为了实现医疗保健提供者之间的组织间合作:一个现实的证据综合
Ross Millar1, Justin Avery Aunger1, Anne Marie Rafferty2
1Health Services Management Centre, School of Social Policy, University of Birmingham, Birmingham, UK.
Health and social care delivery research
|July 20, 2023
概括
在NHS的组织间合作需要信任和信心来提高绩效. 本研究提供了有效合作的实际指导和工具,突出了成功的关键机制.
科学领域:
- 医疗保健管理的管理
- 组织研究 组织研究
- 医疗保健服务研究 医疗服务研究
背景情况:
- 促进组织间的合作,以提高NHS提供商的绩效.
- 有限的系统评估存在于特定背景下的协作方法和机制.
研究的目的:
- 探索有关组织间协作框架的文献.
- 评估合作对绩效影响的经验证据.
- 了解利益相关者对NHS转型合作的看法.
- 为NHS提供者开发一种协作类型.
- 创建实施和评估合作的实际指导.
主要方法:
- 现实主义的综合方法来开发和完善理论.
- 对同行评审和灰色文学进行范围和现实的评论.
- 与34个利益相关者进行现实的采访.
- 与患者和公众代表组成的焦点小组.
主要成果:
- 确定了关键机制:信任,信仰,自信和承受风险.
- 开发了协作性能的程序理论 (文化有效性,组织效率,技术有效性).
- 创建了实用工具:诊断调查和协作成熟度指数.
结论:
- 成功的组织间协作是复杂的,需要时间,资源和精力.
- 建立信任,信心和自信对于高绩效的合作至关重要.
- 这些机制的平衡对于合作成功至关重要.
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