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Does Telecare Improve Interorganisational Collaboration?

Jannie Kristine Bang Christensen1

  • 1Center of Organization, Management and Administration, Department of Sociology and Social Work, Aalborg University, Kroghstraede 7, 9220 Aalborg, Denmark.

International Journal of Integrated Care
|March 21, 2017
PubMed
Summary

A large-scale telecare program in Denmark improved collaboration between municipalities and general practitioners. Hospital collaboration remained unchanged, with evolving dependency structures influencing network dynamics over time.

Keywords:
dependency structureshome monitoringhorizontal integrationinterorganisational collaborationintersectorial collaborationtelecare

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Area of Science:

  • Health Services Research
  • Digital Health
  • Interorganizational Collaboration

Background:

  • Telecare's potential to enhance collaboration in fragmented healthcare systems is suggested but not widely studied at scale.
  • This study investigates a large-scale Danish telecare program utilizing home-monitoring.

Purpose of the Study:

  • To examine the impact of a large-scale telecare program on interorganizational collaboration.
  • To analyze collaboration within a telecare network involving municipalities, hospitals, and general practitioners.

Main Methods:

  • Employed semi-structured interviews and observations of healthcare professionals.
  • Data collection occurred at two time points, one year apart.
  • Analyzed collaboration at both the network and sub-network levels.

Main Results:

  • Telecare initially intensified collaboration between municipalities and general practitioners.
  • This collaboration evolved as initial challenges resolved and patient engagement increased.
  • Collaboration between hospitals and municipalities, and hospitals and general practitioners, was not significantly affected by telecare.

Conclusions:

  • Changes in collaboration were linked to shifting dependency structures and the municipalities' central role in the telecare network.
  • Initial asymmetrical dependencies within the network were partially equalized over time.
  • The evolving position of municipalities influenced interprofessional collaboration dynamics.