社会社区团队通过边界工作和与他们的利益相关者一起玩来创建服务整合
Martian Slagter1, Marjolein Van Offenbeek1, Manda Broekhuis1
1University of Groningen, NL.
International journal of integrated care
|July 8, 2024
概括
社会社区团队 (SCT) 通过平衡长期愿景和短期目标来整合服务. 有效的边界工作,包括"边界游戏",有助于协作和新兴服务集成.
科学领域:
- 社会科学 社会科学 社会科学
- 公共卫生 公共卫生
- 组织研究 组织研究
背景情况:
- 欧洲的市政当局越来越多地管理社会护理,旨在改善可访问性,服务整合和降低成本.
- 多学科社会社区团队 (SCT) 对于提供综合服务至关重要,需要跨组织的合作.
- 有效的协作需要SCT能够跨越专业和组织界限进行导航和工作.
研究的目的:
- 调查SCT实践中的边界工作如何为服务集成做出贡献.
- 了解在多利益相关方背景下合作的动态.
- 确定促进和阻碍SCT服务整合努力的因素.
主要方法:
- 一个嵌入式的案例研究三个SCTs超过18个月.
- 通过多个来源收集数据,包括关于目标实现的每两周一次问卷.
- 在服务整合和利益相关者合作的背景下分析边界工作.
主要成果:
- 长期愿景促进了内部连贯性 (加强边界),而短期目标则加强了利益相关方的合作 (跨越边界).
- 成功整合服务的SCTs将限制纳入目标和实践,积极跨越和操纵边界.
- 组织良好的利益相关者和事先的熟悉程度显著促进了SCT的边界跨越.
- 一种新的边界工作形式",边界游戏" (非正式的实验性合作) 出现,为新兴的服务集成做出了贡献.
结论:
- 边界工作对于SCT在复杂环境中实现服务集成至关重要.
- 内部边界加强和外部边界跨越的结合,包括"边界游戏",对于成功的整合至关重要.
- 利益相关者的特点和积极的边界管理策略影响服务整合努力的有效性.
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