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Health Policy ; 119(1): 1-8, 2015 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-25445110

RESUMEN

Although multi-disciplinary cooperation between professionals is a prerequisite to provide integrated care in the community, this seems hard to realise in practice. Yet, little is known about the experiences of professionals who implement it nor about the organisational features professionals identify as empowering during this cooperation process. Therefore, a case study of a multi-disciplinary geriatric team was performed. The data-collection included observations of meetings, in-depth interviews and focus groups with professionals (N = 12). Data were analysed inductively and related to the three organisational levels within the model of organisational empowerment of Peterson and Zimmerman. Signs of empowering organisational features on the intraorganisational level were mutual trust and clear working routines. On the interorganisational level important features included improved linkages between participating organisations and increased insight into each other's tasks. Tensions occurred relating to the inter- and the extraorganisational level. Professionals felt that the commitment of the management of involved organisations should be improved just as the capacity of the team to influence (local) policy. It is recommended that policymakers should not determine the nature of professional cooperation in advance, but to leave that to the local context as well as to the judgement of involved professionals.


Asunto(s)
Servicios de Salud Comunitaria/organización & administración , Prestación Integrada de Atención de Salud/organización & administración , Servicios de Salud para Ancianos/organización & administración , Anciano , Servicios de Salud Comunitaria/métodos , Conducta Cooperativa , Prestación Integrada de Atención de Salud/métodos , Grupos Focales , Humanos , Relaciones Interinstitucionales , Entrevistas como Asunto , Modelos Organizacionales , Países Bajos , Política Organizacional , Grupo de Atención al Paciente/organización & administración , Poder Psicológico , Calidad de la Atención de Salud/organización & administración , Confianza
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