Abstract
Purpose – The purpose of this paper is to introduce a special issue on boundary organising in healthcare bringing together a selection of six leading papers accepted for presentation at the 12th Organisational
Behaviour in Health Care (OBHC 2020) Conference.
Design/methodology/approach – In this introductory paper, the guest editors position the special issue papers in relation to the theoretical literature on boundaries and boundary organising and highlight how these contributions advance our understanding of boundary phenomena in healthcare.
Findings – Three strands of thinking – practice-based, systems theory and place-based approaches – are briefly described, followed by an analytical summary of the six papers included in the special issue. The papers
illustrate how the dynamic processes of boundary organising, stemming from the dual nature of boundaries
and boundary objects, can be constrained and enabled by the complexity of broader multi-layered boundary
landscapes, in which local clinical and managerial practices are embedded.
Originality/value – The authors set the scene for the papers included in the special issue, summarise their
contributions and implications, and suggest directions for future research.
Research implications/limitations – The authors call for interdisciplinary and multi-theoretical
investigations of boundary phenomena in health organisation and management, with a particular attention
to (1) the interplay between multiple types of boundaries, actors and objects operating in complex multi-layered
boundary systems; (2) diversity of the backgrounds, experiences and preferences of patients and services users
and (3) the role of artificial intelligence and other non-human actors in boundary organising.
Practical implications – Developing strategies of reflection, mitigation, justification and relational work is
crucial for the success of boundary organising initiatives.
Keywords Boundaries, Boundary organising, Boundary management, Boundary reconfiguration, Boundary
objects, Boundary spanning, Healthcare, Practice-based theorising, Systems theory, Place-based approaches
Behaviour in Health Care (OBHC 2020) Conference.
Design/methodology/approach – In this introductory paper, the guest editors position the special issue papers in relation to the theoretical literature on boundaries and boundary organising and highlight how these contributions advance our understanding of boundary phenomena in healthcare.
Findings – Three strands of thinking – practice-based, systems theory and place-based approaches – are briefly described, followed by an analytical summary of the six papers included in the special issue. The papers
illustrate how the dynamic processes of boundary organising, stemming from the dual nature of boundaries
and boundary objects, can be constrained and enabled by the complexity of broader multi-layered boundary
landscapes, in which local clinical and managerial practices are embedded.
Originality/value – The authors set the scene for the papers included in the special issue, summarise their
contributions and implications, and suggest directions for future research.
Research implications/limitations – The authors call for interdisciplinary and multi-theoretical
investigations of boundary phenomena in health organisation and management, with a particular attention
to (1) the interplay between multiple types of boundaries, actors and objects operating in complex multi-layered
boundary systems; (2) diversity of the backgrounds, experiences and preferences of patients and services users
and (3) the role of artificial intelligence and other non-human actors in boundary organising.
Practical implications – Developing strategies of reflection, mitigation, justification and relational work is
crucial for the success of boundary organising initiatives.
Keywords Boundaries, Boundary organising, Boundary management, Boundary reconfiguration, Boundary
objects, Boundary spanning, Healthcare, Practice-based theorising, Systems theory, Place-based approaches
| Original language | English |
|---|---|
| Pages (from-to) | 133-140 |
| Journal | Journal of Health Organization and Management |
| Volume | 35 |
| Issue number | 2 |
| Early online date | 11 Apr 2021 |
| DOIs | |
| Publication status | Published - 27 Apr 2021 |
Keywords
- Boundaries
- Boundary organising
- Boundary management
- Boundary reconfiguration
- Boundary objects
- Boundary spanning
- Healthcare
- Practice-based theorising
- Systems theory
- Place-based approaches
