How to Create Relational Capital in Hospital-In-The-Home Units.

The Spanish healthcare system has undergone important changes, particularly with respect to the development of new hospital services. Today, more than ever, the factors that define the nature and structured of the Spanish healthcare environment (e.g. demand, costs, system deregulation) are undergoing rapid change thus obliging hospital administrators to develop and implement flexible and adaptive strategies in order to survive in an increasingly challenging environment facing hospital management. This work examines how the existence of some learning practices is linked to knowledge transfer and how this component is linked to relational capital. These relationships are examined through an empirical investigation of 54 doctors and 62 nurses belonging to 44 Hospital-in-the-Home Units. In an applied sense, the findings provide homecare practitioners with identifiable factors, which enable two learning models (conceptual and operational) and address the relevant issues by changing strategies at both the individual and organisational levels. [ABSTRACT FROM AUTHOR]