A model and typology of collaboration between professionals in healthcare organizations
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Open Access
- 20 September 2008
- journal article
- research article
- Published by Springer Science and Business Media LLC in BMC Health Services Research
- Vol. 8 (1), 40-188
- https://doi.org/10.1186/1472-6963-8-188
Abstract
Background: 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 Methods: 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. Results: 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. Conclusion: 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.This publication has 35 references indexed in Scilit:
- Dental service patterns among private and public adult patients in AustraliaBMC Health Services Research, 2008
- Advancing theories, models and measurement for an interprofessional approach to shared decision making in primary care: a study protocolBMC Health Services Research, 2008
- Preparation for Discharge, Maternal Satisfaction, and Newborn Readmission for Jaundice: Comparing Postpartum Models of CareBirth, 2007
- Teamwork as an Essential Component of High‐Reliability OrganizationsHealth Services Research, 2006
- The determinants of successful collaboration: A review of theoretical and empirical studiesJournal of Interprofessional Care, 2005
- The conceptual basis for interprofessional collaboration: Core concepts and theoretical frameworksJournal of Interprofessional Care, 2005
- Diffusion of Innovations in Service Organizations: Systematic Review and RecommendationsThe Milbank Quarterly, 2004
- Developing and measuring progress toward collaborative, integrated, interdisciplinary health care teamsJournal of Interprofessional Care, 2004
- Determinants of innovation within health care organizations: Literature review and Delphi studyInternational Journal for Quality in Health Care, 2004
- Inter‐organizational Collaboration and the Dynamics of Institutional FieldsJournal of Management Studies, 2000