在圈子里走? - 确定医疗保健网络在其成员组织内的传播过程
Roos G F M van der Ven1, Daan Westra2, Felice N van Erning3
1Department of Health Services Research, Faculty of Health, Care and Public Health Research Institute (CAPHRI), Faculty of Health, Medicine and Life Sciences (FHML), Maastricht University, Universiteitssingel 40, 5229ER, Maastricht, the Netherlands; Department of Oncology and Developmental Biology (GROW), Faculty of Health, Medicine and Life Sciences (FHML), Maastricht University, Universiteitssingel 40, 5229ER, Maastricht, the Netherlands; Department of Research & Development, Netherlands Comprehensive Cancer Organisation (IKNL), Rijnkade 5, 3511 LC, Utrecht, the Netherlands.
医疗保健网络努力改善结果,因为成员组织很少采用网络决策. 这项研究揭示了五个组成部分的过程和共同的障碍,为提高网络效率提供了一个框架.
科学领域:
- 医疗保健管理的管理
- 组织网络 组织网络
- 实施科学 实施科学
背景情况:
- 针对复杂的医疗保健挑战,以目标为导向的网络很普遍.
- 由于成员组织对网络决策的采用不佳,对健康结果的影响有限.
研究的目的:
- 开发一个流程模型,解释从网络到运营层面的传播.
- 确定影响多医院网络成功的因素.
主要方法:
- 三个多医院网络的深入多重案例研究.
- 数据收集包括24小时的会议观察,文档分析 (241页) 和39个半结构面试.
- 分析涉及网络代表和运营层面的组成部分.
主要成果:
- 确定了一个周期性的五个组成部分的传播过程:可转移的输出,经纪,内部转移,采用和组织投入.
- 关键的抑制因素包括缺乏时间,承诺和选区错位.
- 这些因素影响了传播过程的各个组成部分.
结论:
- 开发的模型通过详细说明传播障碍来解释网络故障.
- 为网络管理人员提供一个框架,以系统地解决威胁并提高网络的成功.
- 强调将网络层面的决策与运营层面的采用调整为改善健康结果的重要性.
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