t. I, consacré à l'Europe, du Guide international des Archives. Le questionnaire envoyé à tous les États européens comportait sous les points 4 et 6 les questions suivantes: ‘Existe‐t‐il un guide général pour les diverses catégories d'Archives ou des guides particuliers pour l'une ou l'autre d'entre elles?’ et ‘Existe‐t‐il des catalogues imprimés, des publications tant officielles que privées, susceptibles de constituer un instrument complet de référence pour tout ou partie importante des fonds d'archives?’ Les réponses des divers pays à ces questions, malgré leur caractère très inégal, ont fait du Guide international un bon instrument d'information générale sur les Archives. Malheureusement les circonstances ont empêché la publication du volume consacré aux États non européens, tandis que le temps qui s'écoulait tendait à rendre périmés les renseignements fournis sur les Archives européennes.