Journal of Health Organization and Management最新文献

{"title":"Tactical capacity planning under uncertainty - a capacity limitation analysis.","authors":"Hendrik Winzer, Tor Kristian Stevik, Kaspar Akilles Lilja, Therese Seljevold, Joachim Scholderer","doi":"10.1108/JHOM-01-2024-0011","DOIUrl":"10.1108/JHOM-01-2024-0011","url":null,"abstract":"<p><strong>Purpose: </strong>Tactical capacity planning is crucial when hospitals must cope with substantial changes in patient requirements, as recently experienced during the Covid-19 pandemic. However, there is only little understanding of the nature of capacity limitations in a hospital, which is essential for effective tactical capacity planning.</p><p><strong>Design/methodology/approach: </strong>We report a detailed analysis of capacity limitations at a Norwegian tertiary public hospital and conducted 22 in-depth interviews. The informants participated in capacity planning and decision-making during the Covid-19 pandemic. Data are clustered into categories of capacity limitations and a correspondence analysis provides additional insights.</p><p><strong>Findings: </strong>Personnel and information were the most mentioned types of capacity limitations, and middle management and organizational functions providing specialized treatment felt most exposed to capacity limitations. Further analysis reveals that capacity limitations are dynamic and vary across hierarchical levels and organizational functions.</p><p><strong>Research limitations/implications: </strong>Future research on tactical capacity planning should take interdisciplinary patient pathways better into account as capacity limitations are dynamic and systematically different for organizational functions and hierarchical levels.</p><p><strong>Practical implications: </strong>We argue that our study possesses common characteristics of tertiary public hospitals, including professional silos and fragmentation of responsibilities along patient pathways. Therefore, we recommend operations managers in hospitals to focus more on intra-organizational information flows to increase the agility of their organization.</p><p><strong>Originality/value: </strong>Our detailed capacity limitation analysis at a tertiary public hospital in Norway during the Covid-19 pandemic provides novel insights into the nature of capacity limitations, which may enhance tactical capacity planning.</p>","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":"ahead-of-print ahead-of-print","pages":"66-82"},"PeriodicalIF":1.7,"publicationDate":"2024-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142298605","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implementation of a magnet hospital model: attracting and retaining healthcare staff in a Swedish hospital.","authors":"Peter Nilsson, Maria Gustavsson","doi":"10.1108/JHOM-04-2024-0159","DOIUrl":"10.1108/JHOM-04-2024-0159","url":null,"abstract":"<p><strong>Purpose: </strong>Staff shortages in the healthcare sector increase the competition for qualified staff. A magnet hospital is intended to attract, and retain healthcare professionals. This article aims to investigate the challenges related to implementation of a magnet hospital model, and given these challenges, to analyse the interplay between different organisational levels in a Swedish hospital.</p><p><strong>Design/methodology/approach: </strong>The data collection followed the implementation of a magnet hospital model and consisted of 14 meeting observations, 31 interviews and 13 document analyses.</p><p><strong>Findings: </strong>The model implementation was driven by a top-down approach, with accompanying bottom-up activities, involving healthcare professionals, to ensure adaption to the hospital's conditions at different organisational levels. The findings revealed that the model was more appealing to top management, seeking a standardised solution to attract and retain nurses. Clinic managers preferred tailor-made solutions for managing their employee resourcing challenges. Difficulties in translating and contextualising the model to the hospital's conditions created challenges at every organisational level. Some were contained within a level while others spread to the organisational level below and turned into something else.</p><p><strong>Originality/value: </strong>Apart from unique empirical material depicting the implementation of a magnet hospital model as an effort to attract and retain healthcare professionals, the value of this study lies in the attention given to the challenges that arise when responsibility for implementing a management model is shifted from top management to change agents tasked with facilitating and executing the organisational change.