Implementing Coordinated Care Networks: The Interplay of Individual and Distributed Leadership Practices

2021 ◽  
pp. 107755872110646
Author(s):  
Jennifer Gutberg ◽  
Jenna M. Evans ◽  
Sobia Khan ◽  
Reham Abdelhalim ◽  
Walter P. Wodchis ◽  
...  
Keyword(s):  
Distributed Leadership ◽  
Leadership Practices ◽  
Health Care Organizations ◽  
Comparative Case Study ◽  
Care Providers ◽  
Coordinated Care ◽  
Semistructured Interviews ◽  
And Function ◽  
Multiple Health

How does leadership emerge and function when multiple health care organizations come together to form a network? In this qualitative comparative case study, we draw on distributed leadership theory to examine the leadership practices that manifested during the implementation of three coordinated care networks. Thirty leaders and care providers participated in semistructured interviews. Interview data were inductively analyzed using thematic analysis. Although established in response to the same policy initiative, each case differed in its leadership approach and implementation strategy. We found that manifestation of distributed leadership was contingent on the presence of an individual leader who acted as a unifying force across their respective network. Our findings suggest that policies to encourage the development of interorganizational networks should include sufficient resources to support an individual leader who enables distributed leadership.

scholarly journals E-Procurement Adoption: A Case Study about the Role of Two Italian Advisory Services

2020 ◽  
Vol 12 (18) ◽  
pp. 7476
Author(s):  
Sara Belisari ◽  
Daniele Binci ◽  
Andrea Appolloni
Keyword(s):  
Organizational Performance ◽  
Technology Literacy ◽  
Comparative Case Study ◽  
Advisory Services ◽  
Support Organizations ◽  
Italian Market ◽  
Semistructured Interviews ◽  
Expected Benefits

This paper aims to analyze e-procurement adoption projects with specific focus on the Italian market. E-procurement adoption is critical for organizations, both for its internal efficiency and for the deep impact on sustainability issues. E-procurement adoption, however, is a complex journey as its implementation deals with various obstacles and the adoption costs can limit the overall organizational performance. Advisory services can support organizations in reaching the overall benefits of the e-procurement solution also by reducing the setbacks related to low technology literacy of end-users. Accordingly, we analyze adoption of e-procurement, its main variables and outputs, by focusing on a comparative case study based on an exploratory-inductive investigation of two Italian leading providers. The data have been collected through primary (semistructured interviews) and secondary (companies’ internal documents and companies’ websites) sources. Results highlight that when firms decide to adopt e-procurement, advisory services have an enabling role that can support them into implementation, and particularly for overcoming barriers and helping them to achieve the expected benefits.

scholarly journals Patient Portal Implementation and Uptake: Qualitative Comparative Case Study

10.2196/18973 ◽  
2020 ◽  
Vol 22 (7) ◽  
pp. e18973 ◽  
Author(s):  
Melita Avdagovska ◽  
Mark Ballermann ◽  
Karin Olson ◽  
Timothy Graham ◽  
Devidas Menon ◽  
...  
Keyword(s):  
Health Care Providers ◽  
Current Status ◽  
Comparative Case Study ◽  
Patient Portal ◽  
Care Providers ◽  
Patient Portals ◽  
National Goal ◽  
Patient Centered ◽  
The Impact

Background Giving patients access to their health information is a provincial and national goal, and it is critical to the delivery of patient-centered care. With this shift, patient portals have become more prevalent. In Alberta, the Alberta Health Services piloted a portal (MyChart). There was a need to identify factors that promoted the use of this portal. Furthermore, it was imperative to understand why there was variability in uptake within the various clinics that participated in the pilot. Objective This study aims to identify potential factors that could improve the uptake of MyChart from the perspectives of both users and nonusers at pilot sites. We focused on factors that promoted the use of MyChart along with related benefits and barriers to its use, with the intention that this information could be incorporated into the plan for its province-wide implementation. Methods A qualitative comparative case study was conducted to determine the feasibility, acceptability, and initial perceptions of users and to identify ways to increase uptake. Semistructured interviews were conducted with 56 participants (27 patients, 21 providers, 4 nonmedical staff, and 4 clinic managers) from 5 clinics. Patients were asked about the impact of MyChart on their health and health care. Providers were asked about the impact on the patient-provider relationship and workflow. Managers were asked about barriers to implementation. The interviews were recorded, transcribed verbatim, and entered into NVivo. A thematic analysis was used to analyze the data. Results Results from a comparison of factors related to uptake of MyChart in 5 clinics (2 clinics with high uptake, 1 with moderate uptake, 1 with low uptake, and 1 with no uptake) are reported. Some theoretical constructs in our study, such as intention to use, perceived value, similarity (novelty) of the technology, and patient health needs, were similar to findings published by other research teams. We also identified some new factors associated with uptake, including satisfaction or dissatisfaction with the current status quo, performance expectancy, facilitating conditions, behavioral intentions, and use behavior. All these factors had an impact on the level of uptake in each setting and created different opportunities for end users. Conclusions There is limited research on factors that influence the uptake of patient portals. We identified some factors that were consistent with those reported by others but also several new factors that were associated with the update of MyChart, a new patient portal, in the clinics we studied. On the basis of our results, we posit that a shared understanding of the technology among patients, clinicians, and managers, along with dissatisfaction with nonportal-based communications, is foundational and must be addressed for patient portals to support improvements in care.

