a qualitative study of stakeholder views of the conditions for and outcomes of successful clinical networks定性研究利益相关者的观点成功的临床网络的条件和结果.pdfVIP

McInnes et al. BMC Health Services Research 2012, 12:49 /1472-6963/12/49 RESEARCH ARTICLE Open Access A qualitative study of stakeholder views of the conditions for and outcomes of successful clinical networks 1* 1 2,3 4,5 6 6 Elizabeth McInnes , Sandy Middleton , Glenn Gardner , Mary Haines , Maggie Haertsch , Christine L Paul and Peter Castaldi5 Abstract Background: Clinical networks have been established to improve health outcomes and processes of care by implementing a range of innovations and undertaking projects based on perceived local need. Limited research exists on the necessary conditions required to bring about successful network outcomes and what characterises network success from the perspective of those involved in network initiatives. This qualitative study identified stakeholder views on i) the conditions for effective clinical networks; and ii) desirable outcomes of successful clinical networks. Methods: Twenty-seven participants were interviewed using face-to-face audio-recorded semi-structured interviews. Transcribed data were coded and analysed to generate themes relating to the study aims. Results: Five key factors represented as sub-themes were identified as important conditions for the establishment of successful clinical networks under the main theme of effective network structure, organisation and governance. These were: building relationships; effective leadership; strategic evidence-based workplans; adequate resources; and ability to implement and evaluate network initiatives. Two major themes encapsulated views on desirable outcomes of successful clinical networks: connecting and engaging which represented the outcomes of interdi