An exploratory model of knowledge flow barriers within healthcare organizations

被引:56
作者
Lin, Chinho [1 ,2 ]
Tan, Bertram [3 ]
Chang, Shofang [4 ]
机构
[1] Natl Cheng Kung Univ, Dept Ind Management Sci, Tainan 70101, Taiwan
[2] Natl Cheng Kung Univ, Inst Informat Management, Tainan 70101, Taiwan
[3] Kun Shan Univ Technol, Inst Business Adm, Tainan, Taiwan
[4] Chia Nan Univ Pharm & Sci, Inst Hlth Informat & Management, Tainan, Taiwan
关键词
knowledge flow barrier; medical knowledge; Cultural Historical Activity Theory (CHAT); qualitative approach; case study;
D O I
10.1016/j.im.2008.03.003
中图分类号
TP [自动化技术、计算机技术];
学科分类号
0812 ;
摘要
Healthcare today is mainly knowledge-based and the diffusion of medical knowledge is imperative for proper treatment of patients. Our study of the industry explored barriers to knowledge flow using a Cultural Historical Activity Theory framework. Our work was exploratory and qualitative in nature, and consisted of three phases: in-depth interviews to explore medical knowledge flow barriers resulting in a model; a case study using a survey approach to test and modify the model; and a Delphi study to validate the generalizability of the model. We concluded that knowledge flow experienced five barriers: knowledge source, knowledge receiver, knowledge transfer, knowledge flow context, and the organizational context. Furthermore, these were correlated. (c) 2008 Elsevier B.V. All rights reserved.
引用
收藏
页码:331 / 339
页数:9
相关论文
共 31 条
[1]   Influences on knowledge processes in organizational learning: The psychosocial filter [J].
Andrews, KM ;
Delahaye, BL .
JOURNAL OF MANAGEMENT STUDIES, 2000, 37 (06) :797-810
[2]  
[Anonymous], IVEY BUSINESS J
[3]  
Boyatzis R. E., 1998, Transforming qualitative information: Thematic analysis and code development
[4]   Analyzing the structure of expert knowledge [J].
Bradley, JH ;
Paul, R ;
Seeman, E .
INFORMATION & MANAGEMENT, 2006, 43 (01) :77-91
[5]   A path model linking organizational knowledge attributes, information processing capabilities, and perceived usability [J].
Chou, Tzu-Chuan ;
Chang, Pao-Long ;
Cheng, Yih-Ping ;
Tsai, Chien-Tzu .
INFORMATION & MANAGEMENT, 2007, 44 (04) :408-417
[6]   ABSORPTIVE-CAPACITY - A NEW PERSPECTIVE ON LEARNING AND INNOVATION [J].
COHEN, WM ;
LEVINTHAL, DA .
ADMINISTRATIVE SCIENCE QUARTERLY, 1990, 35 (01) :128-152
[7]   On the insufficiency of ontologies:: problems in knowledge sharing and alternative solutions [J].
da Silva, FSC ;
Vasconcelos, WW ;
Robertson, DS ;
Brilhante, V ;
de Melo, ACV ;
Finger, M ;
Agustí, J .
KNOWLEDGE-BASED SYSTEMS, 2002, 15 (03) :147-167
[8]   Pros and cons of vertical integration between clinical medicine and basic science within a problem-based undergraduate medical curriculum: examples and experiences from Linkoping, Sweden [J].
Dahle, LO ;
Brynhildsen, J ;
Fallsberg, MB ;
Rundquist, I ;
Hammar, M .
MEDICAL TEACHER, 2002, 24 (03) :280-285
[9]   Using the Internet to improve knowledge diffusion in medicine [J].
Detmer, WM ;
Shortliffe, EH .
COMMUNICATIONS OF THE ACM, 1997, 40 (08) :101-108
[10]  
DOZ Y, 2001, GLOBAL MATENATIONAL