The challenges of boundary spanners in supporting inter-organizational collaboration in primary care--a qualitative study of general practitioners in a new role.
The visions of more integrated care have created new roles and accountabilities for organizations and professionals. Thus, professionals are increasingly expected to engage in boundary spanning activities in order to facilitate inter-organizational and inter-sectoral collaboration. However, this task can be difficult for individual actors and it is important to investigate the work and challenges of boundary spanners in various settings. This study explores the challenges related to a new boundary spanning role for general practitioners employed to facilitate collaboration between the municipalities and general practice.
The study is based on semi-structured interviews with ten general practitioners acting as municipal practice consultants in the Capital Region of Denmark. The transcribed interviews were analyzed in several steps organizing the material into a set of coherent and distinct categories covering the different types of challenges experienced by the informants.
The main challenges of the general practitioners acting as boundary spanners were: 1) defining and negotiating the role in terms of tasks and competencies; 2) representing and mobilizing colleagues in general practice; 3) navigating in an unfamiliar organizational context.
The results support previous studies in emphasizing the difficult and multifaceted character of the boundary spanning role. While some of these challenges are not easily dealt with due to their structural causes, organizations employing boundary spanners should take note of these challenges and support their boundary spanners with matching resources and competencies.
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Cites: Fam Pract. 1996 Dec;13(6):522-59023528
Cites: J Adv Nurs. 2006 Oct;56(2):144-5617018063
Cites: Ugeskr Laeger. 2010 Mar 8;172(10):775-720211081
Cites: BMC Health Serv Res. 2010;10:33021134295
Cites: J Am Board Fam Med. 2012 Mar;25 Suppl 1:S34-822403249
Cites: BMC Fam Pract. 2014;15:16425284048
Cites: BMC Health Serv Res. 2013;13:15823631517
Cites: Scand J Public Health. 2013 Aug;41(6):616-2223604037