Construct Clarity in Physician-Hospital Alignment: The Need for Precision in Definition, Measurement, and Management Comment on "Alignment in the Hospital-Physician Relationship: A Qualitative Multiple Case Study of Medical Specialist Enterprises in the Netherlands".
| Autor: | Brinsfield CT; Management Department, Opus College of Business, University of St. Thomas, Saint Paul, MN, USA. |
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| Jazyk: | angličtina |
| Zdroj: | International journal of health policy and management [Int J Health Policy Manag] 2024; Vol. 13, pp. 8644. Date of Electronic Publication: 2024 Oct 02. |
| DOI: | 10.34172/ijhpm.8644 |
| Abstrakt: | The study by Ubels and van Raaij highlights the importance of alignment in hospital-physician relationships and the challenges in understanding, measuring, and managing it. Despite extensive research on alignment, drawing precise conclusions about its nature, drivers, and outcomes is difficult due to construct clarity and construct validity issues. This commentary focuses on clarifying these issues and the problems they create for hospitals attempting to manage alignment, as well as for scientific inquiry in this area. These issues involve the need to specify more clearly the essential nature of alignment and how it is distinct from other constructs such as engagement. It also involves demarcating alignment from the structures, arrangements, or processes intended to foster it, as well as from its outcomes. Improved precision in these areas will enable the development of more reliable and valid measures, thereby supporting hypothesis testing, theory building, and the identification of best practices. (© 2024 The Author(s); Published by Kerman University of Medical Sciences This is an open-access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.) |
| Databáze: | MEDLINE |
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