A multi-dimensional study of organisational boundaries and silos in the healthcare sector.

IF 1.6 Q3 HEALTH POLICY & SERVICES Health Services Management Research Pub Date : 2024-11-01 Epub Date: 2023-11-27 DOI:10.1177/09514848231218617
Esben Rahbek Gjerdrum Pedersen, Frantisek Sudzina, Francesco Rosati
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Abstract

Purpose: The aim of this study is to understand how healthcare practitioners experience organisational boundaries and silos in day-to-day operations. Based on a multi-dimensional scale of organisational boundaries, the study examines how organisational demarcation lines enable and constrain daily work tasks in the healthcare sector.Research design: The study is based on a quantitative and qualitative analysis of survey responses from 895 healthcare practitioners in Denmark.Results: The results indicate that tendencies toward organisational silos relate to systems and hierarchies (management-staff) rather than professions and departments. Moreover, the study identifies resource scarcity as an important undercurrent in the understanding of the respondents' perceptions of boundaries and silos.Conclusion: The study contributes to existing research by documenting the coordination and collaboration challenges linked to the multitude of demarcation lines in complex health organisations.

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组织边界和孤岛在医疗保健部门的多维研究。
目的:本研究的目的是了解医疗保健从业人员在日常操作中如何体验组织边界和孤岛。基于组织边界的多维尺度,该研究考察了组织分界线如何在医疗保健部门实现和限制日常工作任务。研究设计:本研究基于对丹麦895名医疗从业人员的调查反馈进行定量和定性分析。结果:结果表明,组织孤岛倾向与系统和等级(管理人员)有关,而不是专业和部门。此外,该研究确定资源稀缺是理解受访者对边界和孤岛的看法的重要暗流。结论:该研究通过记录复杂卫生组织中与众多分界线相关的协调和协作挑战,对现有研究做出了贡献。
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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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