</p>","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":"38 9","pages":"329-343"},"PeriodicalIF":1.7,"publicationDate":"2024-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11407429/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142298609","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"You should have addressed it directly\": the ideals and ideologies of managing interaction problems in healthcare work.","authors":"Elina Weiste, Melisa Stevanovic, Inka Koskela, Maria Paavolainen, Eveliina Korkiakangas, Tiina Koivisto, Vilja Levonius, Jaana Laitinen","doi":"10.1108/JHOM-01-2024-0006","DOIUrl":"10.1108/JHOM-01-2024-0006","url":null,"abstract":"<p><strong>Purpose: </strong>An \"open communication culture\" in the workplace is considered a key contributor to high-quality interaction and providing means to address problems at work. We study how the ideals of \"open communication\" operate in healthcare.</p><p><strong>Design/methodology/approach: </strong>We use discourse analysis to investigate the audio-recorded data from 14 workshop team discussions in older people services.</p><p><strong>Findings: </strong>We found four imperatives concerning the interactional conduct of their colleagues in problematic situations that nursing professionals prefer: (1) Engage in direct communication and avoid making assumptions, (2) Address problems immediately, (3) Deal directly with the person involved in the matter and (4) Summon the courage to speak up. Through these imperatives, the nursing professionals invoke and draw upon the \"open communication\" discourse. Although these ideals were acknowledged as difficult to realize in practice and as leading to experiences of frustration, the need to comply with them was constructed as beyond doubt.</p><p><strong>Practical implications: </strong>Workplace communication should be enhanced at a communal level, allowing those with less power to express their perspectives on shaping shared ideals of workplace interaction.</p><p><strong>Originality/value: </strong>The expectation that an individual will simply \"speak up\" when they experience mistreatment by a colleague might be too much if the individual is already in a precarious position.</p>","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":"38 9","pages":"313-328"},"PeriodicalIF":1.7,"publicationDate":"2024-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11406228/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142298607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A nexus among high performance work systems, employee engagement, perspective-taking, trust in leader and organisational innovation: an insight from developing country.","authors":"Shazia Aman Jatoi, Sobia Shafaq Shah, Abdul Sattar Shah, Sajjad Hyder Channar","doi":"10.1108/JHOM-08-2023-0243","DOIUrl":"https://doi.org/10.1108/JHOM-08-2023-0243","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this research is to examine the relationship between high- performance work systems (HPWS) and organisational innovation in hospital settings, examining the role of employee engagement as a mediator in this relationship. Additionally, the study aims to investigate the moderating role of perspective-taking between HPWS and employee engagement as well as the moderating effect of trust in leader on the connection between employee engagement and organisational innovation.</p><p><strong>Design/methodology/approach: </strong>A quantitative-deductive causal method, along with a cross-sectional approach, was utilized. Structural equation modelling was applied to analyse data from a sample of 530 doctors employed in hospitals, practicing human resources management in the public and private sectors of Sindh province, Pakistan.</p><p><strong>Findings: </strong>The findings show positive effects of HPWS on employee engagement and organisational innovation. Additionally, employee's engagement partially mediates the relationship between HPWS and organisational innovation, while the moderating role of perspective-taking significantly influences the link between HPWS and employee engagement.</p><p><strong>Originality/value: </strong>While HPWS are recognized for enhancing organisational innovation, this study confirms their positive effects on individual and organisational outcomes, particularly within the healthcare sector in Pakistan. This study suggests that when HPWS are effectively perceived and implemented, these integrated practices can be beneficial for both employees and organizations, even in challenging situations.</p>","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":"38 6","pages":"821-842"},"PeriodicalIF":1.7,"publicationDate":"2024-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142093969","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cross-cultural validation and psychometric testing of the French version of the TeamSTEPPS teamwork perceptions questionnaire.","authors":"Mouna Idoudi, Mohamed Ayoub Tlili, Manel Mellouli, Chekib Zedini","doi":"10.1108/JHOM-01-2023-0004","DOIUrl":"https://doi.org/10.1108/JHOM-01-2023-0004","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Purpose: &lt;/strong&gt;Effective teamwork is crucial for patient safety in healthcare. The TeamSTEPPS Teamwork Perceptions Questionnaire (T-TPQ) is a widely used tool for assessing teamwork perceptions. The T-TPQ has been adapted and validated for hospital setting use in several countries. This study aimed to translate and validate the T-TPQ into French for use among Tunisian healthcare professionals, enhancing teamwork assessment and patient safety initiatives.