Inter-professional Barriers and Knowledge Brokering in an Organizational Context: The Case of Healthcare
Inter-professional Barriers and Knowledge Brokering in an Organizational Context: The Case of Healthcare
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DOI：
10.1177/0170840612457617
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发表时间：
2012-10-01
影响因子：
5.4
通讯作者：
White, Leroy
中科院分区：
文献类型：
--
作者：
Currie, Graeme;White, Leroy
我们的研究探讨了经纪人的组织背景下，其特点是专业层次结构的知识。我们研究如何专业隶属关系和相关的权力差异的影响，知识经纪人在个人和团体层面上的组织。我们的经验案例，结合了社会网络分析和定性实地调查，是在医疗保健的重点是整合管理，社会心理和临床组成的知识领域被认为是必要的长期条件的治疗。我们的研究表明，点对点的知识经纪人，这是由专业层次结构，仍然普遍与医学知识经纪人。然而，社会结构可能通过发展建筑知识，反映在正式和非正式的组织惯例和模式，从而产生超越专业层次的社区倾向，使知识经纪人更广泛地分布，使患者受益。
Our study examines brokering of situated knowledge within an organizational context, characterized by professional hierarchy. We examine how professional affiliation and associated power differentials impact upon knowledge brokering at the individual and group levels within an organization. Our empirical case, which combines social network analysis and qualitative fieldwork, is set in healthcare with a focus upon integration of management, psychosocial and clinical component knowledge domains deemed necessary for treatment of a long-term condition. Our study shows that peer-to-peer knowledge brokering, which is framed by professional hierarchy, remains pervasive with respect to medical knowledge brokering. However, social structures might be mediated through developing architectural knowledge, reflected in both formal and informal organizational routines and schema, which engenders community tendencies that transcend professional hierarchy, so that knowledge brokering is more widely distributed to benefit patients.