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The role of governance in different types of interhospital collaboration: A systematic review

Kaat De Pourcq (UGent) , Melissa De Regge (UGent) , Koen Van den Heede, Carine Van de Voorde, Paul Gemmel (UGent) and Kristof Eeckloo (UGent)
(2019) HEALTH POLICY . 123(5). p.472-479
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Abstract
Context: Financial challenges and the need for high-quality care have vastly increased the number of hospital collaborations in recent decades. The governance of these collaborations remains a challenge. The goal of this study is twofold: (1) to investigate the governance characteristics in an interhospital collaboration and (2) explore the impact on the performance of the interhospital collaboration. Methods: A systematic review was conducted to provide a comprehensive overview of the evidence on governance in interhospital collaborations. Database searches yielded 9304 candidate articles, of which 26 studies fulfilled the inclusion criteria. Findings: Governance in collaborations differs in collaboration structure, governance characteristics and contextual factors. Although outcome factors are influenced by contextual determinants and the collaboration structure itself, governance characteristics are of great importance. Conclusions: A critical challenge for managers is to successfully adapt collaborations structures and governance characteristics to rapidly changing conditions. Policy makers should ensure that new legislation and guidelines for internal governance can be adapted to different contextual factors. Research in the future should investigate the impact of governance as a dynamic process. More longitudinal case study research is needed to provide an in-depth view of the relationship between this process and the performance of a collaboration.
Keywords
Collaboration, Governance, Hospitals, Systematic review

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MLA
De Pourcq, Kaat, et al. “The Role of Governance in Different Types of Interhospital Collaboration: A Systematic Review.” HEALTH POLICY , vol. 123, no. 5, 2019, pp. 472–79.
APA
De Pourcq, K., De Regge, M., Van den Heede, K., Van de Voorde, C., Gemmel, P., & Eeckloo, K. (2019). The role of governance in different types of interhospital collaboration: A systematic review. HEALTH POLICY , 123(5), 472–479.
Chicago author-date
De Pourcq, Kaat, Melissa De Regge, Koen Van den Heede, Carine Van de Voorde, Paul Gemmel, and Kristof Eeckloo. 2019. “The Role of Governance in Different Types of Interhospital Collaboration: A Systematic Review.” HEALTH POLICY 123 (5): 472–79.
Chicago author-date (all authors)
De Pourcq, Kaat, Melissa De Regge, Koen Van den Heede, Carine Van de Voorde, Paul Gemmel, and Kristof Eeckloo. 2019. “The Role of Governance in Different Types of Interhospital Collaboration: A Systematic Review.” HEALTH POLICY 123 (5): 472–479.
Vancouver
1.
De Pourcq K, De Regge M, Van den Heede K, Van de Voorde C, Gemmel P, Eeckloo K. The role of governance in different types of interhospital collaboration: A systematic review. HEALTH POLICY . 2019;123(5):472–9.
IEEE
[1]
K. De Pourcq, M. De Regge, K. Van den Heede, C. Van de Voorde, P. Gemmel, and K. Eeckloo, “The role of governance in different types of interhospital collaboration: A systematic review,” HEALTH POLICY , vol. 123, no. 5, pp. 472–479, 2019.
@article{8606130,
  abstract     = {Context: Financial challenges and the need for high-quality care have vastly increased the number of hospital collaborations in recent decades. The governance of these collaborations remains a challenge. The goal of this study is twofold: (1) to investigate the governance characteristics in an interhospital collaboration and (2) explore the impact on the performance of the interhospital collaboration.

Methods: A systematic review was conducted to provide a comprehensive overview of the evidence on governance in interhospital collaborations. Database searches yielded 9304 candidate articles, of which 26 studies fulfilled the inclusion criteria.

Findings: Governance in collaborations differs in collaboration structure, governance characteristics and contextual factors. Although outcome factors are influenced by contextual determinants and the collaboration structure itself, governance characteristics are of great importance.

Conclusions: A critical challenge for managers is to successfully adapt collaborations structures and governance characteristics to rapidly changing conditions. Policy makers should ensure that new legislation and guidelines for internal governance can be adapted to different contextual factors. Research in the future should investigate the impact of governance as a dynamic process. More longitudinal case study research is needed to provide an in-depth view of the relationship between this process and the performance of a collaboration.},
  author       = {De Pourcq, Kaat and De Regge, Melissa and Van den Heede, Koen  and Van de Voorde, Carine and Gemmel, Paul and Eeckloo, Kristof},
  issn         = {0168-8510},
  journal      = {HEALTH POLICY },
  keywords     = {Collaboration,Governance,Hospitals,Systematic review},
  language     = {eng},
  number       = {5},
  pages        = {472--479},
  title        = {The role of governance in different types of interhospital collaboration: A systematic review},
  url          = {http://dx.doi.org/10.1016/j.healthpol.2019.02.010},
  volume       = {123},
  year         = {2019},
}
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