首页 | 本学科首页   官方微博 | 高级检索  
     检索      


The Dynamics of Embedded Rules: How Do Rule Networks Affect Knowledge Uptake of Rules in Healthcare?
Authors:Kejia Zhu  Martin Schulz
Abstract:Rules – in organizations and elsewhere – often become connected to other rules pertinent to similar or related action, and often they form rule networks that structure entire organizations and jurisdictions. Although rule networks are a common phenomenon, their effects on rule change have found little attention so far. How do rules change when they become embedded in rule networks? We build on prior conceptions of performance programs, organizational learning, and organizational knowledge to explore how rule network characteristics affect different types of knowledge uptake revisions of rules. Our analysis is quantitative and longitudinal and draws on archival data of clinical practice guidelines in a Canadian regional healthcare organization. Our findings indicate that the inbound networks of guidelines significantly affect their revisions. Our study suggests that rule networks shape the speed and direction of knowledge uptake of rules. Rules are dynamic, and their elaboration is path dependent and network dependent.
Keywords:Carnegie school  clinical practice guidelines  organizational knowledge  organizational learning  organizational rules  rule networks
设为首页 | 免责声明 | 关于勤云 | 加入收藏

Copyright©北京勤云科技发展有限公司  京ICP备09084417号