Personne : Lamontagne, Marie-Eve
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Lamontagne
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Marie-Eve
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Université Laval. Département de réadaptation
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ncf12077422
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Publication Accès libre Consensus group sessions: a useful method to reconcile stakeholders’ perspectives about network performance evaluation(Igitur, 2010-12-09) Lamontagne, Marie-Eve; Swaine, Bonnie Ruth; Lavoie, André; Champagne, François; Marcotte, Anne-ClaireBackground: Having a common vision among network stakeholders is an important ingredient to developing a performance evaluation process. Consensus methods may be a viable means to reconcile the perceptions of different stakeholders about the dimensions to include in a performance evaluation framework. Objectives: To determine whether individual organizations within traumatic brain injury (TBI) networks differ in perceptions about the importance of performance dimensions for the evaluation of TBI networks and to explore the extent to which group consensus sessions could reconcile these perceptions. Methods: We used TRIAGE, a consensus technique that combines an individual and a group data collection phase to explore the perceptions of network stakeholders and to reach a consensus within structured group discussions. Results: One hundred and thirty-nine professionals from 43 organizations within eight TBI networks participated in the individual data collection; 62 professionals from these same organisations contributed to the group data collection. The extent of consensus based on questionnaire results (e.g. individual data collection) was low, however, 100% agreement was obtained for each network during the consensus group sessions. The median importance scores and mean ranks attributed to the dimensions by individuals compared to groups did not differ greatly. Group discussions were found useful in understanding the reasons motivating the scoring, for resolving differences among participants, and for harmonizing their values. Conclusion: Group discussions, as part of a consensus technique, appear to be a useful process to reconcile diverging perceptions of network performance among stakeholders.Publication Restreint Perceptions of traumatic brain injury network participants about network performance(Taylor & Francis, 2010-04-23) Lamontagne, Marie-Eve; Swaine, Bonnie Ruth; Lavoie, André; Champagne, François; Marcotte, Anne-ClaireBackground: Networks have been implemented within trauma systems to overcome problems of fragmentation and lack of coordination. Such networks regroup many types of organizations that could have different perceptions of network performance. No study has explored the perceptions of traumatic brain injury (TBI) network participants regarding network performance. Objective: To document the perceptions of TBI network participants concerning the importance of different dimensions of performance and to explore whether these perceptions vary according to organization types. Methodology: Participants of network organizations were surveyed using a questionnaire based on a conceptual framework of performance (the EGIPSS framework). Results: Network organizations reported dimensions related to goal attainment to be more important than dimensions related to process. Differences existed between the perceptions of various types of network organizations for some but not all domains and dimensions of performance. Conclusion: Network performance appears different from the performance of an individual organization and the consideration of the various organizations’ perceptions in clarifying this concept should improve its comprehensiveness and its acceptability by all stakeholders.Publication Restreint Analysis of the strengths, weaknesses, opportunities and threats of the network form of organization of traumatic brain injury service delivery systems(Taylor & Francis, 2011-09-22) Lamontagne, Marie-Eve; Swaine, Bonnie Ruth; Lavoie, André; Careau, EmmanuelleNetworks are an increasingly popular way to deal with the lack of integration of traumatic brain injury (TBI) care. Knowledge of the stakes of the network form of organization is critical in deciding whether or not to implement a TBI network to improve the continuity of TBI care. Goals of the study: To report the strengths, weaknesses, opportunities, and threats of a TBI network and to consider these elements in a discussion about whether networks are a suitable solution to fragmented TBI care. Methods: In-depth interviews with 12 representatives of network organization members. Interviews were qualitatively analyzed using the EGIPSS model of performance. Results : The majority of elements reported were related to the network's adaptation to its environment and more precisely to its capacity to acquire resources. The issue of value maintenance also received considerable attention from participants. Discussion : The network form of organization seems particularly sensitive to environmental issues, such as resource acquisition and legitimacy. The authors suggest that the network form of organization is a suitable way to increase the continuity of TBI care if the following criteria are met: (1) expectations toward network effectiveness to increase continuity of care are moderate and realistic; (2) sufficient resources are devoted to the design, implementation, and maintenance of the network; (3) a network's existence and actions are deemed legitimate by community and organization member partners; and (4) there is a good collaborative climate between the organizations.