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Design/methodology/approach: &lt;/strong&gt;A rigorous process ensured cultural and linguistic adaptation of the T-TPQ, including back-translation, expert panel review, and pilot testing. 459 healthcare professionals from four hospitals in Kairouan, Tunisia participated. Confirmatory factor analysis (CFA) compared the original five-factor structure with a revised structure based on exploratory factor analysis (EFA).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Findings: &lt;/strong&gt;Both CFA models demonstrated good fit, with no significant difference between them (∆χ&lt;sup&gt;2&lt;/sup&gt; = 22.51, &lt;i&gt;p&lt;/i&gt; = 0.79). The original five-factor structure was retained due to its established theoretical foundation. The French T-TPQ exhibited strong internal consistency (α = 0.9). Two-way Random ICCs indicated fair to good test-retest reliability for all the five dimensions (0.633-0.848).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Research limitations/implications: &lt;/strong&gt;Several limitations should be acknowledged. The use of a questionnaire as a data collection tool is the source of a reporting bias, for fear of being identified or for reasons of \"social desirability\". Nevertheless, this social desirability was minimal, as Baker &lt;i&gt;et al.&lt;/i&gt; (2010) took steps to mitigate this during the instrument's development. Additionally, for assessing attitudes and perceptions, self-reported measures are deemed more effective, whereas objective measures are advocated for behavioral assessments. Furthermore, the participants were informed of the absence of good or bad answers, the importance of answering as closely as possible, and the confidentiality. Moreover, considering the data collection period, the COVID- 19 pandemic and its potential impact on recruitment, data collection, and participant responses. Although the sample size of 459 met the recommended criteria for conducting confirmatory factor analysis, as suggested by Bentler and Chou (1987) and (Floyd and Widaman, 1995), the COVID-19 pandemic presented challenges in recruitment. The increased workload and stress on healthcare professionals, coupled with staff redeployment and research restrictions within hospitals and care units, likely hindered achieving an even larger sample size. These circumstances also necessitated adjustments to data collection methods to ensure safety and adherence to pandemic protocols. This involved incorporating online surveys option with paper-based questionnaires and implementing stricter hygiene measures during in person data collection. Furthermore, the pandemic impacted t","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":"38 6","pages":"923-941"},"PeriodicalIF":1.7,"publicationDate":"2024-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142093970","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health service requirements of mHealth app users: evidence from Hangzhou, China.","authors":"Zhongyang Xu, Zhiqian Meng","doi":"10.1108/JHOM-01-2024-0026","DOIUrl":"https://doi.org/10.1108/JHOM-01-2024-0026","url":null,"abstract":"<p><strong>Purpose: </strong>China's healthcare system is being burdened by the increasing prevalence of chronic diseases. Therefore, this study investigated the health service requirements of mobile health applications (mHealth apps) users in Hangzhou, China. This study aimed to propose suggestions and theoretical references to improve mHealth apps and promote their development, thereby meeting public medical and health needs and creating an efficient medical service system.</p><p><strong>Design/methodology/approach: </strong>We constructed a model of health service demands using a literature review, network survey, and semi-structured interviews. We analyzed the demand attributes using the Kano model and Better-Worse index and obtained the priority ranking of demands.</p><p><strong>Findings: </strong>The results revealed 25 demand elements in four dimensions: must-be (M), one-dimensional (O), attractive (A), and indifferent (I) requirements. The findings suggest that mHealth app developers can optimize health services by categorizing and managing health services, focusing on middle-aged users, enhancing the professionalism of health service providers, and improving the feedback mechanism.</p><p><strong>Originality/value: </strong>Studies on mHealth apps user demands, particularly on health service needs, remain scarce. This study employed a mixed-methods approach, integrating both qualitative and quantitative research techniques, to establish a priority ranking of user health service needs for mHealth apps. The study offers recommendations and theoretical references to optimize and improve mHealth app services.</p><p><strong>Highlights: </strong>Construct a better health service requirements model for mHealth app users.Obtain the prioritization of demand elements in the model.Propose some management suggestions to improve mHealth apps.