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Exploring role clarity in interorganizational spread and scale-up initiatives: the ‘INSPIRED’ COPD collaborative
- Source :
- BMC Health Services Research, BMC Health Services Research, Vol 18, Iss 1, Pp 1-7 (2018)
- Publication Year :
- 2018
- Publisher :
- BioMed Central, 2018.
-
Abstract
- Background Role clarification is consistently documented as a challenging process for inter professional healthcare teams, despite being a core tenet of interprofessional collaboration. This paper explores the role clarification process in two previously unexplored contexts: i) in the dissemination phase of a quality improvement (QI) program, and ii) as part of interorganizational partnerships for the care of chronic disease patients. Methods A secondary analysis using asynchronous purposive coding was conducted on an innovative pan-Canadian Chronic Obstructive Pulmonary Disease QI program. Results Our study reveals that the iterative structure of QI initiatives in the spread phase can offer numerous unique benefits to role clarification, with the potential challenge of time commitment. In addition, the role clarification process within interorganizational partnerships proved to be relatively well-structured, characterized by three phases: relationship conceptualization or early contact, familiarization, and finally, role division. Common strategies in the last stage included the establishment of working groups and new information-sharing networks. Conclusion This article characterizes some ways in which providers and organizational partners negotiate their roles in a changing professional environment. As the movement towards integrated care continues, issues of role clarity are assuming increasing importance in healthcare contexts, and understanding role dynamics can provide valuable insight into the optimization of QI initiatives.
- Subjects :
- Interprofessional collaboration
Canada
Knowledge management
Health Personnel
Interprofessional Relations
Professional roles
Health informatics
law.invention
Health administration
Chronic disease care
03 medical and health sciences
Pulmonary Disease, Chronic Obstructive
0302 clinical medicine
Professional Role
law
Health care
Medicine
Interorganizational partnership
Humans
Organizational factors
030212 general & internal medicine
Cooperative Behavior
Social Behavior
Patient Care Team
030504 nursing
Conceptualization
business.industry
Health Policy
Nursing research
lcsh:Public aspects of medicine
Scalability
lcsh:RA1-1270
Quality Improvement
Integrated care
Chronic Disease
CLARITY
0305 other medical science
Working group
business
Research Article
Subjects
Details
- Language :
- English
- ISSN :
- 14726963
- Volume :
- 18
- Database :
- OpenAIRE
- Journal :
- BMC Health Services Research
- Accession number :
- edsair.doi.dedup.....9ad036be9e69d45f78846714c2abadd9