Kee Karin, Nies Henk, van Wieringen Marieke, Beersma Bianca
Department of Organization Sciences, Vrije Universiteit Amsterdam, De Boelelaan 1105, 1081 HV Amsterdam, the Netherlands.
Int J Integr Care. 2023 Oct 18;23(4):4. doi: 10.5334/ijic.7446. eCollection 2023 Oct-Dec.
At all levels, effective collaboration between actors with different backgrounds lies at the heart of integrated care. Much attention has been given to the structural features underlying integrated care, but even under structurally similar circumstances, the effectiveness of collaboration varies largely.
Social and organizational psychological research shows that the extent to which collaboration is effective depends on actors' behaviours. We leverage insights from these two research fields and build a conceptual framework that helps untangle the behavioural processes underlying effective collaboration.
We delineate that effective collaboration can be realized when actors (1) speak up about their interests, values, and perspectives (voice behaviour), (2) listen to the information that is shared by others, and (3) thoroughly process this information. We describe these behaviours and explain the motivations and conditions driving these. In doing so, we offer a conceptual framework that can be used to explain what makes actors collaborate effectively and how collaboration can be enhanced.
Fostering effective collaboration takes time and adequate conditions, fitting the particular context. As this context continuously changes, the processes and conditions require continuous attention. Integrated care, therefore, actually requires a carefully designed process of care.
在各个层面上，不同背景的行为者之间的有效协作是综合护理的核心。人们对综合护理背后的结构特征给予了很多关注，但即使在结构相似的情况下，协作的有效性也有很大差异。
社会和组织心理学研究表明，协作有效的程度取决于行为者的行为。我们利用这两个研究领域的见解，构建了一个概念框架，有助于理清有效协作背后的行为过程。
我们描述了，当行为者（1）说出自己的利益、价值观和观点（发声行为），（2）倾听他人分享的信息，以及（3）彻底处理这些信息时，有效协作就可以实现。我们描述了这些行为，并解释了驱动这些行为的动机和条件。在此过程中，我们提供了一个概念框架，可用于解释是什么使行为者有效协作以及如何加强协作。
促进有效协作需要时间和适当的条件，要适合特定的背景。由于这种背景不断变化，这些过程和条件需要持续关注。因此，综合护理实际上需要精心设计的护理过程。
