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Regionalization in elderly care: what makes up a healthcare region?
PURPOSE: The purpose of this paper is to explore the formation and composition of “regions” as places of care, both empirically and conceptually. DESIGN/METHODOLOGY/APPROACH: This paper draws on action-oriented research involving experiments aimed at designing, implementing and evaluating promising...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Emerald Publishing Limited
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8297598/ https://www.ncbi.nlm.nih.gov/pubmed/33340070 http://dx.doi.org/10.1108/JHOM-08-2020-0333 |
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author | Schuurmans, Jitse Jonne van Pijkeren, Nienke Bal, Roland Wallenburg, Iris |
author_facet | Schuurmans, Jitse Jonne van Pijkeren, Nienke Bal, Roland Wallenburg, Iris |
author_sort | Schuurmans, Jitse Jonne |
collection | PubMed |
description | PURPOSE: The purpose of this paper is to explore the formation and composition of “regions” as places of care, both empirically and conceptually. DESIGN/METHODOLOGY/APPROACH: This paper draws on action-oriented research involving experiments aimed at designing, implementing and evaluating promising solutions to the entwined problems of a burgeoning elderly population and an increasing shortage of medical staff. It draws on ethnographic research conducted in 14 administrative areas in the Netherlands, a total of 273 in-depth interviews and over 1,000 h of observations. FINDINGS: This research challenges the understanding of a healthcare region as a clearly bounded topological area. It shows that organizations and professionals collaborate in a variety of different networks, some conterminous with the administrative region established by policymakers and others not. These networks are by nature unstable and dynamic. Attempts to form new regional collaborations with neighbouring organizations are complicated by existing healthcare governance and accountability structures that position organizations as competitors. PRACTICAL IMPLICATIONS: Policymakers should take the pre-established partnerships of healthcare organizations into account before delineating the area in which regionalization is meant to take place. A better alignment of governance and accountability structures is also needed for regionalization to occur in healthcare. ORIGINALITY/VALUE: This paper combines insights from valuation studies with sociogeographical literature and provides a framework for understanding the assembling and disassembling of “regions”. |
format | Online Article Text |
id | pubmed-8297598 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Emerald Publishing Limited |
record_format | MEDLINE/PubMed |
spelling | pubmed-82975982021-07-27 Regionalization in elderly care: what makes up a healthcare region? Schuurmans, Jitse Jonne van Pijkeren, Nienke Bal, Roland Wallenburg, Iris J Health Organ Manag Research Paper PURPOSE: The purpose of this paper is to explore the formation and composition of “regions” as places of care, both empirically and conceptually. DESIGN/METHODOLOGY/APPROACH: This paper draws on action-oriented research involving experiments aimed at designing, implementing and evaluating promising solutions to the entwined problems of a burgeoning elderly population and an increasing shortage of medical staff. It draws on ethnographic research conducted in 14 administrative areas in the Netherlands, a total of 273 in-depth interviews and over 1,000 h of observations. FINDINGS: This research challenges the understanding of a healthcare region as a clearly bounded topological area. It shows that organizations and professionals collaborate in a variety of different networks, some conterminous with the administrative region established by policymakers and others not. These networks are by nature unstable and dynamic. Attempts to form new regional collaborations with neighbouring organizations are complicated by existing healthcare governance and accountability structures that position organizations as competitors. PRACTICAL IMPLICATIONS: Policymakers should take the pre-established partnerships of healthcare organizations into account before delineating the area in which regionalization is meant to take place. A better alignment of governance and accountability structures is also needed for regionalization to occur in healthcare. ORIGINALITY/VALUE: This paper combines insights from valuation studies with sociogeographical literature and provides a framework for understanding the assembling and disassembling of “regions”. Emerald Publishing Limited 2021-12-02 2021 /pmc/articles/PMC8297598/ /pubmed/33340070 http://dx.doi.org/10.1108/JHOM-08-2020-0333 Text en © Jitse Jonne Schuurmans, Nienke van Pijkeren, Roland Bal and Iris Wallenburg https://creativecommons.org/licenses/by/4.0/Published by Emerald Publishing Limited. This article is published under the Creative Commons Attribution (CC BY 4.0) licence. Anyone may reproduce, distribute, translate and create derivative works of this article (for both commercial and non-commercial purposes), subject to full attribution to the original publication and authors. The full terms of this licence may be seen at https://creativecommons.org/licenses/by/4.0/ |
spellingShingle | Research Paper Schuurmans, Jitse Jonne van Pijkeren, Nienke Bal, Roland Wallenburg, Iris Regionalization in elderly care: what makes up a healthcare region? |
title | Regionalization in elderly care: what makes up a healthcare region? |
title_full | Regionalization in elderly care: what makes up a healthcare region? |
title_fullStr | Regionalization in elderly care: what makes up a healthcare region? |
title_full_unstemmed | Regionalization in elderly care: what makes up a healthcare region? |
title_short | Regionalization in elderly care: what makes up a healthcare region? |
title_sort | regionalization in elderly care: what makes up a healthcare region? |
topic | Research Paper |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8297598/ https://www.ncbi.nlm.nih.gov/pubmed/33340070 http://dx.doi.org/10.1108/JHOM-08-2020-0333 |
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