Relational coordination in value-based health care.

IF 1.7 3区医学 Q3 HEALTH POLICY & SERVICES

Health Care Management Review Pub Date : 2023-10-01 Epub Date: 2023-08-19 DOI:10.1097/HMR.0000000000000381

Dorine J van Staalduinen, Petra E A van den Bekerom, Sandra M Groeneveld, Anne M Stiggelbout, M Elske van den Akker-van Marle

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引用次数: 0

Abstract

Background: An important element of value-based health care (VBHC) is interprofessional collaboration in integrated practice units (IPUs) for the delivery of the complete cycle of care. High levels of interprofessional collaboration between clinical and nonclinical staff in IPUs are assumed rather than proven. Factors that may stimulate interprofessional collaboration in the context of VBHC are underresearched.

Purpose: The aim of this study was to examine relational coordination (RC) in VBHC and its antecedents.

Approach: A questionnaire was used to examine the association of both team practices and organizational conditions with interprofessional collaboration in IPUs. Gittell's Relational Coordination Survey was drawn upon to measure interprofessional collaboration by capturing the relational dynamics in coordinated working. The questionnaire also included measures of team practices (team meetings and boundary spanning behavior) and organizational conditions (task interdependence and time constraints).

Results: The number of different professional groups participating in team meetings is positively associated with RC in IPUs. Boundary spanning behavior, task interdependence, and time constraints are not associated with RC.

Conclusions: In IPUs, the diversity within interprofessional team meetings is important for establishing high-quality communication and relationships.

Practice implications: Hospital managers should prioritize facilitating and encouraging shared meetings to enhance RC levels among professional groups in IPUs.

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基于价值的医疗保健中的关系协调。

背景：基于价值的医疗保健（VBHC）的一个重要元素是在综合实践单元（IPU）中进行跨专业合作，以提供完整的护理周期。IPU中临床和非临床工作人员之间的高水平跨专业合作是假设而非证明的。在VBHC的背景下，可能刺激跨专业合作的因素研究不足。目的：本研究的目的是检验VBHC中的关系协调（RC）及其前因。方法：使用问卷调查来检查IPU中团队实践和组织条件与跨专业合作的关系。Gittell的关系协调调查旨在通过捕捉协调工作中的关系动态来衡量跨专业协作。调查问卷还包括团队实践（团队会议和越界行为）和组织条件（任务相互依存性和时间限制）的测量。结果：参加团队会议的不同专业群体的数量与IPU中的RC呈正相关。跨界行为、任务相互依存性和时间限制与RC无关。结论：在IPU中，跨专业团队会议的多样性对于建立高质量的沟通和关系很重要。实践影响：医院管理人员应优先促进和鼓励共享会议，以提高IPU专业团体的RC水平。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Health Care Management Review HEALTH POLICY & SERVICES-

CiteScore

4.70

自引率

8.00%

发文量

期刊介绍： Health Care Management Review (HCMR) disseminates state-of-the-art knowledge about management, leadership, and administration of health care systems, organizations, and agencies. Multidisciplinary and international in scope, articles present completed research relevant to health care management, leadership, and administration, as well report on rigorous evaluations of health care management innovations, or provide a synthesis of prior research that results in evidence-based health care management practice recommendations. Articles are theory-driven and translate findings into implications and recommendations for health care administrators, researchers, and faculty.