Integration and the performance of large-scale health enterprises : field studies of psychological health delivery systems in the U.S. Military
Name
808485589-MIT.pdf
Description
Full printable version
Size
9.94 MB
Format
Adobe PDF
Checksum (MD5)
065dcaf476b7ece2c82b3f5720c11c01
Author(s)
Kamin, Cody M. (Cody Meyer)
Advisor(s)
Wiljeana J. Glover and Deborah Nightingale.
Alternative Title
Field studies of psychological health delivery systems in the U.S. Military
Date Issued
2012
Publisher
Massachusetts Institute of Technology
Abstract
Large-scale health enterprises comprise multiple organizations that provide programs and services for patients. Despite the interconnectedness of these systems there is a lack of empirical research documenting how these organizations work collectively - or integrate - and how this integration impacts enterprise performance measured through quality, efficiency, and access. In the case of psychological healthcare, patients often require a number of services that span multiple departments and programs within an enterprise, increasing the complexity of maintaining a continuum of care for these patients. This paper, which is part of a larger effort to examine psychological healthcare in the U.S. Military Health System, presents a series of qualitative observations and analyses of the integration of psychological health-related organizations at two large health enterprises within the military. These qualitative inquiries take a multilevel approach for examining integration within these enterprises and address the following areas of interest: 1) the mechanisms for integration; 2) the objects of integration; 3) the dimensions of integration; 4) the contextual factors that influence integration; and 5) the impacts of integration on enterprise performance. Using semi-structured interviews, qualitative data was collected and then examined using content analysis to identify the most frequent themes for each area of interest. This data was used to validate and refine a comprehensive framework for integration that was developed to pull together multiple, distinct strands of the integration literature. This data was also used to demonstrate the relationship between different dimensions of enterprise performance and to identify areas where, in the process of optimizing enterprise performance, there is a trade-off between these dimensions. The preliminary, qualitative results of this research are intended to provide a conceptual foundation and framework for future analytic studies.
Description
Thesis (S.M. in Technology and Policy)-- Massachusetts Institute of Technology, Engineering Systems Division, Technology and Policy Program, 2012.
Cataloged from PDF version of thesis.
Includes bibliographical references (p. 97-102).
Subjects
Engineering Systems Division.
Technology and Policy Program.
MIT Department
Massachusetts Institute of Technology. Engineering Systems Division
Technology and Policy Program
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