Understanding the emergence and development of medical collaboration across organizational boundaries
A longitudinal case study
Bibliographic Data
| ID | 4218281 |
|---|---|
| Authors | Nassera Touati (0000-0002-8387-1850, École Nationale d'Administration Publique, corresponding author), Charo Rodríguez (0000-0003-3799-8399, McGill University), Marie-Andrée Paquette (0000-0003-4419-7071, Université de Sherbrooke), J L Denis (0000-0003-1295-332X, Université de Montréal), Jean-Louis Denis |
| Year | 2018 |
| Volume | 22 |
| Issue | 6 |
| Pages | 580-602 |
| Publication date | 2018-11-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Health An Interdisciplinary Journal for the Social Study of Health Illness and Medicine (JOURNAL) |
| Journal identifiers | ISSN: 1363-4593 • E-ISSN: 1461-7196 |
| Publisher | SAGE Publications Inc (PUBLISHER) |
| DOI | 10.1177/1363459317724852 |
| PMID | 28795577 |
| OpenAlex | W2743321148 |
| Language | EN |
| References cited | 42 |
Our goal in this investigation was to help shed light on the very difficult process of collaboration between family physicians and specialists working at different levels of healthcare delivery. More precisely, and grounded on Giddens' structuration theory, our investigation aims to understand how medical collaboration emerges and develops around chronic patients. This was a longitudinal interpretive case study, the "case" being a continuum-of-care for patients suffering from diabetes, put in place in an urban health center in the Canadian province of Quebec. The study shows how the application of rules of signification and of legitimation, combined with domination resources, have supported the emergence of new forms of collaborative practices. Our analysis reveals, however, that new collaborative practices at the administrative level do not necessarily entail greater shared decision-making in patient management and the mobilization of knowledge across boundaries. The study also corroborates the mutual recursive influence of practices and structures. Our study's most important contribution concerns the impact of knowledge dynamics, that is, individual and collective learning, on the development of medical collaboration across levels of care
Knowledge management · Longitudinal study · Sociology · Computer Science · Health Policy Implementation Science · Medicine · Mental Health and Patient Involvement · Primary Care and Health Outcomes
Institutions and organizations
Structuring Organizations
The System of Professions
Organizing Care for Patients with Chronic Illness
Hybrid professionalism and beyond
Toward a Comprehensive Theory of Collaboration
Why Don't Physicians Follow Clinical Practice Guidelines?
Plans and situated actions
Strategies for Theorizing from Process Data
Longitudinal Research
Sociologie des professions
The role of networks of practice, value sharing, and operational proximity in knowledge flows between professional groups
Knowledge and practice in multidisciplinary teams
Stretching out and expanding work practices in time and space
The Socialization of Physicians during Attending Rounds
Collaborative Work by Using Videoconferencing
Reconfiguring or reproducing intra-professional boundaries? Specialist expertise, generalist knowledge and the 'modernization' of the medical workforce
Rapport et Recommandations
Care pathways as boundary objects between primary and secondary care
Central Problems in Social Theory
Verification Strategies for Establishing Reliability and Validity in Qualitative Research
Professional competition and modernizing the clinical workforce in the NHS
| Highly cited | No |
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