A model and typology of collaboration between professionals in healthcare organizations
Tóm tắt
The new forms of organization of healthcare services entail the development of new clinical practices that are grounded in collaboration. Despite recent advances in research on the subject of collaboration, there is still a need for a better understanding of collaborative processes and for conceptual tools to help healthcare professionals develop collaboration amongst themselves in complex systems. This study draws on D'Amour's structuration model of collaboration to analyze healthcare facilities offering perinatal services in four health regions in the province of Quebec. The objectives are to: 1) validate the indicators of the structuration model of collaboration; 2) evaluate interprofessional and interorganizational collaboration in four health regions; and 3) propose a typology of collaboration A multiple-case research strategy was used. The cases were the healthcare facilities that offer perinatal services in four health regions in the province of Quebec (Canada). The data were collected through 33 semi-structured interviews with healthcare managers and professionals working in the four regions. Written material was also analyzed. The data were subjected to a "mixed" inductive-deductive analysis conducted in two main stages: an internal analysis of each case followed by a cross-sectional analysis of all the cases. The collaboration indicators were shown to be valid, although some changes were made to three of them. Analysis of the data showed great variation in the level of collaboration between the cases and on each dimension. The results suggest a three-level typology of collaboration based on the ten indicators: active collaboration, developing collaboration and potential collaboration. The model and the typology make it possible to analyze collaboration and identify areas for improvement. Researchers can use the indicators to determine the intensity of collaboration and link it to clinical outcomes. Professionals and administrators can use the model to perform a diagnostic of collaboration and implement interventions to intensify it.
Tài liệu tham khảo
Huxham C, Vangen S: Leadership in the shaping and implementation of collaboration agendas: How things happen in a (not quite) joined-up world. Acad Manage J. 2000, 43 (6): 1159-1175. 10.2307/1556343.
Philips N, Lawrence TB, Hardy C: Interorganizational collaboration and the dynamics of institutional fields. Journal of Management Studies. 2000, 37 (1): 23-43.
Ring PS, Ven Van de AH: Developmental processes for cooperative interorganizational relationships. Acad Manage Rev. 1994, 19 (1): 90-118. 10.2307/258836.
Polton D: Décentralisation des systèmes de santé: un éclairage international. Revue française des affaires sociales. 2004, 58 (4): 267-299.
Smith M, Carrol S, Ashford SK: Intra- and interorganizational cooperation: Toward a research agenda. Acad Manage J. 1995, 38: 7-23. 10.2307/256726.
Roberts DY: Reconceptualizing case management in theory and practice: a frontline perspective. Health Serv Manage Res. 2002, 15: 147-164. 10.1258/095148402320176594.
Schofield FR, Amodeo M: Interdisciplinary teams in health care and human services settings: Are they effective?. Health Soc Work. 1999, 24 (3): 203-219.
Cashman SB, Reidy P, Cody K, Lemy CA: Developing and measuring progress toward collaborative, integrated, interdisciplinary health care teams. J Interprof Care. 2004, 18 (2): 183-196. 10.1080/13561820410001686936.
San Martin Rodriguez L, Beaulieu MD, D'Amour D, Ferrada M: The determinants of successful collaboration: a review of theoretical and empirical work. J Interprof Care. 2005, 132-147. 10.1080/13561820500082677. Suppl 1
Irvine-Doran DM, Baker GR, Murray M, Bohnen J, Zahn C, Sidani S, Carryer J: Achieving clinical improvement: An interdisciplinary intervention. Health Care Manage Rev. 2002, 27 (4): 42-56.
Wen SW, Liu S, Marcoux S, Fowler D: Trends and variations in length of hospital stay for childbirth in Canada. Can Med Ass J. 1998, 158: 875-880.
Goulet L, Aïssatou F, D'Amour D, Pineault R: Preparation for discharge, maternal satisfaction, and newborn readmission for jaundice: Comparing postpartum models of care. BIRTH. 2007, 34: 131-139. 10.1111/j.1523-536X.2007.00159.x.
D'Amour D, Sicotte C, Lévy R: Un modèle de structuration de l'action collective dans les services de santé de première ligne au Québec. Sciences Sociales et Santé. 1999, 17 (3): 67-94.
Crozier M, Friedberg E: L'acteur et le système: les contraintes de l'action collective. 1977, Paris, Éditions du Seuil
Friedberg E: Le pouvoir et la règle: Dynamiques de l'action organisée. 1993, Paris, Éditions du Seuil
Thoenig JC: How far is a sociology of organizations still needed?. Organization Studies. 1998, 19 (2): 307-320. 10.1177/017084069801900207.
