Abstract:
BACKGROUND:The current literature on the enabling conditions of multidisciplinary teams focuses on the singular dimensions of the organizations (i.e., human resources, clinical pathways, objects) without shedding light on to the way in which these organizational factors interact and mutually influence one another. PURPOSE:Drawing on a system perspective of organizations, the authors analyze the organizational patterns that promote and support multidisciplinary teams and how they interrelate and interact to enforce the organization work system. METHODOLOGY/APPROACH:The authors develop a modified sociotechnical system (STS) model to understand how the two dimensions of technical (devices/tools, layout/organization of space, core process standardization) and social (organizational structure, management of human resources and operations) can facilitate the implementation of multidisciplinary teams in health care. The study conducts an empirical analysis based on a sample of hospital adopters of transcatheter aortic valve implantation using the revised STS model. FINDINGS:The modified STS model applied to the case studies improves our understanding of the critical implementation factors of a multidisciplinary approach and the importance of coordinating radical changes in the technical and the social subsystems of health care organizations. The analysis informs that the multidisciplinary effort is not a sequential process and that the interplay between the two subsystems needs to be managed efficaciously as an integrated organizational whole to deliver the goals set. PRACTICE IMPLICATIONS:Hospital managers must place equal focus on the closely interrelated technical and social dimensions by investing in (a) shared layouts and spaces that cross the boundaries of the specialized health care units, (b) standardization of the core processes through the implementation of local clinical pathways,
journal_name
Health Care Manage Revjournal_title
Health care management reviewauthors
Marsilio M,Torbica A,Villa Sdoi
10.1097/HMR.0000000000000115subject
Has Abstractpub_date
2017-10-01 00:00:00pages
303-314issue
4eissn
0361-6274issn
1550-5030journal_volume
42pub_type
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journal_title:Health care management review
pub_type: 杂志文章
doi:
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journal_title:Health care management review
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journal_title:Health care management review
pub_type: 杂志文章,评审
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pub_type: 杂志文章
doi:10.1097/HMR.0000000000000014
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journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-199701000-00011
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pub_type: 杂志文章
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doi:10.1097/HMR.0b013e3181e4ec55
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journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0b013e3181c8b20c
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journal_title:Health care management review
pub_type: 杂志文章
doi:
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journal_title:Health care management review
pub_type: 杂志文章
doi:
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journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-198901420-00004
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pub_type: 杂志文章
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journal_title:Health care management review
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pub_type: 杂志文章
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journal_title:Health care management review
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journal_title:Health care management review
pub_type: 杂志文章
doi:
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更新日期:2019-07-01 00:00:00
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journal_title:Health care management review
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