Does Hub‐and‐Spoke organization of healthcare system promote workers' satisfaction?

Albarello, Flavia; Prati, Francesca; Sangiorgi, Luca; Tremosini, Morena; Menegatti, Michela; Depolo, Marco; Rubini, Monica

doi:10.1111/jasp.12623

Cited by 5 publications

(3 citation statements)

References 73 publications

(136 reference statements)

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“…From a theoretical perspective, these results add to the literature showing the benefits of social identification for both physical and psychological well-being, coping with crisis, or compliance with health recommendations (e.g., Haslam et al, 2018;Albarello et al, 2019;Jetten et al, 2020). Indeed, the present study highlights that identifying with meaningful social groups might boost people's resilience in the face of threatening events by sustaining their trust in some of the institutional actors involved in the management of a crisis.…”

Section: Theoretical and Practical Implicationssupporting

confidence: 53%

“Everything Will Be All Right!” National and European Identification as Predictors of Positive Expectations for the Future During the COVID-19 Emergency

et al. 2021

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During the first national lockdown imposed in a Western country to reduce the impact of the COVID-19 pandemic, many Italians tried to boost their spirits by hanging hand-drawn rainbows with the slogan “Everything will be all right” from their windows. To understand which processes might have nurtured their positive views about the future during the pandemic, the present study (N=846), building upon social identity research, examined the relationships among Italians’ identification with their country and with the superordinate entity of the European Union (EU), trust in the main institutions in charge of managing the crisis (i.e., the Italian government, the EU, and the scientific community), and beliefs that the COVID-19 crisis would eventually result in the improvement of society. Structural equation modeling analyses showed that identification with Italians and Europeans had positive direct associations with positive expectations about humankind. Identification with Europeans was also directly related to positive expectations about Italian leaders and the strengthening of the EU through the crisis. Trust in the Italian government and, to a lower extent, trust in the EU mediated some of these associations. These findings suggest that governments should actively promote national and European identification to help citizens counter the negative psychological impact of the pandemic and maintain positive views of the future.

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Section: Theoretical and Practical Implicationssupporting

confidence: 53%

“Everything Will Be All Right!” National and European Identification as Predictors of Positive Expectations for the Future During the COVID-19 Emergency

et al. 2021

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“…Organizational culture and leadership support for primary care research appeared to vary across the hub and spoke structure. Findings from other studies suggest that fostering collaboration within and among units, increasing communication, and mentorship planning at the hub has been beneficial and can lead to greater productivity in the hub and spoke model [ 43 , 44 ].…”

Section: Discussionmentioning

confidence: 99%

Key informants perspectives on creating a high impact research department in family and community medicine: a qualitative project

Gayapersad,

O’Brien,

Meaney

et al. 2024

BMC Prim. Care

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Background Primary care is integral to the health system and population health. Primary care research is still in development and most academic departments lack effective research investments. High impact primary care research programs are needed to advance the field to ensure a robust primary care system for the future. The project objective was to understand key informants’ views of structures, functions, and processes required to create a high impact research program in an academic primary care department. Methods A descriptive qualitative project with key informants from research programs in primary care. Participants included international research leaders in primary care (n = 10), department of family and community researchers (n = 37) and staff (n = 9) in an academic primary care department, other university leaders (n = 3) and members of the departmental executive leadership team (1 department; 25 members). Semi-structured interviews (n = 27), and focus groups (n = 6) were audio recorded, transcribed, and analyzed using thematic analysis. We used a socioecological framework which described micro, meso, macro levels of influence. Results At the micro level despite barriers with respect to funding, protected time and lack of formal mentorship, personal motivation was a key factor. At the meso level, the organizational structure that promoted collaboration and a sense of connection emerged as a key factor. Specifically research leaders identified a research faculty development pipeline based on equity, diversity, inclusion, indigeneity, and accessibility principles with thematic areas of focus as key enablers. Lastly, at the macro level, an overarching culture and policies that promoted funding and primary care research was associated with high impact programs. Conclusion The alignment/complementarity of micro, meso, and macro level factors influenced the creation of a high impact research department in primary care. High impact research in primary care is facilitated by the development of researchers through formalized and structured mentorship/sponsorship and a department culture that promote primary care research.

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“…Organizational culture and leadership support for primary care research appeared to vary across the hub and spoke structure. Findings from other studies suggest that fostering collaboration within and among units, increasing communication, and mentorship planning at the hub has been bene cial and can lead to greater productivity in the hub and spoke model (35,36).…”

Section: Discussionmentioning

confidence: 99%

Key informants perspectives on creating a high impact research department in family and community medicine: a qualitative project

Gayapersad,

O’Brien,

Meaney

et al. 2023

Preprint

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Background Primary care is integral to the health system and population health. Primary care research is still in development and most academic programs lack effective research investments. High impact primary care research programs are needed to advance the field to ensure a robust primary care system for the future. The project objective was to understand key informants’ views of structures, functions, and processes required to create a high impact research program in an academic primary care department. Methods A descriptive qualitative project with key informants from research programs in primary care. Participants included international research leaders in primary care (n = 10), department of family and community researchers (n = 37) and staff (n = 9) in an academic primary care department, other university leaders (n = 3) and members of the departmental executive leadership team (1 department; 25 members). Semi-structured interviews (n = 27), and focus groups (n = 6) were audio recorded, transcribed, and analyzed using thematic analysis. We used a socioecological framework which described macro, meso, micro levels of influence. Results At the micro level despite barriers with respect to funding, protected time and lack of formal mentorship, personal motivation was a key factor. At the meso level, the organizational structure that promoted collaboration and a sense of connection emerged as a key factor. Specifically research leaders identified a research faculty development pipeline based on equity, diversity, inclusion, indigeneity, and accessibility principles with thematic areas of focus as key enablers. Lastly, at the macro level, an overarching culture and policies that promoted funding and primary care research was associated with high impact programs. Conclusion The alignment/complementarity of micro, meso, and macro level factors influenced the creation of a high impact research department in primary care. High impact research in primary care is facilitated by the development of researchers through formalized and structured mentorship/sponsorship and a department culture that promote primary care research.

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Does Hub‐and‐Spoke organization of healthcare system promote workers' satisfaction?

Cited by 5 publications

References 73 publications

“Everything Will Be All Right!” National and European Identification as Predictors of Positive Expectations for the Future During the COVID-19 Emergency

“Everything Will Be All Right!” National and European Identification as Predictors of Positive Expectations for the Future During the COVID-19 Emergency

Key informants perspectives on creating a high impact research department in family and community medicine: a qualitative project

Key informants perspectives on creating a high impact research department in family and community medicine: a qualitative project

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