Zhou Lihong
a School of Information Management, Wuhan University , Wuhan , 430072 , China.
Inform Health Soc Care. 2017 Dec;42(4):409-420. doi: 10.1080/17538157.2016.1269106. Epub 2017 Jan 13.
This paper reports on a research study, which aims to identify, qualify, and theorize the external barriers that prevent and hinder the exercises and activities of patient-centered knowledge sharing (KS) in healthcare organizations.
The project adopted a qualitative secondary analysis approach as the overarching methodology to guide the analysis of data collected in a previously completed research study. Specifically, 46 semi-structured interview data were included and analyzed using a thematic analysis approach.
The secondary analysis showed that healthcare KS is strongly influenced and hindered by five external barriers: social belief and preference, cultural values, healthcare education structure, political decisions, and economic environment and constraints. Moreover, the research findings suggest that these external barriers cannot be overlooked in KS implementation and operation in healthcare organizations and should be carefully assessed beginning in the early stages of KS design and strategic planning.
Based on the secondary analysis, this paper proposes a conceptual model, which will contribute to the development of hypotheses in the future for building a generalized knowledge. The case study used is Chinese healthcare, but the KS problems studied can be shared across international borders.
本文报告一项研究,旨在识别、界定并理论化那些在医疗保健机构中阻碍以患者为中心的知识共享(KS)活动开展的外部障碍。
该项目采用定性二次分析方法作为总体方法,以指导对先前已完成的一项研究中收集的数据进行分析。具体而言,纳入了46份半结构化访谈数据,并采用主题分析方法进行分析。
二次分析表明,医疗保健知识共享受到五个外部障碍的强烈影响和阻碍:社会信念与偏好、文化价值观、医疗保健教育结构、政治决策以及经济环境与限制。此外,研究结果表明,在医疗保健机构的知识共享实施与运营中,这些外部障碍不容忽视,应在知识共享设计和战略规划的早期阶段就予以仔细评估。
基于二次分析,本文提出了一个概念模型,这将有助于未来构建通用知识的假设的发展。所使用的案例研究是中国医疗保健,但所研究的知识共享问题可在国际间共享。