文章基本信息

标题：Mental health network governance and coordination: comparative analysis across Canadian regions
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作者：Mary Wiktorowicz ; Marie-Josée Fleury ; Carol Adair 等
期刊名称：International Journal of Integrated Care
电子版ISSN：1568-4156
出版年度：2010
卷号：10
期号：4
DOI：10.5334/ijic.525
语种：English
出版社：Utrecht University, Maastricht University, Groningen University
摘要：Objective : Modes of governance were compared in ten local mental health networks in diverse contexts (rural/urban and regionalized/non-regionalized) to clarify the governance processes that foster inter-organizational collaboration and the conditions that support them. Methods : Case studies of ten local mental health networks were developed using qualitative methods of document review, semi-structured interviews and focus groups that incorporated provincial policy, network and organizational levels of analysis. Results : Mental health networks adopted either a corporate structure, mutual adjustment or an alliance governance model. A corporate structure supported by regionalization offered the most direct means for local governance to attain inter-organizational collaboration. The likelihood that networks with an alliance model developed coordination processes depended on the presence of the following conditions: a moderate number of organizations, goal consensus and trust among the organizations, and network-level competencies. In the small and mid-sized urban networks where these conditions were met their alliance realized the inter-organizational collaboration sought. In the large urban and rural networks where these conditions were not met, externally brokered forms of network governance were required to support alliance based models. Discussion : In metropolitan and rural networks with such shared forms of network governance as an alliance or voluntary mutual adjustment, external mediation by a regional or provincial authority was an important lever to foster inter-organizational collaboration.
关键词：coordination ; integration ; mental health ; networks ; governance ; continuity of care