Table 1. Organizational Dimensions of the Structuration Model of Collaboration.∧ .
Organizational dimensions | indicators | description |
Governance | Centrality | • Centrality refers to the existence of a clear and explicit direction towards collaboration between professions. |
• Central directives are essential strategic and political tools that help to materialize the implementation of collaborative processes and structures. | ||
Leadership | • Frontline leadership is essential for the success of IPC. The power differential between partners should be minimized. | |
• Power should not be concentrated in the hands of a single partner; all partners must be able to have their opinions heard and to participate in decision-making. | ||
Support for innovation | • Collaboration often involves dividing responsibilities differently between professionals and between institutions. It necessarily entails innovations in clinical practices and in the sharing of responsibilities between partners. | |
• Interprofessional learning and expert support is essential for implementing these innovations. | ||
Connectivity | • Strong connectivity allows for rapid and continuous adjustments to problems arising from coordination. | |
• It takes the form of information and feedback systems, committees, etc. | ||
Formalization | Formalization tools | • They are the means of clarifying the various partners' responsibilities and negotiating how the responsibilities are shared. |
• For professionals, it is important to know what is expected of them and what they can expect of others. | ||
Information exchange | • Refers to the existence and appropriate use of an information infrastructure that allow for rapid and complete exchanges of information between professionals. | |
• Feedback provides professionals with the information they need to follow up with patients as well as to evaluate their partners on the basis of the quality of the written exchanges and feedback. |
Adapted from D'Amour et al., BMC Health Services Research 2008, 8:188.