دورية أكاديمية
Why should stakeholders consider the effect of tensions in collaborative innovation in healthcare-lessons learned from surveying integrated care projects in Germany.
| العنوان: | Why should stakeholders consider the effect of tensions in collaborative innovation in healthcare-lessons learned from surveying integrated care projects in Germany. |
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| المؤلفون: | Haring M; Hannover Medical School, Institute of Epidemiology, Social Medicine and Health System Research, Carl-Neuberg-Str. 1, Hannover, 30625, Germany. Malte.U.Haring@stud.mh-hannover.de., Schiller J; inav- Private Institute for Applied Health Services Research GmbH, Schiffbauerdamm 12, Berlin, 10117, Germany., Gersch M; Department of Information Systems, Freie Universität Berlin, Garystr. 21, Berlin, 14195, Germany., Amelung V; Hannover Medical School, Institute of Epidemiology, Social Medicine and Health System Research, Carl-Neuberg-Str. 1, Hannover, 30625, Germany. |
| المصدر: | BMC health services research [BMC Health Serv Res] 2023 Nov 23; Vol. 23 (1), pp. 1292. Date of Electronic Publication: 2023 Nov 23. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: BioMed Central Country of Publication: England NLM ID: 101088677 Publication Model: Electronic Cited Medium: Internet ISSN: 1472-6963 (Electronic) Linking ISSN: 14726963 NLM ISO Abbreviation: BMC Health Serv Res Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: London : BioMed Central, [2001- |
| مواضيع طبية MeSH: | Health Facilities* , Delivery of Health Care, Integrated*, Humans ; Germany ; Surveys and Questionnaires |
| مستخلص: | Introduction: The German Innovation Fund supports projects that aim to improve healthcare through integration and intersectoral collaboration. As is typical for collaborative innovation projects, partners often pursue different objectives, which can create tensions and affect outcomes. The study aims to explore the causes and effects of tensions in integrated care projects and how frameworks, processes, and management should be designed to deal with tensions and achieve their productive effects. Methods: In an online survey we asked participants about the causes, effects, and management of tensions and their implications for integrated care projects (n = 58 completed questionnaires). We applied bivariate descriptive statistics to analyse the quantitative data. Results: Tensions between stakeholders, caused by deep-seated differences and the design of the project frameworks, often affect the course and outcome of innovative integrated care projects. However, through appropriate conflict management and negotiation processes such tensions can be managed constructively and lead to better outcomes. Discussion: Tension is usually seen as something unpleasant to be avoided and/or overcome. In fact, tensions can have positive effects, the importance of which remains little understood. Developing appropriate frameworks for managing and integrating different perspectives are key factors in unlocking the positive potential of tensions in integrated care projects. (© 2023. The Author(s).) |
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| فهرسة مساهمة: | Keywords: Contradictions; Implementation; Innovation; Integrated care projects; Tensions |
| تواريخ الأحداث: | Date Created: 20231123 Date Completed: 20231127 Latest Revision: 20231127 |
| رمز التحديث: | 20231215 |
| مُعرف محوري في PubMed: | PMC10668511 |
| DOI: | 10.1186/s12913-023-10323-y |
| PMID: | 37996835 |
| قاعدة البيانات: | MEDLINE |
Find this article in full text from Springer Verlag. 
Full Text Finder | تدمد: | 1472-6963 |
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| DOI: | 10.1186/s12913-023-10323-y |