ArticleHealth care analysis : HCA : journal of health philosophy and policy2006
An empirical assessment of social structural and cultural change in clinical directorates.
Article in Health care analysis : HCA : journal of health philosophy and policy, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
10 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Pooled it
- Bridges, brokers and boundary spanners in collaborative networks: a systematic review.BMC health services research · 2013Pooled it
- Between-group behaviour in health care: gaps, edges, boundaries, disconnections, weak ties, spaces and holes. A systematic review.BMC health services research · 2010Pooled it
- A dynamic systems view of clinical genomics: a rich picture of the landscape in Australia using a complexity science lens.BMC medical genomics · 2021Article
- Article
- The basis of clinical tribalism, hierarchy and stereotyping: a laboratory-controlled teamwork experiment.BMJ open · 2016Article
- Who are the key players in a new translational research network?BMC health services research · 2013Article
- OPTIGOV - A new methodology for evaluating Clinical Governance implementation by health providers.BMC health services research · 2010Article
- The development, design, testing, refinement, simulation and application of an evaluation framework for communities of practice and social-professional networks.BMC health services research · 2009Article
- Analysing structural and cultural change in acute settings using a Giddens-Weick paradigmatic approach.Health care analysis : HCA : journal of health philosophy and policy · 2006Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
1 author.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The results of two observational studies of clinical directorates (CDs) are presented. The paper exposes fresh perspectives about the management of hospitals and CDs, and suggests that the most important axis on which hospital decision-making rests continues to be profession rather than the CD, even though CDs are designed at least in part to mitigate professional tribalism and bridge professional divides. In empiricising social structural and cultural theories it seems clear that changes to the prescribed organisational framework, which CDs represent, have had negligible effects on behaviour. This being the case, the paper questions the benefits alleged to have accrued from establishing CDs and calls for more effective, micro-behavioural change strategies than merely altering the structure.
Indexed as
Identifiers
17214253What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.