MODELING DISTRIBUTED COLLABORATION ON GITHUB

2014 ◽  
Vol 17 (07n08) ◽  
pp. 1450024 ◽  
Author(s):  
NORA McDONALD ◽  
KELLY BLINCOE ◽  
EVA PETAKOVIC ◽  
SEAN GOGGINS
Keyword(s):  
Open Source ◽  
Distributed Leadership ◽  
Open Source Software ◽  
Organizational Form ◽  
Comparative Case Study ◽  
Success Rates ◽  
Distributed Collaboration ◽  
Future Studies

In this paper, we apply concepts from Distributed Leadership, a theory suggesting that leadership is shared among members of an organization, to frame models of contribution that we uncover in five relatively successful open source software (OSS) projects hosted on GitHub. In this qualitative, comparative case study, we show how these projects make use of GitHub features such as pull requests (PRs). We find that projects in which member PRs are more frequently merged with the codebase experience more sustained participation. We also find that projects with higher success rates among contributors and higher contributor retention tend to have more distributed (non-centralized) practices for reviewing and processing PRs. The relationships between organizational form and GitHub practices are enabled and made visible as a result of GitHub's novel interface. Our results demonstrate specific dimensions along which these projects differ and explicate a framework that warrants testing in future studies of OSS, particularly GitHub.

Imagery Use during Rehabilitation from Injury: A Case Study of an Elite Athlete

2008 ◽  
Vol 22 (4) ◽  
pp. 405-422 ◽  
Author(s):  
Rebecca Hare ◽  
Lynne Evans ◽  
Nichola Callow
Keyword(s):  
Analogue Scale ◽  
Elite Athlete ◽  
Athletic Injury ◽  
Imagery Ability ◽  
Injury Rehabilitation ◽  
Situational Variables ◽  
Semistructured Interviews ◽  
And Function ◽  
Return To Competition

The present study explored the perceived affect of personal and situational variables, perception of pain, and imagery ability on the function and outcome of an Olympic athlete’s use of imagery. To gain an in-depth understanding of these factors, semistructured interviews were conducted across three phases of injury rehabilitation, and return to competition. The athlete also completed the Athletic Injury Imagery Questionnaire-2 (Sordoni, Hall, & Forwell, 2002), the Vividness of Movement Imagery Questionnaire-2 (Roberts, Callow, Markland, Hardy, & Bringer, 2008), and the Visual Analogue Scale for pain (Huskisson, 1974). Findings highlight the perceived affects of personal and situational variables and imagery ability on the athlete’s responses to injury and function of imagery use. Further, this usage was perceived by the athlete to affect outcome depending on the phase of rehabilitation. Interestingly, perception of pain was not considered by the athlete to influence imagery use, this might have been due to the low pain rating reported.

Difficult Decisions: Commuting for the Academic Career

2019 ◽  
Vol 121 (10) ◽  
pp. 1-46
Author(s):  
Margaret W. Sallee
Keyword(s):  
Academic Career ◽  
Well Being ◽  
Comparative Case Study ◽  
Professional Lives ◽  
Job Market ◽  
Semistructured Interviews ◽  
Academic Job Market ◽  
Literature Theory ◽  
Background Context

Background/Context As the academic job market becomes more competitive, some faculty find it necessary to move away from their partners in order to secure a position, thus leading them to become part of a commuting couple. Despite their presence in the academy, little research exists on how commuting shapes academics’ personal and professional lives. Purpose The purpose of the study was to understand the experiences of faculty members who are members of commuting couples. The study used Ryan and Deci's self-determination theory—which suggests that three basic needs of competence, autonomy, and relatedness must be met to facilitate well-being—to explore why some commuters thrive in the arrangement more than others. Participants Interviews were conducted with 36 participants who were part of academic commuting couples; participants were 31 academics and five nonacademic spouses. The sample included diversity based on gender, race/ethnicity, sexuality, and parental status. Research Design This comparative case study contrasted the experiences of those who were satisfied in commuting couples with those who were not. Data were collected via semistructured interviews and analysis of artifacts submitted by participants that helped capture their experiences in a commuting couple. Data were analyzed with both concept- and data-driven codes that emerged from the literature/theory and the data, respectively. Findings Participants who attained autonomy, competence, and relatedness in personal and professional domains were more accepting of commuting than those who did not. Nearly all commuters appreciated the autonomy that separation from their partners brought in terms of allowing them to work more; however, the unhappy commuters were more likely to feel that they did not make the choice to commute, but were forced into it by the job market. Similarly, most participants discussed valuing their careers as academics (competence), which led unhappy commuters to struggle with whether to leave the field. Finally, participants discussed a lack of connection with colleagues (relatedness) across the sample. Unhappy commuters were more likely to report struggling with their separation from their partners as a result of commuting. Recommendations Given the competitiveness of the job market, more academics may find themselves in commuting couples. Findings suggest that there are ways that institutions can help this population, including scheduling meetings and other obligations at times that would help facilitate their relatedness with colleagues.

