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

Autor: Pedersen ERG; Department of Management, Society and Communication, Copenhagen Business School, Frederiksberg, Denmark., Sudzina F; Prague University of Economics and Business Faculty of Informatics and Statistics, Praha, Czech Republic., Rosati F; Centre for Technology Entrepreneurship, Technical University of Denmark, Kgs. Lyngby, Denmark.
Jazyk: angličtina
Zdroj: Health services management research [Health Serv Manage Res] 2024 Nov; Vol. 37 (4), pp. 200-208. Date of Electronic Publication: 2023 Nov 27.
DOI: 10.1177/09514848231218617
Abstrakt: 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.
Competing Interests: Declaration of conflicting interestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Databáze: MEDLINE