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Knowledge sharing and health-care coordination: the role of creation and use brokers

journal contribution
posted on 2023-06-08, 18:43 authored by Marco Marabelli, Susan Newell, Chantal Krantz, Jacky Swan
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.

History

Publication status

  • Published

File Version

  • Published version

Journal

Health Systems

ISSN

2047-6965

Publisher

Palgrave Macmillan

Volume

3

Page range

185-198

Department affiliated with

  • Business and Management Publications

Full text available

  • No

Peer reviewed?

  • Yes

Legacy Posted Date

2014-10-16

First Compliant Deposit (FCD) Date

2014-10-16

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