Allen Davina
Department of Healthcare Sciences, Cardiff University , Cardiff, UK.
J Health Organ Manag. 2018 May 21;32(3):358-373. doi: 10.1108/JHOM-05-2017-0116. Epub 2018 May 8.
Purpose The purpose of this paper is to introduce translational mobilization theory (TMT) and explore its application for healthcare quality improvement purposes. Design/methodology/approach TMT is a generic sociological theory that explains how projects of collective action are progressed in complex organizational contexts. This paper introduces TMT, outlines its ontological assumptions and core components, and explores its potential value for quality improvement using rescue trajectories as an illustrative case. Findings TMT has value for understanding coordination and collaboration in healthcare. Inviting a radical reconceptualization of healthcare organization, its potential applications include: mapping healthcare processes, understanding the role of artifacts in healthcare work, analyzing the relationship between content, context and implementation, program theory development and providing a comparative framework for supporting cross-sector learning. Originality/value Poor coordination and collaboration are well-recognized weaknesses in modern healthcare systems and represent important risks to quality and safety. While the organization and delivery of healthcare has been widely studied, and there is an extensive literature on team and inter-professional working, we lack readily accessible theoretical frameworks for analyzing collaborative work practices. TMT addresses this gap in understanding.
目的 本文旨在介绍转化动员理论（TMT），并探讨其在改善医疗质量方面的应用。设计/方法/途径 TMT是一种通用的社会学理论，解释了集体行动项目在复杂组织环境中是如何推进的。本文介绍了TMT，概述了其本体论假设和核心组成部分，并以救援轨迹为例探讨了其在质量改进方面的潜在价值。研究结果 TMT在理解医疗保健中的协调与合作方面具有价值。它促使对医疗保健组织进行彻底的重新概念化，其潜在应用包括：绘制医疗保健流程、理解人工制品在医疗工作中的作用、分析内容、背景与实施之间的关系、发展项目理论以及提供一个支持跨部门学习的比较框架。原创性/价值 协调与合作不佳是现代医疗系统中公认的弱点，对质量和安全构成重要风险。虽然医疗保健的组织和提供已经得到广泛研究，并且有大量关于团队和跨专业工作的文献，但我们缺乏易于获取的理论框架来分析协作工作实践。TMT填补了这一理解上的空白。
