{"title":"知识和文化对护理质量的影响:混合方法","authors":"Tiago Gonçalves , Carla Curado , Mírian Oliveira","doi":"10.1016/j.ijinfomgt.2024.102788","DOIUrl":null,"url":null,"abstract":"<div><p>Concerns about the quality of care provided to patients have been recently revisited in the healthcare management literature, driven by the aftermath of the COVID-19 pandemic. Quality of care is a complex measure of healthcare performance that relies on optimizing healthcare knowledge. Knowledge management initiatives and practices in healthcare remain difficult to implement and develop – presenting a managerial challenge that must coexist in a competitive environment. This paper aims to study the contribution of knowledge-management systems, knowledge-sharing behavior, and competitive culture to the quality of care provided to patients. We use a mixed-methods approach to explore a research model in a sequence of two studies. Research data comes from a sample of 323 healthcare professionals in Portuguese healthcare organizations. Quantitative results show that both knowledge-management systems and a competitive culture positively influence the quality of care. Results also show a positive influence of knowledge-sharing behavior on the quality of care. Complementarily, qualitative results reveal two configurations leading to quality of care. The first highlights the role of knowledge-management systems alone as sufficient to provide quality of care. A second configuration involves cumulative contributions of competitive culture and individual knowledge sharing, leading to quality of care. Theoretical and practical implications are discussed, and a model for quality of care creation is offered. Limitations are acknowledged and future work directions are presented.</p></div>","PeriodicalId":48422,"journal":{"name":"International Journal of Information Management","volume":null,"pages":null},"PeriodicalIF":20.1000,"publicationDate":"2024-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Knowledge and culture influences on quality of care: A mixed methods approach\",\"authors\":\"Tiago Gonçalves , Carla Curado , Mírian Oliveira\",\"doi\":\"10.1016/j.ijinfomgt.2024.102788\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><p>Concerns about the quality of care provided to patients have been recently revisited in the healthcare management literature, driven by the aftermath of the COVID-19 pandemic. Quality of care is a complex measure of healthcare performance that relies on optimizing healthcare knowledge. Knowledge management initiatives and practices in healthcare remain difficult to implement and develop – presenting a managerial challenge that must coexist in a competitive environment. This paper aims to study the contribution of knowledge-management systems, knowledge-sharing behavior, and competitive culture to the quality of care provided to patients. We use a mixed-methods approach to explore a research model in a sequence of two studies. Research data comes from a sample of 323 healthcare professionals in Portuguese healthcare organizations. Quantitative results show that both knowledge-management systems and a competitive culture positively influence the quality of care. Results also show a positive influence of knowledge-sharing behavior on the quality of care. Complementarily, qualitative results reveal two configurations leading to quality of care. The first highlights the role of knowledge-management systems alone as sufficient to provide quality of care. A second configuration involves cumulative contributions of competitive culture and individual knowledge sharing, leading to quality of care. Theoretical and practical implications are discussed, and a model for quality of care creation is offered. Limitations are acknowledged and future work directions are presented.</p></div>\",\"PeriodicalId\":48422,\"journal\":{\"name\":\"International Journal of Information Management\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":20.1000,\"publicationDate\":\"2024-04-20\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International Journal of Information Management\",\"FirstCategoryId\":\"91\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0268401224000367\",\"RegionNum\":1,\"RegionCategory\":\"管理学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"INFORMATION SCIENCE & LIBRARY SCIENCE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Information Management","FirstCategoryId":"91","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0268401224000367","RegionNum":1,"RegionCategory":"管理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"INFORMATION SCIENCE & LIBRARY SCIENCE","Score":null,"Total":0}
Knowledge and culture influences on quality of care: A mixed methods approach
Concerns about the quality of care provided to patients have been recently revisited in the healthcare management literature, driven by the aftermath of the COVID-19 pandemic. Quality of care is a complex measure of healthcare performance that relies on optimizing healthcare knowledge. Knowledge management initiatives and practices in healthcare remain difficult to implement and develop – presenting a managerial challenge that must coexist in a competitive environment. This paper aims to study the contribution of knowledge-management systems, knowledge-sharing behavior, and competitive culture to the quality of care provided to patients. We use a mixed-methods approach to explore a research model in a sequence of two studies. Research data comes from a sample of 323 healthcare professionals in Portuguese healthcare organizations. Quantitative results show that both knowledge-management systems and a competitive culture positively influence the quality of care. Results also show a positive influence of knowledge-sharing behavior on the quality of care. Complementarily, qualitative results reveal two configurations leading to quality of care. The first highlights the role of knowledge-management systems alone as sufficient to provide quality of care. A second configuration involves cumulative contributions of competitive culture and individual knowledge sharing, leading to quality of care. Theoretical and practical implications are discussed, and a model for quality of care creation is offered. Limitations are acknowledged and future work directions are presented.
期刊介绍:
The International Journal of Information Management (IJIM) is a distinguished, international, and peer-reviewed journal dedicated to providing its readers with top-notch analysis and discussions within the evolving field of information management. Key features of the journal include:
Comprehensive Coverage:
IJIM keeps readers informed with major papers, reports, and reviews.
Topical Relevance:
The journal remains current and relevant through Viewpoint articles and regular features like Research Notes, Case Studies, and a Reviews section, ensuring readers are updated on contemporary issues.
Focus on Quality:
IJIM prioritizes high-quality papers that address contemporary issues in information management.