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Knowledge sharing and health-care coordination : the role of creation and use brokers
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Marabelli, Marco, Newell, Susan, Swan, Jacky and Krantz, Chantal (2014) Knowledge sharing and health-care coordination : the role of creation and use brokers. Health Systems, 3 (3). pp. 185-198. ISSN 2047-6965.
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Official URL: http://dx.doi.org/10.1057/hs.2014.8
Abstract
This paper arises from research that examined a health-care coordination improvement initiative that was focused on increasing knowledge sharing among a network of health-care workers involved in the care of children with complex medical needs. Part of this initiative involved a summary medical note (the Single Point of Care (SPOC)) that was paper-based and carried by parents between the specialists involved in their child’s care. The SPOC’s effectiveness is discussed through a knowledge-as-practice perspective, which focuses on the role of mediators (both material and human). Our analysis demonstrates that the SPOC’s effectiveness can be understood by looking at the combined roles of boundary objects and human brokers. We identify two distinct broker roles: creation brokers and use brokers. In discussing our case, we extend our analysis to suggest how these broker roles may also be useful in thinking about how to improve the effectiveness of (electronic) health record systems more generally – for researchers as well as for practitioners.
Item Type: | Journal Article | ||||
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Subjects: | H Social Sciences > HD Industries. Land use. Labor R Medicine > RA Public aspects of medicine |
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Divisions: | Faculty of Social Sciences > Warwick Business School > Innovation, Knowledge & Organisational Networks Research Unit Faculty of Social Sciences > Warwick Business School |
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Library of Congress Subject Headings (LCSH): | Knowledge management | ||||
Journal or Publication Title: | Health Systems | ||||
Publisher: | Palgrave Macmillan Ltd. | ||||
ISSN: | 2047-6965 | ||||
Official Date: | November 2014 | ||||
Dates: |
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Volume: | 3 | ||||
Number: | 3 | ||||
Number of Pages: | 14 | ||||
Page Range: | pp. 185-198 | ||||
Status: | Peer Reviewed | ||||
Publication Status: | Published | ||||
Access rights to Published version: | Restricted or Subscription Access | ||||
Date of first compliant deposit: | 9 February 2016 | ||||
Date of first compliant Open Access: | 10 February 2016 | ||||
Funder: | National Institute for Health Research (Great Britain). Service Delivery and Organisation Programme (NIHR SDO) |
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