scholarly journals Patient Portal Implementation and Uptake: Qualitative Comparative Case Study (Preprint)

2020 ◽  
Author(s):  
Melita Avdagovska ◽  
Mark Ballermann ◽  
Karin Olson ◽  
Timothy Graham ◽  
Devidas Menon ◽  
...  
Keyword(s):  
Health Care Providers ◽  
Current Status ◽  
Comparative Case Study ◽  
Patient Portal ◽  
Care Providers ◽  
Patient Portals ◽  
National Goal ◽  
Patient Centered ◽  
The Impact

BACKGROUND Giving patients access to their health information is a provincial and national goal, and it is critical to the delivery of patient-centered care. With this shift, patient portals have become more prevalent. In Alberta, the Alberta Health Services piloted a portal (MyChart). There was a need to identify factors that promoted the use of this portal. Furthermore, it was imperative to understand why there was variability in uptake within the various clinics that participated in the pilot. OBJECTIVE This study aims to identify potential factors that could improve the uptake of MyChart from the perspectives of both users and nonusers at pilot sites. We focused on factors that promoted the use of MyChart along with related benefits and barriers to its use, with the intention that this information could be incorporated into the plan for its province-wide implementation. METHODS A qualitative comparative case study was conducted to determine the feasibility, acceptability, and initial perceptions of users and to identify ways to increase uptake. Semistructured interviews were conducted with 56 participants (27 patients, 21 providers, 4 nonmedical staff, and 4 clinic managers) from 5 clinics. Patients were asked about the impact of MyChart on their health and health care. Providers were asked about the impact on the patient-provider relationship and workflow. Managers were asked about barriers to implementation. The interviews were recorded, transcribed verbatim, and entered into NVivo. A thematic analysis was used to analyze the data. RESULTS Results from a comparison of factors related to uptake of MyChart in 5 clinics (2 clinics with high uptake, 1 with moderate uptake, 1 with low uptake, and 1 with no uptake) are reported. Some theoretical constructs in our study, such as intention to use, perceived value, similarity (novelty) of the technology, and patient health needs, were similar to findings published by other research teams. We also identified some new factors associated with uptake, including satisfaction or dissatisfaction with the current status quo, performance expectancy, facilitating conditions, behavioral intentions, and use behavior. All these factors had an impact on the level of uptake in each setting and created different opportunities for end users. CONCLUSIONS There is limited research on factors that influence the uptake of patient portals. We identified some factors that were consistent with those reported by others but also several new factors that were associated with the update of MyChart, a new patient portal, in the clinics we studied. On the basis of our results, we posit that a shared understanding of the technology among patients, clinicians, and managers, along with dissatisfaction with nonportal-based communications, is foundational and must be addressed for patient portals to support improvements in care.

Caregivers' Perceptions of Speech-Language Pathologist Talk About Child Language and Literacy Disorders

2020 ◽  
Vol 29 (4) ◽  
pp. 2049-2067
Author(s):  
Karmen L. Porter ◽  
Janna B. Oetting ◽  
Loretta Pecchioni
Keyword(s):  
Language And Literacy ◽  
Collective Case Study ◽  
Study Approach ◽  
School Aged Children ◽  
Speech Language Pathologist ◽  
Therapy Goals ◽  
Semistructured Interviews ◽  
Types Of Information

Purpose This study examined caregiver perceptions of their child's language and literacy disorder as influenced by communications with their speech-language pathologist. Method The participants were 12 caregivers of 10 school-aged children with language and literacy disorders. Employing qualitative methods, a collective case study approach was utilized in which the caregiver(s) of each child represented one case. The data came from semistructured interviews, codes emerged directly from the caregivers' responses during the interviews, and multiple coding passes using ATLAS.ti software were made until themes were evident. These themes were then further validated by conducting clinical file reviews and follow-up interviews with the caregivers. Results Caregivers' comments focused on the types of information received or not received, as well as the clarity of the information. This included information regarding their child's diagnosis, the long-term consequences of their child's disorder, and the connection between language and reading. Although caregivers were adept at describing their child's difficulties and therapy goals/objectives, their comments indicated that they struggled to understand their child's disorder in a way that was meaningful to them and their child. Conclusions The findings showed the value caregivers place on receiving clear and timely diagnostic information, as well as the complexity associated with caregivers' understanding of language and literacy disorders. The findings are discussed in terms of changes that could be made in clinical practice to better support children with language and literacy disorders and their families.

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