| Titre : | Community-based trauma systems in the United States : An examination of structural development. (1998) |
| Auteurs : | G.J. BAZZOLI ; CHEELING CHAN . (.) ; R. HARMATA ; Institute for Health Services Research and Policy Studies. Northwestern University. Evanston. USA |
| Type de document : | Article |
| Dans : | Social science and medicine (vol. 46, n° 9, 1998) |
| Pagination : | 1137-1149 |
| Langues: | Anglais |
| Mots-clés : | Traumatisme ; Soins intégrés ; Réseau ; Système santé ; Etats Unis ; Amérique du Nord ; Amérique ; Réseau soins coordonnés ; Filière soins |
| Résumé : | [BDSP. Notice produite par INIST R0xHhhI6. Diffusion soumise à autorisation]. Objective : To examine the organizational, political, and community characteristics that facilitate or impede community progress in developing a coordinative network of health services for trauma delivery. Study Setting/Design : A comparative case study design was used to examine trauma network development in 6 U.S. cities with a population of 1000000 or more. Five key coordinative activities were selected for study. Each study site varied in the set of activities that had been implemented. Data Sources : Information on the structure and composition of local trauma coordinating councils : interviews with a common set of informants in each site using a semi-structured interview protocol. Study Methods : The literature on interorganizational community structures and local policy development was drawn upon to create a conceptual framework for assessing the development of a coordinative service network. Analytical techniques included network analysis to understand the linkages across organizations in overseeing trauma network operations, assessment of leadership structures to identify central actors and organizations, and pattern matching techniques of case study analysis to identify factors that affected trauma network development. Principal Findings : Leaders capitalized on local events and were instrumental in keeping network development on the top of the political agenda. (...) |
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