Constructing Taxonomies to Identify Distinctive Forms of Primary Healthcare Organizations
| Autor: | Raynald Pineault, Jean-Frédéric Lévesque, Roxane Borgès Da Silva, Marjolaine Hamel, Paul A. Lamarche, Danièle Roberge |
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| Jazyk: | angličtina |
| Rok vydání: | 2013 |
| Předmět: |
Knowledge management
Article Subject business.industry 030503 health policy & services Primary health care Social Welfare Ideal type 03 medical and health sciences 0302 clinical medicine Organization development Taxonomy (general) Medicine 030212 general & internal medicine Rural area 0305 other medical science business Set (psychology) Construct (philosophy) Research Article |
| Zdroj: | ISRN Family Medicine |
| DOI: | 10.5402/2013/798347 |
| Popis: | Background. Primary healthcare (PHC) renewal gives rise to important challenges for policy makers, managers, and researchers in most countries. Evaluating new emerging forms of organizations is therefore of prime importance in assessing the impact of these policies. This paper presents a set of methods related to the configurational approach and an organizational taxonomy derived from our analysis. Methods. In 2005, we carried out a study on PHC in two health and social services regions of Quebec that included urban, suburban, and rural areas. An organizational survey was conducted in 473 PHC practices. We used multidimensional nonparametric statistical methods, namely, multiple correspondence and principal component analyses, and an ascending hierarchical classification method to construct a taxonomy of organizations. Results. PHC organizations were classified into five distinct models: four professional and one community. Study findings indicate that the professional integrated coordination and the community model have great potential for organizational development since they are closest to the ideal type promoted by current reforms. Conclusion. Results showed that the configurational approach is useful to assess complex phenomena such as the organization of PHC. The analysis highlights the most promising organizational models. Our study enhances our understanding of organizational change in health services organizations. |
| Databáze: | OpenAIRE |
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