eCite Digital Repository

Contested innovation: the diffusion of interprofessional across a health system


Travaglia, J and Nugus, P and Greenfield, D and Westbrook, J and Braithwaite, J, Contested innovation: the diffusion of interprofessional across a health system, International Journal for Quality in Health Care, 23, (6) pp. 629-636. ISSN 1353-4505 (2011) [Refereed Article]

Copyright Statement

Copyright The Author 2011. Published by Oxford University Press in association with the International Society for Quality in Health Care; all rights reserved

DOI: doi:10.1093/intqhc/mzr064


Objectives Interprofessionalism (IP) has emerged as a new movement in healthcare in response to workforce shortages, quality and safety issues and professional power dynamics. Stakeholders can push for IP (e.g. education providers to the health system) or pull (e.g. the health system to the education provider). Based on innovation theory, we hypothesized that there would be unequal forces within and across stakeholder domains which would work to facilitate or resist IP. The strongest pull pressures would be from the health system and services; push pressures for IP would come from government and higher education; with weaker push forces and levels of resistance, from protectionist professional bodies. Design, setting and participants Our model was tested in a geographically bounded health jurisdiction. Information was gathered and analysed via individual (n= 99 participants) and group (n= 372 participants) interviews with stakeholders, and through document analysis. Results The health system and services exerted the strongest pull in demanding IP. The strongest push factor was individual champions in positions of power. Professional bodies balanced their support of IP competencies with their role as advocates for their individual professions. A weak push factor came from government support for health workforce reform. Conclusions Our hypothesis was supported, as were our predictions that the strongest pull would be from the providers and the strongest push from government and higher education. Our original model should be extended to account for contextual factors such as large-scale workplace and professional reform, which worked both for and against, IP.

Item Details

Item Type:Refereed Article
Keywords:interprofessionalism, interprofessionalism, interprofessionalism, organization science
Research Division:Health Sciences
Research Group:Health services and systems
Research Field:Health services and systems not elsewhere classified
Objective Division:Health
Objective Group:Evaluation of health and support services
Objective Field:Evaluation of health and support services not elsewhere classified
UTAS Author:Greenfield, D (Professor David Greenfield)
ID Code:111092
Year Published:2011
Web of Science® Times Cited:3
Deposited By:TSBE
Deposited On:2016-08-30
Last Modified:2017-11-06

Repository Staff Only: item control page