Evidence map›Paper›PMID 31653231›Full record

ArticleBMC health services research2019

Collaborative governance in the Quebec Cancer Network: a realist evaluation of emerging mechanisms of institutionalization, multi-level governance, and value creation using a longitudinal multiple case study design.

Dominique Tremblay, Nassera Touati, Thomas Poder, Helen-Maria Vasiliadis, Karine Bilodeau, Djamal Berbiche, Jean-Louis Denis, Marie-Pascale Pomey, Johanne Hébert, Geneviève Roch and 2 more

Abstract read
In one paragraph

Article in BMC health services research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Dominique TremblayFaculté de médecine et des sciences de la santé, Campus de Longueuil - Université de Sherbrooke, 150 Place Charles-Le Moyne, Longueuil, Québec, J4K 0A8, Canada. dominique.tremblay2@usherbrooke.ca.ORCID http://orcid.org/0000-0002-1798-5681
Nassera TouatiCentre de recherche Charles-Le Moyne - Saguenay-Lac-Saint-Jean sur les innovations en santé (CR-CSIS), Centre intégré de santé et de services sociaux de la Montérégie-Centre, 150 Place Charles-Le Moyne, Longueuil, Québec, J4K 0A8, Canada.
Thomas PoderDépartement de gestion, d'évaluation et de politique de santé, École de santé publique, Université de Montréal, 7101, avenue du Parc, 3e étage, Montréal, Québec, H3N 1X9, Canada.
Helen-Maria VasiliadisFaculté de médecine et des sciences de la santé, Campus de Longueuil - Université de Sherbrooke, 150 Place Charles-Le Moyne, Longueuil, Québec, J4K 0A8, Canada.
Karine BilodeauFaculté des sciences infirmières, Université de Montréal, 2375 chemin Côte-Ste-Catherine, Montréal, Québec, H3T 1A8, Canada.
Djamal BerbicheCentre de recherche Charles-Le Moyne - Saguenay-Lac-Saint-Jean sur les innovations en santé (CR-CSIS), Centre intégré de santé et de services sociaux de la Montérégie-Centre, 150 Place Charles-Le Moyne, Longueuil, Québec, J4K 0A8, Canada.
Jean-Louis DenisCentre de recherche du Centre hospitalier de l'Université de Montréal (CR-CHUM), 850, rue Saint-Denis, Montréal, Québec, H2X 0A9, Canada.
Marie-Pascale PomeyCentre de recherche du Centre hospitalier de l'Université de Montréal (CR-CHUM), 850, rue Saint-Denis, Montréal, Québec, H2X 0A9, Canada.
Johanne HébertDépartement des sciences infirmières, Campus de Lévis - Université du Québec à Rimouski (UQAR, 1595, boulevard Alphonse-Desjardins, Lévis, Québec, G6V 0A6, Canada.
Geneviève RochHôtel-Dieu de Lévis, Centre de recherche du CISSS de Chaudière-Appalaches, 143, rue Wolfe, Lévis, Québec, G6V 3Z1, Canada.
Catherine PradyFaculté de médecine et des sciences de la santé, Campus de Longueuil - Université de Sherbrooke, 150 Place Charles-Le Moyne, Longueuil, Québec, J4K 0A8, Canada.
Lise LévesqueFaculté de médecine et des sciences de la santé, Campus de Longueuil - Université de Sherbrooke, 150 Place Charles-Le Moyne, Longueuil, Québec, J4K 0A8, Canada.

Funding

Fonds de Recherche du Québec - Santé 265874
6 · The paper itself

Abstract

backgroundPeople living with and beyond cancer (PLC) receive various forms of specialty care at different locations and many interventions concurrently or over time. They are affected by the operation of professional and organizational silos. This results in undue delays in access, unmet needs, sub-optimal care experiences and clinical outcomes, and human and financial costs for PLCs and healthcare systems. National cancer control programs advocate organizing in a network to coordinate actions, solve fragmentation problems, and thus improve clinical outcomes and care experiences for every dollar invested. The variable outcomes of such networks and factors explaining them have been documented. Governance is the "missing link" for understanding outcomes. Governance refers to the coordination of collective action by a body in a position of authority in pursuit of a common goal. The Quebec Cancer Network (QCN) offers the opportunity to study in a natural environment how, why, by whom, for whom, and under what conditions collaborative governance contributes to practices that produce value-added outcomes for PLCs, healthcare providers, and the healthcare system. METHODS/

designThe study design consists of a longitudinal case study, with multiple nested cases (4 local networks nested in the QCN), mobilizing qualitative and quantitative data and mixed data from various sources and collected using different methods, using the realist evaluation approach. Qualitative data will be used for a thematic analysis of collaborative governance. Quantitative data from validated questionnaires will be analyzed to measure relational coordination and teamwork, care experience, clinical outcomes, and health-related health-related quality of life, as well as a cost analysis of service utilization. Associations between context, governance mechanisms, and outcomes will be sought. Robust data will be produced to support decision-makers to guide network governance towards optimized clinical outcomes and the reduction of the economic toxicity of cancer for PLCs and health systems.

Indexed as

Decision Making, SharedCommunity NetworksHealth Care CostsHealth Services ResearchHumansInstitutionalizationLongitudinal StudiesNeoplasmsOrganizational Case StudiesQuebecResearch DesignCost analysisLongitudinal case studyNetwork governanceOrganizational researchPatient care experienceRealist evaluationResource utilization

Identifiers

PMID31653231
PMCPMC6814997

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.