Beaulieu MD, Denis JL, D'Amour D, Gaudreau J, Haggerty J, Hudon E, et al: L'implantation des Groupes de médecine de famille: le défi de la réorganisation de la pratique et de la collaboration interprofessionnelle. Research Report. 2006, Université de Montréal, Montréal
D'Amour D, Goulet L, Pineault R, Labadie JF, Remondin M: Comparative study of interorganizational collaboration and its impact: the case of perinatal services. Research Report. 2004, GRIS, Montréal
Ministère de la Santé et des Services Sociaux: Évaluation de l'implantation des réseaux locaux de services de santé et de services sociaux. Québec. 2007
Bodewes WEJ: Formalization and innovation revisited. European Journal of Innovation Management. 2002, 5 (4): 214-223. 10.1108/14601060210451171.
Yin RK: Case study research. Design and methods. 2002, Thousand Oaks, Sage Publications, 3
Deslauriers JH: Recherche qualitative. Guide pratique. 1991, Montréal, McGraw-Hill
Huberman AM, Milles MB: Analyse de données qualitatives: recueil de nouvelles méthodes. 1991, Bruxelles, Éditions du Renouveau Pédagogique
Creswell JW: Qualitative inquiry and research design. Choosing among five traditions. 1998, Thousand Oaks, Sage Publications
Marradi A: Classification, typology, taxonomy. Quality & Quantity. 1990, 24: 129-157.
Fleuren M, Wieffernink K, Paulussen T: Determinants of innovation within health care organizations. Literature review and Delphi study. Int J Qual Health Care. 2004, 16 (2): 107-123. 10.1093/intqhc/mzh030.
Greenhalgh T, Robert G, Macfarlane F, Bate P, Kyriakidou O: Diffusion of Innovations in Service Organizations: Systematic review and recommandations. Milbank Q. 2004, 82 (4): 581-629. 10.1111/j.0887-378X.2004.00325.x.
O'Connel M, Doverspike D, Cober A: Leadership and semiautonomous work team performance. Group & Organization Management. 2002, 27 (1): 50-65. 10.1177/1059601102027001004.
Légaré F, Stacey D, Graham I, Elwyn G, Pluye P, Gagnon MP, et al: Advancing theories, models and measurement for an interprofessiobnal approach to shared decision making in primary care: a study protocol. BMC Health Serv Res. 2008, 8 (2): 1-8.
Redman R, Lynn M: Advancing patient-centred care through knowledge development. Can J Nurs Res. 2004, 36 (3): 116-129.
Jones GR, George J: The experience and evolution of trust: implications for cooperation and teamwork. Acad Manage. 1998, 23 (3): 531-546. 10.2307/259293.
Mayer R, Davis J, Schoorman FD: An integrative model of organization trust. Acad Manage. 1995, 20 (3): 709-734. 10.2307/258792.
Denis JL, Lamothe L, Langley A: The dynamics of collective leadership and strategic change in pluralistic organizations. Acad Manage J. 2001, 44 (4): 809-837. 10.2307/3069417.
Lemieux-Charles L, McGuire WL: What do we know about health care team effectiveness? A review of the literature. Med Care Res Rev. 2006, 63 (3): 263-300. 10.1177/1077558706287003.
Baker D, Day R, Salas E: Teamwork as an essential Component of High-reliability Organizations. Health Serv Res. 2006, 41 (4): 1576-1598. 10.1111/j.1475-6773.2006.00566.x.
Ring PS, Ven Van de AH: Developmental processes in cooperative interorganizational relationships. Acad Manage Rev. 1994, 19: 90-118. 10.2307/258836.
Ivey S, Brown KS, Teske Y, Silverman D: A model for teaching about interdisciplinary practice in health care settings. J Allied Health. 1988, 189-195.
Alter C, Hage J: Organizations working together. 1993, Newbury Park, Sage Publications
Schmitt MH: Collaboration improves the quality of care: Methodological challenges and evidence from US health care research. J Interprof Care. 2001, 15: 47-66. 10.1080/13561820020022873.
D'Amour D, Ferrada-Videla M, San Martín-Rodríguez L, Beaulieu MD: Conceptual basis for interprofessional collaboration: Core concepts and theoretical frameworks. J Interprof Care. 2005, 19 (suppl 1): 116-131. 10.1080/13561820500082529.
Walker E, Dewar BJ: How do we facilitate carers' involvement in decision making?. J Adv Nurs. 2001, 34 (3): 329-337. 10.1046/j.1365-2648.2001.01762.x.
Heinemann GD, Zeis AM: Team performance in health care. 2002, New York, Kluwer Academin/Plenum Publishers
The pre-publication history for this paper can be accessed here:http://www.biomedcentral.com/1472-6963/8/188/prepub