Managing boundaries in primary care service improvement: a developmental approach to communities of practice.

ABSTRACT:

Background

Effective implementation of change in healthcare organisations involves multiple professional and organisational groups and is often impeded by professional and organisational boundaries that present relatively impermeable barriers to sharing knowledge and spreading work practices. Informed by the theory of communities of practice (CoPs), this study explored the effects of intra-organisational and inter-organisational boundaries on the implementation of service improvement within and across primary healthcare settings and on the development of multiprofessional and multi-organisational CoPs during this process.

Methods

The study was conducted within the Collaboration for Leadership in Applied Health Research and Care (CLAHRC) for Greater Manchester-a collaborative

SUBMITTER: Kislov R 

PROVIDER: S-EPMC3514317 | biostudies-literature | 2012 Oct

REPOSITORIES: biostudies-literature