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Do project management and network governance contribute to inter-organisational collaboration in primary care? A mixed methods study

BACKGROUND: The need for organisational development in primary care has increased as it is accepted as a means of curbing rising costs and responding to demographic transitions. It is only within such inter-organisational networks that small-scale practices can offer treatment to complex patients an...

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Autores principales: Schepman, Sanneke, Valentijn, Pim, Bruijnzeels, Marc, Maaijen, Marlies, de Bakker, Dinny, Batenburg, Ronald, de Bont, Antoinette
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5992666/
https://www.ncbi.nlm.nih.gov/pubmed/29879971
http://dx.doi.org/10.1186/s12913-018-3169-8
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author Schepman, Sanneke
Valentijn, Pim
Bruijnzeels, Marc
Maaijen, Marlies
de Bakker, Dinny
Batenburg, Ronald
de Bont, Antoinette
author_facet Schepman, Sanneke
Valentijn, Pim
Bruijnzeels, Marc
Maaijen, Marlies
de Bakker, Dinny
Batenburg, Ronald
de Bont, Antoinette
author_sort Schepman, Sanneke
collection PubMed
description BACKGROUND: The need for organisational development in primary care has increased as it is accepted as a means of curbing rising costs and responding to demographic transitions. It is only within such inter-organisational networks that small-scale practices can offer treatment to complex patients and continuity of care. The aim of this paper is to explore, through the experience of professionals and patients, whether, and how, project management and network governance can improve the outcomes of projects which promote inter-organisational collaboration in primary care. METHODS: This paper describes a study of projects aimed at improving inter-organisational collaboration in Dutch primary care. The projects' success in project management and network governance was monitored by interviewing project leaders and board members on the one hand, and improvement in the collaboration by surveying professionals and patients on the other. Both qualitative and quantitative methods were applied to assess the projects. These were analysed, finally, using multi-level models in order to account for the variation in the projects, professionals and patients. RESULTS: Successful network governance was associated positively with the professionals’ satisfaction with the collaboration; but not with improvements in the quality of care as experienced by patients. Neither patients nor professionals perceived successful project management as associated with the outcomes of the collaboration projects. CONCLUSIONS: This study shows that network governance in particular makes a difference to the outcomes of inter-organisational collaboration in primary care. However, project management is not a predictor for successful inter-organisational collaboration in primary care. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12913-018-3169-8) contains supplementary material, which is available to authorized users.
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spelling pubmed-59926662018-06-21 Do project management and network governance contribute to inter-organisational collaboration in primary care? A mixed methods study Schepman, Sanneke Valentijn, Pim Bruijnzeels, Marc Maaijen, Marlies de Bakker, Dinny Batenburg, Ronald de Bont, Antoinette BMC Health Serv Res Research Article BACKGROUND: The need for organisational development in primary care has increased as it is accepted as a means of curbing rising costs and responding to demographic transitions. It is only within such inter-organisational networks that small-scale practices can offer treatment to complex patients and continuity of care. The aim of this paper is to explore, through the experience of professionals and patients, whether, and how, project management and network governance can improve the outcomes of projects which promote inter-organisational collaboration in primary care. METHODS: This paper describes a study of projects aimed at improving inter-organisational collaboration in Dutch primary care. The projects' success in project management and network governance was monitored by interviewing project leaders and board members on the one hand, and improvement in the collaboration by surveying professionals and patients on the other. Both qualitative and quantitative methods were applied to assess the projects. These were analysed, finally, using multi-level models in order to account for the variation in the projects, professionals and patients. RESULTS: Successful network governance was associated positively with the professionals’ satisfaction with the collaboration; but not with improvements in the quality of care as experienced by patients. Neither patients nor professionals perceived successful project management as associated with the outcomes of the collaboration projects. CONCLUSIONS: This study shows that network governance in particular makes a difference to the outcomes of inter-organisational collaboration in primary care. However, project management is not a predictor for successful inter-organisational collaboration in primary care. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12913-018-3169-8) contains supplementary material, which is available to authorized users. BioMed Central 2018-06-07 /pmc/articles/PMC5992666/ /pubmed/29879971 http://dx.doi.org/10.1186/s12913-018-3169-8 Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Schepman, Sanneke
Valentijn, Pim
Bruijnzeels, Marc
Maaijen, Marlies
de Bakker, Dinny
Batenburg, Ronald
de Bont, Antoinette
Do project management and network governance contribute to inter-organisational collaboration in primary care? A mixed methods study
title Do project management and network governance contribute to inter-organisational collaboration in primary care? A mixed methods study
title_full Do project management and network governance contribute to inter-organisational collaboration in primary care? A mixed methods study
title_fullStr Do project management and network governance contribute to inter-organisational collaboration in primary care? A mixed methods study
title_full_unstemmed Do project management and network governance contribute to inter-organisational collaboration in primary care? A mixed methods study
title_short Do project management and network governance contribute to inter-organisational collaboration in primary care? A mixed methods study
title_sort do project management and network governance contribute to inter-organisational collaboration in primary care? a mixed methods study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5992666/
https://www.ncbi.nlm.nih.gov/pubmed/29879971
http://dx.doi.org/10.1186/s12913-018-3169-8
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