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Does Telecare Improve Interorganisational Collaboration?

INTRODUCTION: Previous studies have suggested that telecare can improve interorganisational collaboration within fragmented health care systems, yet this outcome has not been examined in a large-scale setting. This study explores the effects of a large-scale interorganisational telecare programme in...

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Autor principal: Christensen, Jannie Kristine Bang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Ubiquity Press 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5354204/
https://www.ncbi.nlm.nih.gov/pubmed/28316554
http://dx.doi.org/10.5334/ijic.2462
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author Christensen, Jannie Kristine Bang
author_facet Christensen, Jannie Kristine Bang
author_sort Christensen, Jannie Kristine Bang
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description INTRODUCTION: Previous studies have suggested that telecare can improve interorganisational collaboration within fragmented health care systems, yet this outcome has not been examined in a large-scale setting. This study explores the effects of a large-scale interorganisational telecare programme in Denmark based on home-monitoring on collaboration in a telecare network between municipalities, hospitals, and general practitioners. METHODOLOGY: Semi-structured interviews and observations of collaborating health professionals from the municipalities, hospitals, and general practitioners were undertaken and then repeated a year later. Collaboration was analysed both at the interorganisational network level and within each part of the network, including its interrelations. RESULTS: Collaboration between municipalities and general practitioners was initially intensified as a result of implementing telecare, though this changed over time as the first start-up obstacles were overcome and the patients became more active in their treatment. Conversely, collaboration between hospitals and municipalities and hospitals and general practitioners was unaffected by telecare. DISCUSSION: Changes in collaboration among municipal nurses, general practitioners, and hospital staff were related to dependency structures and municipalities’ newly gained central role in a telecare network. While the telecare network was initially characterised by asymmetrical dependency structures, these were partially equalised over time because of the municipalities’ new position in the network.
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spelling pubmed-53542042017-03-17 Does Telecare Improve Interorganisational Collaboration? Christensen, Jannie Kristine Bang Int J Integr Care Research and Theory INTRODUCTION: Previous studies have suggested that telecare can improve interorganisational collaboration within fragmented health care systems, yet this outcome has not been examined in a large-scale setting. This study explores the effects of a large-scale interorganisational telecare programme in Denmark based on home-monitoring on collaboration in a telecare network between municipalities, hospitals, and general practitioners. METHODOLOGY: Semi-structured interviews and observations of collaborating health professionals from the municipalities, hospitals, and general practitioners were undertaken and then repeated a year later. Collaboration was analysed both at the interorganisational network level and within each part of the network, including its interrelations. RESULTS: Collaboration between municipalities and general practitioners was initially intensified as a result of implementing telecare, though this changed over time as the first start-up obstacles were overcome and the patients became more active in their treatment. Conversely, collaboration between hospitals and municipalities and hospitals and general practitioners was unaffected by telecare. DISCUSSION: Changes in collaboration among municipal nurses, general practitioners, and hospital staff were related to dependency structures and municipalities’ newly gained central role in a telecare network. While the telecare network was initially characterised by asymmetrical dependency structures, these were partially equalised over time because of the municipalities’ new position in the network. Ubiquity Press 2016-11-24 /pmc/articles/PMC5354204/ /pubmed/28316554 http://dx.doi.org/10.5334/ijic.2462 Text en Copyright: © 2016 The Author(s) http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC-BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See http://creativecommons.org/licenses/by/4.0/.
spellingShingle Research and Theory
Christensen, Jannie Kristine Bang
Does Telecare Improve Interorganisational Collaboration?
title Does Telecare Improve Interorganisational Collaboration?
title_full Does Telecare Improve Interorganisational Collaboration?
title_fullStr Does Telecare Improve Interorganisational Collaboration?
title_full_unstemmed Does Telecare Improve Interorganisational Collaboration?
title_short Does Telecare Improve Interorganisational Collaboration?
title_sort does telecare improve interorganisational collaboration?
topic Research and Theory
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5354204/
https://www.ncbi.nlm.nih.gov/pubmed/28316554
http://dx.doi.org/10.5334/ijic.2462
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