Le regroupement des hôpitaux publics : l’action publique en régime d’apprentissage

Abstract

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Unravelling collaborative governance dynamics within healthcare networks: a scoping review

“…According to Emerson, collaborative dynamics refer to the drivers that energize participation to overcome the cost of initial network formation and set the dynamic of inter-organizational collaboration. As described in Table 1 , most included studies referred to Emerson’s collaborative dynamics drivers (principled engagement, shared motivation and capacities for joint actions) ( Audet and Roy, 2016 ; Hermans et al ., 2019 ; Cazin et al ., 2022 ).…”

“…Leadership and governance enable equitable resource marshalling ( Palumbo et al ., 2017 ), promote shared goals ( Vindrola-Padros et al ., 2022 ) and strengthen the actors’ sense of belonging. This is done through participatory decision-making and co-creation of knowledge ( Hyrkäs et al ., 2020 ) and continuous adaptation of operational procedures ( Audet and Roy, 2016 ; Cazin et al ., 2022 ).…”

“…Formalization of inter-organizational collaboration refers to the standardization of roles and responsibilities and the design of the network organizational structure and organogram (i.e. strategic steering committees and governing boards) ( Waring and Crompton, 2019 ; Cazin et al ., 2022 ), and developing guidelines, rules and procedures ( Cazin et al ., 2022 ; Nicaise et al , 2021 ). For instance, the Comprehensive Community Based Rehabilitation (i.e.…”

“…Inter-organizational collaboration has proven to be beneficial in the development of joint strategic plans and the successful implementation of planned joint actions within HN ( Chu and Chiang, 2013 ; Sus et al ., 2019 ; Hyrkäs et al ., 2020 ; Van Der Schors et al ., 2021 ). Moreover, it has also proved appropriate in facilitating the development of strategic healthcare alliances and the expansion of networks to include other types of health facilities ( Bernardo et al ., 2012 ; Bagwell et al ., 2017 ; Cazin et al ., 2022 ; Vindrola-Padros et al ., 2022 ). In practical terms, HN resulted in the increased managerial overall performance of healthcare systems and smooth implementation of cross-organizational quality assurance projects ( Sus et al ., 2019 ).…”

“…Only eight studies have specifically examined the impact of HN on health outcomes. These studies have focused on various aspects, such as access to care ( Schneider et al ., 2019 ; de Brún and Mcauliffe, 2020 ; Van Der Schors et al ., 2021 ), quality of care ( Audet and Roy, 2016 ; Otte-Trojel et al ., 2017 ; Van Der Schors et al ., 2021 ; Cazin et al ., 2022 ) [e.g. improved maternal and neonatal health ( Sequeira D’mello et al ., 2020 )] and patient satisfaction ( Bernardo et al ., 2012 ; Sus et al ., 2019 ).…”