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A model and typology of collaboration between professionals in healthcare organizations.

D'Amour D, Goulet L, Labadie JF, Martín-Rodriguez LS, Pineault R - BMC Health Serv Res (2008)

Bottom Line: The results suggest a three-level typology of collaboration based on the ten indicators: active collaboration, developing collaboration and potential collaboration.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.

View Article: PubMed Central - HTML - PubMed

Affiliation: Faculty of Nursing, Université de Montréal, Montreal, Quebec, Canada. danielle.damour@umontreal.ca

ABSTRACT

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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Related in: MedlinePlus

Indicators of collaboration – Region A. This Kiviat graph maps collaboration in Region A. A score of 1 to 3 is assigned to each of the 10 indicators depending on the level of achievement of the indicator in the region. The graph helps visualize the gap between optimal collaboration processes (Level 3) and the current situation.
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Figure 2: Indicators of collaboration – Region A. This Kiviat graph maps collaboration in Region A. A score of 1 to 3 is assigned to each of the 10 indicators depending on the level of achievement of the indicator in the region. The graph helps visualize the gap between optimal collaboration processes (Level 3) and the current situation.

Mentions: On the basis of the indicators of the structuration model of collaboration, we see that, despite shortfalls, Region A was able to develop a significant level of collaboration. The Kiviat graph (Figure 2) provides a schematic view of collaboration in Region A.


A model and typology of collaboration between professionals in healthcare organizations.

D'Amour D, Goulet L, Labadie JF, Martín-Rodriguez LS, Pineault R - BMC Health Serv Res (2008)

Indicators of collaboration – Region A. This Kiviat graph maps collaboration in Region A. A score of 1 to 3 is assigned to each of the 10 indicators depending on the level of achievement of the indicator in the region. The graph helps visualize the gap between optimal collaboration processes (Level 3) and the current situation.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2563002&req=5

Figure 2: Indicators of collaboration – Region A. This Kiviat graph maps collaboration in Region A. A score of 1 to 3 is assigned to each of the 10 indicators depending on the level of achievement of the indicator in the region. The graph helps visualize the gap between optimal collaboration processes (Level 3) and the current situation.
Mentions: On the basis of the indicators of the structuration model of collaboration, we see that, despite shortfalls, Region A was able to develop a significant level of collaboration. The Kiviat graph (Figure 2) provides a schematic view of collaboration in Region A.

Bottom Line: The results suggest a three-level typology of collaboration based on the ten indicators: active collaboration, developing collaboration and potential collaboration.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.

View Article: PubMed Central - HTML - PubMed

Affiliation: Faculty of Nursing, Université de Montréal, Montreal, Quebec, Canada. danielle.damour@umontreal.ca

ABSTRACT

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.

Show MeSH
Related in: MedlinePlus