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A model and typology of collaboration between professionals in healthcare organizations

BACKGROUND: The new forms of organization of healthcare services entail the development of new clinical practices that are grounded in collaboration. Despite recent advances in research on the subject of collaboration, there is still a need for a better understanding of collaborative processes and f...

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Autores principales: D'Amour, Danielle, Goulet, Lise, Labadie, Jean-François, Martín-Rodriguez, Leticia San, Pineault, Raynald
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2008
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2563002/
https://www.ncbi.nlm.nih.gov/pubmed/18803881
http://dx.doi.org/10.1186/1472-6963-8-188
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author D'Amour, Danielle
Goulet, Lise
Labadie, Jean-François
Martín-Rodriguez, Leticia San
Pineault, Raynald
author_facet D'Amour, Danielle
Goulet, Lise
Labadie, Jean-François
Martín-Rodriguez, Leticia San
Pineault, Raynald
author_sort D'Amour, Danielle
collection PubMed
description BACKGROUND: The new forms of organization of healthcare services entail the development of new clinical practices that are grounded in collaboration. Despite recent advances in research on the subject of collaboration, there is still a need for a better understanding of collaborative processes and for conceptual tools to help healthcare professionals develop collaboration amongst themselves in complex systems. This study draws on D'Amour's structuration model of collaboration to analyze healthcare facilities offering perinatal services in four health regions in the province of Quebec. The objectives are to: 1) validate the indicators of the structuration model of collaboration; 2) evaluate interprofessional and interorganizational collaboration in four health regions; and 3) propose a typology of collaboration METHODS: A multiple-case research strategy was used. The cases were the healthcare facilities that offer perinatal services in four health regions in the province of Quebec (Canada). The data were collected through 33 semi-structured interviews with healthcare managers and professionals working in the four regions. Written material was also analyzed. The data were subjected to a "mixed" inductive-deductive analysis conducted in two main stages: an internal analysis of each case followed by a cross-sectional analysis of all the cases. RESULTS: The collaboration indicators were shown to be valid, although some changes were made to three of them. Analysis of the data showed great variation in the level of collaboration between the cases and on each dimension. The results suggest a three-level typology of collaboration based on the ten indicators: active collaboration, developing collaboration and potential collaboration. CONCLUSION: The model and the typology make it possible to analyze collaboration and identify areas for improvement. Researchers can use the indicators to determine the intensity of collaboration and link it to clinical outcomes. Professionals and administrators can use the model to perform a diagnostic of collaboration and implement interventions to intensify it.
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spelling pubmed-25630022008-10-08 A model and typology of collaboration between professionals in healthcare organizations D'Amour, Danielle Goulet, Lise Labadie, Jean-François Martín-Rodriguez, Leticia San Pineault, Raynald BMC Health Serv Res Research Article BACKGROUND: The new forms of organization of healthcare services entail the development of new clinical practices that are grounded in collaboration. Despite recent advances in research on the subject of collaboration, there is still a need for a better understanding of collaborative processes and for conceptual tools to help healthcare professionals develop collaboration amongst themselves in complex systems. This study draws on D'Amour's structuration model of collaboration to analyze healthcare facilities offering perinatal services in four health regions in the province of Quebec. The objectives are to: 1) validate the indicators of the structuration model of collaboration; 2) evaluate interprofessional and interorganizational collaboration in four health regions; and 3) propose a typology of collaboration METHODS: A multiple-case research strategy was used. The cases were the healthcare facilities that offer perinatal services in four health regions in the province of Quebec (Canada). The data were collected through 33 semi-structured interviews with healthcare managers and professionals working in the four regions. Written material was also analyzed. The data were subjected to a "mixed" inductive-deductive analysis conducted in two main stages: an internal analysis of each case followed by a cross-sectional analysis of all the cases. RESULTS: The collaboration indicators were shown to be valid, although some changes were made to three of them. Analysis of the data showed great variation in the level of collaboration between the cases and on each dimension. The results suggest a three-level typology of collaboration based on the ten indicators: active collaboration, developing collaboration and potential collaboration. CONCLUSION: The model and the typology make it possible to analyze collaboration and identify areas for improvement. Researchers can use the indicators to determine the intensity of collaboration and link it to clinical outcomes. Professionals and administrators can use the model to perform a diagnostic of collaboration and implement interventions to intensify it. BioMed Central 2008-09-21 /pmc/articles/PMC2563002/ /pubmed/18803881 http://dx.doi.org/10.1186/1472-6963-8-188 Text en Copyright © 2008 D'Amour et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( (http://creativecommons.org/licenses/by/2.0) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
D'Amour, Danielle
Goulet, Lise
Labadie, Jean-François
Martín-Rodriguez, Leticia San
Pineault, Raynald
A model and typology of collaboration between professionals in healthcare organizations
title A model and typology of collaboration between professionals in healthcare organizations
title_full A model and typology of collaboration between professionals in healthcare organizations
title_fullStr A model and typology of collaboration between professionals in healthcare organizations
title_full_unstemmed A model and typology of collaboration between professionals in healthcare organizations
title_short A model and typology of collaboration between professionals in healthcare organizations
title_sort model and typology of collaboration between professionals in healthcare organizations
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2563002/
https://www.ncbi.nlm.nih.gov/pubmed/18803881
http://dx.doi.org/10.1186/1472-6963-8-188
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