Department of Business Administration, Technology and Social Sciences, Luleå University of Technology, Luleå, Sweden.
Department of Health Sciences, Luleå University of Technology, Luleå, Sweden.
J Interprof Care. 2020 Mar-Apr;34(2):241-250. doi: 10.1080/13561820.2019.1638760. Epub 2019 Jul 22.
Integrating health care services has proven to be important from both the patient and organizational perspectives. This study explores what defines a perceived well-functioning collaboration in the inter-organizational process of providing assistive devices in Sweden. Two focus groups comprising participants with profound knowledge of collaboration were performed, and data were analyzed in five steps, resulting in a data structure. Results yield the identification of three interacting processes: coordinating efforts to patient needs, ensuring evidence-based practice, and planning for efficient use of resources. These processes affected one another, and, therefore, would likely not have been effectively managed separately. The study contributes to theories of process management and organization by specifically focusing on how to analyze and improve sustainable collaboration in health care processes at both the management and professional levels. Theoretical frameworks that show different ways of organizing collaboration, as well as the concepts of action nets and boundary objects, can support both analysis and planning of collaboration. The intention would be to develop integration in inter-organizational health care processes, resulting in more person-centered care.
整合医疗服务已被证明从患者和组织两个角度来看都很重要。本研究探讨了在瑞典提供辅助设备的组织间过程中，什么定义了感知良好的协作。进行了两次焦点小组讨论，参与者对协作有深刻的了解，数据经过五步分析，形成了数据结构。结果确定了三个相互作用的过程：协调努力以满足患者需求、确保基于证据的实践，以及规划资源的有效利用。这些过程相互影响，因此，它们不太可能被单独有效地管理。本研究通过特别关注如何在管理和专业层面分析和改进医疗保健流程中的可持续协作，为流程管理和组织理论做出了贡献。展示不同协作组织方式的理论框架，以及行动网络和边界对象的概念，可以支持协作的分析和规划。目的是在组织间医疗保健流程中实现整合，从而提供更以患者为中心的护理。