</p>","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":"38 6","pages":"800-820"},"PeriodicalIF":1.7,"publicationDate":"2024-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142093972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the scientific evolution of collective leadership: a bibliometric analysis from Scopus database.","authors":"Wan Nurulasiah Wan Mustapa, Farah Lina Azizan, Muhammad Aiman Arifin, Ahmad Zulhusny Rozali","doi":"10.1108/JHOM-02-2024-0063","DOIUrl":"https://doi.org/10.1108/JHOM-02-2024-0063","url":null,"abstract":"<p><strong>Purpose: </strong>This study aims to review the last 50 years of academic research on collective leadership (CL) and how far it has progressed by using the Scopus database and the science mapping technique of bibliometric analysis.</p><p><strong>Design/methodology/approach: </strong>This study has analysed 417 publications from the Scopus database on collective leadership from 1967 to 2023. Data were analysed using MS Excel and VOSviewer.</p><p><strong>Findings: </strong>There has been research from different parts of the world on the various aspects of collective leadership. In recent years, collective leadership research has gained momentum. However, collective leadership is still at a nascent level when it comes to the applicability of the concepts. So far, the research on collective leadership has relied on themes such as shared leadership and distributed leadership, how collective leadership differs from other similar-looking leadership styles such as transformational leadership, and how this influences followers' outcomes such as team effectiveness, achievements, relations, commitment, etc. Most of the research so far has been done in the United States of America, the UK and the Australian context. There exists a huge gap for studying collective leadership in African, Middle Eastern and Asian contexts.</p><p><strong>Research limitations/implications: </strong>Collective leadership research trends may be addressed to enable academics and practitioners to better understand current and future trends and research directions. Future studies in this field might use the findings as a starting point to highlight the nature of the topic.</p><p><strong>Originality/value: </strong>Bibliometric techniques provide a far more comprehensive and reliable picture of the field. This article has the potential to serve as a one-stop resource for researchers and practitioners seeking information that can aid in transdisciplinary endeavours by leading them to recognized, peer-reviewed papers, journals and networks.</p>","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":"38 6","pages":"843-856"},"PeriodicalIF":1.7,"publicationDate":"2024-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142093971","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Organisational learning through a charitable trust-initiated project focusing on end-of-life care.","authors":"Tiffany Cheng Han Leung, Robin Stanley Snell, Daisy Lee","doi":"10.1108/JHOM-01-2023-0019","DOIUrl":"https://doi.org/10.1108/JHOM-01-2023-0019","url":null,"abstract":"<p><strong>Purpose: </strong>We identify lessons from a project sponsored by a large charitable trust, which sought to build capability for end-of-life (EOL) care in Hong Kong through interdisciplinary and multi-agency collaboration.</p><p><strong>Design/methodology/approach: </strong>An in-depth case study drawing on 21 in-depth interviews with diverse stakeholders was conducted. Lyman <i>et al</i>.'s (2018) model of organisational learning (OL) in healthcare settings was applied to analyse the relative emphasis on particular contextual factors and mechanisms, and to identify outcomes perceived to have been achieved.</p><p><strong>Findings: </strong>Infrastructure such as materials for assessment and education received the most emphasis among the contextual factors and deliberate learning such as training sessions received the greatest attention among the mechanisms. While perceptions indicated that desired outcomes were being achieved in terms of social impact, there were relatively few mentions of \"soft\" factors such as enhanced motivation, leadership or OL skills among staff.</p><p><strong>Originality/value: </strong>This study extends the literature on how to create valuable social impact through OL. While prior studies have examined social impact in terms of solutions for social and environmental problems, ours is one of the few that examines how improvements are made to organisations' capability to deliver such impacts in the context of healthcare.</p>","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":"38 6","pages":"781-799"},"PeriodicalIF":1.7,"publicationDate":"2024-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142093973","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Medical consultants' experience of collective leadership in complexity: a qualitative interview study.","authors":"Áine Carroll, Jane McKenzie, Claire Collins","doi":"10.1108/JHOM-04-2023-0104","DOIUrl":"10.1108/JHOM-04-2023-0104","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this study was to explore and understand the leadership experiences of medical consultants prior to a major hospital move. Health and care is becoming increasingly complex and there is no greater challenge than the move to a new hospital. Effective leadership has been identified as being essential for successful transition. However, there is very little evidence of how medical consultants experience effective leadership.