Hannover Medical School, Institute of Epidemiology, Social Medicine and Health System Research, Carl-Neuberg-Str. 1, Hannover, 30625, Germany.
inav- Private Institute for Applied Health Services Research GmbH, Schiffbauerdamm 12, Berlin, 10117, Germany.
BMC Health Serv Res. 2023 Nov 23;23(1):1292. doi: 10.1186/s12913-023-10323-y.
The German Innovation Fund supports projects that aim to improve healthcare through integration and intersectoral collaboration. As is typical for collaborative innovation projects, partners often pursue different objectives, which can create tensions and affect outcomes. The study aims to explore the causes and effects of tensions in integrated care projects and how frameworks, processes, and management should be designed to deal with tensions and achieve their productive effects.
In an online survey we asked participants about the causes, effects, and management of tensions and their implications for integrated care projects (n = 58 completed questionnaires). We applied bivariate descriptive statistics to analyse the quantitative data.
Tensions between stakeholders, caused by deep-seated differences and the design of the project frameworks, often affect the course and outcome of innovative integrated care projects. However, through appropriate conflict management and negotiation processes such tensions can be managed constructively and lead to better outcomes.
Tension is usually seen as something unpleasant to be avoided and/or overcome. In fact, tensions can have positive effects, the importance of which remains little understood. Developing appropriate frameworks for managing and integrating different perspectives are key factors in unlocking the positive potential of tensions in integrated care projects.
德国创新基金支持旨在通过整合和跨部门合作改善医疗保健的项目。与合作创新项目一样，合作伙伴通常追求不同的目标，这可能会产生紧张关系并影响结果。本研究旨在探讨综合护理项目中紧张关系的原因和影响，以及应如何设计框架、流程和管理来应对紧张关系并发挥其积极作用。
我们通过在线调查向参与者询问了紧张关系的原因、影响和管理及其对综合护理项目的影响（58 份完整问卷）。我们应用了双变量描述性统计来分析定量数据。
利益相关者之间的紧张关系是由深层次的差异和项目框架的设计引起的，往往会影响创新综合护理项目的进程和结果。然而，通过适当的冲突管理和谈判过程，可以建设性地管理这些紧张关系，并导致更好的结果。
紧张关系通常被视为需要避免和/或克服的不愉快的事情。事实上，紧张关系可能会产生积极的影响，而其重要性仍知之甚少。为管理和整合不同观点制定适当的框架是挖掘综合护理项目中紧张关系积极潜力的关键因素。
