To examine the organizational, political, and community characteristics that facilitate or impede community progress in developing a coordinative network of health services for trauma delivery.
A comparative case study design was used to examine trauma network development in 6 U.S. cities with a population of 1000000 or more.
Five key coordinative activities were selected for study.
Each study site varied in the set of activities that had been implemented.
Information on the structure and composition of local trauma coordinating councils : interviews with a common set of informants in each site using a semi-structured interview protocol.
The literature on interorganizational community structures and local policy development was drawn upon to create a conceptual framework for assessing the development of a coordinative service network.
Analytical techniques included network analysis to understand the linkages across organizations in overseeing trauma network operations, assessment of leadership structures to identify central actors and organizations, and pattern matching techniques of case study analysis to identify factors that affected trauma network development.
Leaders capitalized on local events and were instrumental in keeping network development on the top of the political agenda. (...)
Mots-clés Pascal : Traumatisme, Soin intégré, Réseau, Service santé, Organisation santé, Système santé, Etats Unis, Amérique du Nord, Amérique, Réseau soins coordonnés, Filière soins
Mots-clés Pascal anglais : Trauma, Managed care, Network, Health service, Public health organization, Health system, United States, North America, America
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0215643
Code Inist : 002B30A01B. Création : 11/09/1998.