From “silos” to seamless healthcare: bringing hospitals and GPs back together again

Mann, Linda

doi:10.5694/j.1326-5377.2005.tb06552.x

Cited by 38 publications

(27 citation statements)

References 9 publications

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“…T he achievement of integration and collaboration among different providers of care is one of the foremost challenges facing today's health care system. The theme of overcoming disciplinary, sectoral, and institutional “silos” is echoed in almost every area of health‐services research, from primary‐care reform to patient safety, chronic‐disease management to cost containment (e.g., Clancy 2006; Mann 2005; McDonald et al 2007). The urgency of the problem has increased in the current policy context, where it can be argued that the success of health reform stands or falls on the ability of delivery system reform to replace fragmentation and waste with coordination and cost‐effectiveness.…”

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confidence: 99%

“…Indeed, while serving as administrator of the Centers for Medicare and Medicaid Services, Donald Berwick placed the elimination of silos at the top of a list of values needed to improve American health care (Schaeffer 2011). Interest in teamwork and integration, and in the organizational changes that may foster them, is equally strong internationally (Finn, Currie, and Martin 2010; Mann 2005). Yet earlier reviews, albeit extensive (e.g., Oandasan et al 2006), have not offered a theory of what makes cross‐silo relationships flourish or decay.…”

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Silos and Social Identity: The Social Identity Approach as a Framework for Understanding and Overcoming Divisions in Health Care

et al. 2012

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Context: One of health care's foremost challenges is the achievement of integration and collaboration among the groups providing care. Yet this fundamentally group‐related issue is typically discussed in terms of interpersonal relations or operational issues, not group processes. Methods: We conducted a systematic search for literature offering a group‐based analysis and examined it through the lens of the social identity approach (SIA). Founded in the insight that group memberships form an important part of the self‐concept, the SIA encompasses five dimensions: social identity, social structure, identity content, strength of identification, and context. Findings: Our search yielded 348 reports, 114 of which cited social identity. However, SIA‐citing reports varied in both compatibility with the SIA's metatheoretical paradigm and applied relevance to health care; conversely, some non‐SIA‐citers offered SIA‐congruent analyses. We analyzed the various combinations and interpretations of the five SIA dimensions, identifying ten major conceptual currents. Examining these in the light of the SIA yielded a cohesive, multifaceted picture of (inter)group relations in health care. Conclusions: The SIA offers a coherent framework for integrating a diverse, far‐flung literature on health care groups. Further research should take advantage of the full depth and complexity of the approach, remain sensitive to the unique features of the health care context, and devote particular attention to identity mobilization and context change as key drivers of system transformation. Our article concludes with a set of “guiding questions” to help health care leaders recognize the group dimension of organizational problems, identify mechanisms for change, and move forward by working with and through social identities, not against them.

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Silos and Social Identity: The Social Identity Approach as a Framework for Understanding and Overcoming Divisions in Health Care

et al. 2012

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“…Consequently, much of formal health care continues to take place in "silos" [15] that results in gaps in providing early interprofessional care, discontinuity between community and hospital-based care and disempowerment of patients to participate equally in decision-making with health professionals.…”

Section: Contemporary Pain Medicine Systemsmentioning

confidence: 99%

System Plasticity and Integrated Care: Informed Consumers Guide Clinical Reorientation and System Reorganization

Davies¹,

Hayes²,

Quintner³

2011

Pain Med

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System plasticity is as important to the process of integrated health care as it is to our understanding of the complexity of the lived experience of pain. Better-informed consumers partnered with responsive health professionals drive the proposed paradigm shift in service delivery. The changes better align the needs of consumers with the ability of health care providers to meet them, thus achieving the twin goals of patient empowerment and system efficiency.

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“…The complexity of the health‐care industry means that health information currently exists in so called information silos 22,29 . This has the effect of retarding flow of information in the ED, where it is most critically important.…”

Section: Potential Benefits and Reasons Why Ed Should Take A Leadershmentioning

confidence: 99%

Evolution of health information management and information technology in emergency medicine

Dinh

Chu

2006

Emerg Medicine Australasia

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The implementation of information technology will continue to have important effects on the practice of emergency medicine. Patient registration and tracking systems, telemedicine electronic order entry systems, and the advent of electronic health records are some examples of applications that influence patient care in emergency departments. We review the literature regarding information technology advances in emergency medicine and outline the important role that emergency physicians play in developing and implementing a national health information technology strategy.

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From “silos” to seamless healthcare: bringing hospitals and GPs back together again

Cited by 38 publications

References 9 publications

Silos and Social Identity: The Social Identity Approach as a Framework for Understanding and Overcoming Divisions in Health Care

Silos and Social Identity: The Social Identity Approach as a Framework for Understanding and Overcoming Divisions in Health Care

System Plasticity and Integrated Care: Informed Consumers Guide Clinical Reorientation and System Reorganization

Evolution of health information management and information technology in emergency medicine

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