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This essay, invited by the editors, provides a retrospective overview of Robert Gephart's career using qualitative research methods to study disasters, and disseminating findings…
Abstract
This essay, invited by the editors, provides a retrospective overview of Robert Gephart's career using qualitative research methods to study disasters, and disseminating findings from the research in important management and organizational journals. Dr Gephart's work is associated with many methodological innovations. These include early use of grounded theory; early application of text analysis software to support analysis of extensive documentary data sets including legal proceedings and transcripts; development of ethnostatistics to explore risk assessment; explicating and elaborating abductive processes during the research experience; and using an autoethnographic approach to embed data from his own life in his research (before the term autoethnography was in common use). His contributions to the area of disasters and research methods innovations are wide ranging and provide tools for improving our understanding of risks and crises, and for managing them.
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At the beginning of the 21st century, multiple and diverse social entities, including the public (consumers), private and nonprofit healthcare institutions, government (public…
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At the beginning of the 21st century, multiple and diverse social entities, including the public (consumers), private and nonprofit healthcare institutions, government (public health) and other industry sectors, began to recognize the limitations of the current fragmented healthcare system paradigm. Primary stakeholders, including employers, insurance companies, and healthcare professional organizations, also voiced dissatisfaction with unacceptable health outcomes and rising costs. Grand challenges and wicked problems threatened the viability of the health sector. American health systems responded with innovations and advances in healthcare delivery frameworks that encouraged shifts from intra- and inter-sector arrangements to multi-sector, lasting relationships that emphasized patient centrality along with long-term commitments to sustainability and accountability. This pathway, leading to a population health approach, also generated the need for transformative business models. The coproduction of health framework, with its emphasis on cross-sector alignments, nontraditional partner relationships, sustainable missions, and accountability capable of yielding return on investments, has emerged as a unique strategy for facing disruptive threats and challenges from nonhealth sector corporations. This chapter presents a coproduction of health framework, goals and criteria, examples of boundary spanning network alliance models, and operational (integrator, convener, aggregator) strategies. A comparison of important organizational science theories, including institutional theory, network/network analysis theory, and resource dependency theory, provides suggestions for future research directions necessary to validate the utility of the coproduction of health framework as a precursor for paradigm change.
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