This article will examine a case study of an outpatient's clinic in an Australian public hospital with the objective of gaining a better understanding of the issues related to knowledge dynamics in communities of practice within a health care environment. This case study research approach was considered to provide a fine-grained approach recommended for improved understanding of nuances, detail, and the forces underlying the phenomena under observation. Focus on detail was an important attribute of this study notwithstanding possible shortcomings in not being able to externalize the research findings.
View Article and Find Full Text PDFThis article will explore the concept and meaning of codesign as it applies to the delivery of health services. The results of a pilot study in health codesign will be used as a research based case discussion, thus providing a platform to suggest future research that could lead to building more robust knowledge of how the consumers of health services may be more effectively involved in the process of developing and delivering the type of services that are in line with expectations of the various stakeholder groups.
View Article and Find Full Text PDFObjective: To determine which aspects of open disclosure "work" for patients and health care staff, based on an evaluation of the National Open Disclosure Pilot.
Design, Setting And Participants: Qualitative analysis of semi-structured and open-ended interviews conducted between March and October 2007 with 131 clinical staff and 23 patients and family members who had participated in one or more open disclosure meetings. 21 of 40 pilot hospital sites, in New South Wales, South Australia, Victoria and Queensland, were included in the evaluation.