Collaboration-based approaches to healthcare improvement attract
much attention. They involve networks of people coming together to
cooperate around a common interest, with shared goals of improving
care and mutual learning. Longstanding examples of collaborative
approaches have been associated with some success in improving
outcomes and reducing harm. The evidence for their effectiveness
and cost-effectiveness, however, remains inconsistent and
contingent on the circumstances in which they are deployed and how
they are used for what purpose. Several models for collaboration
have been developed, varying in structure, format, and balance
between internal leadership and external control. The authors focus
on two approaches: quality improvement collaboratives and
communities of practice. They explore evidence of their impact on
health outcomes, and evidence about how best to organise and
implement collaboration-based approaches. Using examples of more
and less successful collaborations, they offer guidance on the key
challenges involved in using collaboration-based approaches to
improve healthcare. This title is also available as Open Access on
Cambridge Core.
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