Cargando…
Orthopedist involvement in the management of clinical activities: a case study
BACKGROUND: The rapid shift in hospital governance in the past few years suggests greater orthopedist involvement in management roles, would have wide-reaching benefits for the efficiency and effectiveness of healthcare delivery. This paper analyzes the dynamics of orthopedist involvement in the man...
Autores principales: | , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8017788/ https://www.ncbi.nlm.nih.gov/pubmed/33794873 http://dx.doi.org/10.1186/s12913-021-06299-2 |
_version_ | 1783674115199074304 |
---|---|
author | Côté, André Abasse, Kassim Said Laberge, Maude Gilbert, Marie-Hélène Breton, Mylaine Lemaire, Célia |
author_facet | Côté, André Abasse, Kassim Said Laberge, Maude Gilbert, Marie-Hélène Breton, Mylaine Lemaire, Célia |
author_sort | Côté, André |
collection | PubMed |
description | BACKGROUND: The rapid shift in hospital governance in the past few years suggests greater orthopedist involvement in management roles, would have wide-reaching benefits for the efficiency and effectiveness of healthcare delivery. This paper analyzes the dynamics of orthopedist involvement in the management of clinical activities for three orthopedic care pathways, by examining orthopedists’ level of involvement, describing the implications of such involvement, and indicating the main responses of other healthcare workers to such orthopedist involvement. METHODS: We selected four contrasting cases according to their level of governance in a Canadian university hospital center. We documented the institutional dynamics of orthopedist involvement in the management of clinical activities using semi-structured interviews until data saturation was reached at the 37th interview. RESULTS: Our findings show four levels (Inactive, Reactive, Contributory and Active) of orthopedist involvement in clinical activities. With the underlying nature of orthopedic surgeries, there are: (i) some activities for which decisions cannot be programmed in advance, and (ii) others for which decisions can be programmed. The management of unforeseen events requires a higher level of orthopedist involvement than the management of events that can be programmed. CONCLUSIONS: Beyond simply identifying the underlying dynamics of orthopedists’ involvement in clinical activities, this study analyzed how such involvement impacts management activities and the quality-of-care results for patients. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12913-021-06299-2. |
format | Online Article Text |
id | pubmed-8017788 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-80177882021-04-02 Orthopedist involvement in the management of clinical activities: a case study Côté, André Abasse, Kassim Said Laberge, Maude Gilbert, Marie-Hélène Breton, Mylaine Lemaire, Célia BMC Health Serv Res Research Article BACKGROUND: The rapid shift in hospital governance in the past few years suggests greater orthopedist involvement in management roles, would have wide-reaching benefits for the efficiency and effectiveness of healthcare delivery. This paper analyzes the dynamics of orthopedist involvement in the management of clinical activities for three orthopedic care pathways, by examining orthopedists’ level of involvement, describing the implications of such involvement, and indicating the main responses of other healthcare workers to such orthopedist involvement. METHODS: We selected four contrasting cases according to their level of governance in a Canadian university hospital center. We documented the institutional dynamics of orthopedist involvement in the management of clinical activities using semi-structured interviews until data saturation was reached at the 37th interview. RESULTS: Our findings show four levels (Inactive, Reactive, Contributory and Active) of orthopedist involvement in clinical activities. With the underlying nature of orthopedic surgeries, there are: (i) some activities for which decisions cannot be programmed in advance, and (ii) others for which decisions can be programmed. The management of unforeseen events requires a higher level of orthopedist involvement than the management of events that can be programmed. CONCLUSIONS: Beyond simply identifying the underlying dynamics of orthopedists’ involvement in clinical activities, this study analyzed how such involvement impacts management activities and the quality-of-care results for patients. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12913-021-06299-2. BioMed Central 2021-04-01 /pmc/articles/PMC8017788/ /pubmed/33794873 http://dx.doi.org/10.1186/s12913-021-06299-2 Text en © The Author(s) 2021 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. 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 in a credit line to the data. |
spellingShingle | Research Article Côté, André Abasse, Kassim Said Laberge, Maude Gilbert, Marie-Hélène Breton, Mylaine Lemaire, Célia Orthopedist involvement in the management of clinical activities: a case study |
title | Orthopedist involvement in the management of clinical activities: a case study |
title_full | Orthopedist involvement in the management of clinical activities: a case study |
title_fullStr | Orthopedist involvement in the management of clinical activities: a case study |
title_full_unstemmed | Orthopedist involvement in the management of clinical activities: a case study |
title_short | Orthopedist involvement in the management of clinical activities: a case study |
title_sort | orthopedist involvement in the management of clinical activities: a case study |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8017788/ https://www.ncbi.nlm.nih.gov/pubmed/33794873 http://dx.doi.org/10.1186/s12913-021-06299-2 |
work_keys_str_mv | AT coteandre orthopedistinvolvementinthemanagementofclinicalactivitiesacasestudy AT abassekassimsaid orthopedistinvolvementinthemanagementofclinicalactivitiesacasestudy AT labergemaude orthopedistinvolvementinthemanagementofclinicalactivitiesacasestudy AT gilbertmariehelene orthopedistinvolvementinthemanagementofclinicalactivitiesacasestudy AT bretonmylaine orthopedistinvolvementinthemanagementofclinicalactivitiesacasestudy AT lemairecelia orthopedistinvolvementinthemanagementofclinicalactivitiesacasestudy |