Hybridity enabled: A research synthesis of the enabling conditions for hybrid professionalism in healthcare.

IF 1.6 Q3 HEALTH POLICY & SERVICES Health Services Management Research Pub Date : 2024-02-01 Epub Date: 2023-01-18 DOI:10.1177/09514848231151829
Marco Sartirana, Giorgio Giacomelli
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Abstract

Hybrid professionals in healthcare organizations play a critical role, the characteristics, processes and implications of which have been thoroughly studied by scholars in the field. However, not as much attention has been paid to the conditions under which such roles might be taken by professionals entering the ground of management. This gap results into a lack of conceptual clarity and eventually ends being an obstacle in framing and ameliorating the tools needed to act such a role in its different phases. This is a research area worthy of a finer-grained understanding: the ability of organizations to effectively support role hybridization, in fact, is a requisite for professionals-managers' willingness to stay in the role and cope with the complexity that such a two-fold position entails, no matter what. Based on the results of a scoping literature review, this paper presents the enabling conditions for hybrid professionalism in healthcare, and proposes a classification of them into categories corresponding to different facets of hybrid role-taking: opportunities for interaction with management, tools supporting sense-making, and provision of delegation and autonomy. For each of these categories, organizational and management tools discussed in the literature are presented. The results of the study provide a road-map of the enabling conditions for hybrid professionalism that aims to be of practical convenience for managers and policy-makers in health care. Eventually, suggestions for organizational design and personnel management, as well as directions for further research, are highlighted.

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实现混合:对医疗保健领域混合职业精神有利条件的研究综述。
混合型专业人员在医疗保健组织中发挥着至关重要的作用,该领域的学者对其特点、过程和影响进行了深入研究。然而,对于进入管理领域的专业人员在何种条件下可能扮演这种角色,却没有给予那么多的关注。这一空白导致概念不清晰,最终成为制定和改进在不同阶段扮演此类角色所需工具的障碍。这是一个值得深入了解的研究领域:事实上,组织有效支持角色混合的能力是专业人员--管理人员愿意继续担任这一角色并应对这种双重身份所带来的复杂性的必要条件。根据范围性文献综述的结果,本文介绍了医疗保健领域混合职业精神的有利条件,并根据混合角色承担的不同方面提出了分类建议:与管理层互动的机会、支持感性认识的工具以及授权和自主权的提供。针对每个类别,都介绍了文献中讨论过的组织和管理工具。研究结果为混合职业化的有利条件提供了路线图,旨在为医疗保健领域的管理者和政策制定者提供实际便利。最后,强调了对组织设计和人事管理的建议,以及进一步研究的方向。
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来源期刊
Health Services Management Research
Health Services Management Research HEALTH POLICY & SERVICES-
CiteScore
4.00
自引率
4.80%
发文量
33
期刊介绍: Health Services Management Research (HSMR) is an authoritative international peer-reviewed journal which publishes theoretically and empirically rigorous research on questions of enduring interest to health-care organizations and systems throughout the world. Examining the real issues confronting health services management, it provides an independent view and cutting edge evidence-based research to guide policy-making and management decision-making. HSMR aims to be a forum serving an international community of academics and researchers on the one hand and healthcare managers, executives, policymakers and clinicians and all health professionals on the other. HSMR wants to make a substantial contribution to both research and managerial practice, with particular emphasis placed on publishing studies which offer actionable findings and on promoting knowledge mobilisation toward theoretical advances.
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