</p><p><strong>Design/methodology/approach: </strong>A qualitative methodology was utilized with one-to-one semi-structured interviews conducted with ten medical consultants. These were transcribed verbatim and analyzed using inductive thematic analysis. The research complied with the consolidated criteria for reporting qualitative research (COREQ).</p><p><strong>Findings: </strong>Four themes were found to influence medical consultants' experience of leadership: collaboration, patient centredness, governance and knowledge mobilization. Various factors were identified that negatively influenced their leadership effectiveness. The findings suggest that there are a number of factors that influence complexity leadership effectiveness. Addressing these areas may enhance leadership effectiveness and the experience of leadership in medical consultants.</p><p><strong>Research limitations/implications: </strong>This study provides a rich exploration of medical consultants' experience of collective leadership prior to a transition to a new hospital and provides new understandings of the way collective leadership is experienced in the lead up to a major transition and makes recommendations for future leadership research and practice.</p><p><strong>Practical implications: </strong>The findings suggest that there are a number of factors that influence complexity leadership effectiveness. Addressing these areas may enhance leadership effectiveness and the experience of leadership in medical consultants.</p><p><strong>Social implications: </strong>Clinical leadership is associated with better outcomes for patients therefore any interventions that enhance leadership capability will improve outcomes for patients and therefore benefit society.</p><p><strong>Originality/value: </strong>This is the first research to explore medical consultants' experience of collective leadership prior to a transition to a new hospital.</p>","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":"38 9","pages":"297-312"},"PeriodicalIF":1.7,"publicationDate":"2024-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11346208/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142298611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Improving the learning capacity of regional health systems for their transformation towards health and well-being systems: a qualitative study of ten Dutch regions.","authors":"Natascha van Vooren, Esther de Weger, Josefien de Bruin, Caroline Baan","doi":"10.1108/JHOM-06-2023-0187","DOIUrl":"10.1108/JHOM-06-2023-0187","url":null,"abstract":"<p><strong>Purpose: </strong>There is growing recognition that transformation of healthcare systems towards health and well-being systems requires a continuous learning process. This explorative study aims to gain insight into the experiences with and investment in these learning processes within regional partnerships for health and in what they need to enhance their learning capacity to use the learning for transformation.</p><p><strong>Design/methodology/approach: </strong>17 interviews were held with programme managers, data scientists, trusted advisors and a citizen representative, all involved in the learning process on a regional level in ten Dutch regional partnerships. The interviews were inductively and thematically analysed, focusing on the experiences and perceptions underlying the learning processes.</p><p><strong>Findings: </strong>Regional partnerships invest in learning processes by organizing interactions between different groups of stakeholders and by reflecting on specific themes or on a region-wide level. Difficulty was found in region-wide reflection and in enhancing the learning capacity within the partnerships. Further enhancing the learning capacity required: (1) Investment in (the use of) expertise for translating learning outcomes into concrete action; (2) Leadership for change, underpinned by a shared sense of urgency to learn for transformation and (3) A facilitative environment for change which is both based on facilitative system structures and a basis of trust and commitment to learn and adapt.</p><p><strong>Originality/value: </strong>The study highlighted the difficulty of learning on a region-wide level and the struggle to apply this learning for transformation. It provides insights into how learning processes and learning capacity can be further improved.</p>","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":"38 9","pages":"280-296"},"PeriodicalIF":1.7,"publicationDate":"2024-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11346209/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142298610","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}