Articles scientifiques

%7B%22status%22%3A%22success%22%2C%22updateneeded%22%3Afalse%2C%22instance%22%3Afalse%2C%22meta%22%3A%7B%22request_last%22%3A650%2C%22request_next%22%3A50%2C%22used_cache%22%3Atrue%7D%2C%22data%22%3A%5B%7B%22key%22%3A%22V3AZV4TG%22%2C%22library%22%3A%7B%22id%22%3A6046021%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Tremblay%20et%20al.%22%2C%22parsedDate%22%3A%222025-04-01%22%2C%22numChildren%22%3A1%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BTremblay%2C%20Dominique%2C%20Susan%20Usher%2C%20Karine%20Bilodeau%2C%20and%20Nassera%20Touati.%202025.%20%26quot%3B%26lt%3Ba%20class%3D%26%23039%3Bzp-ItemURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1177%5C%2F13558196241300109%26%23039%3B%26gt%3BThe%20role%20of%20collaborative%20governance%20in%20translating%20national%20cancer%20programs%20into%20network-based%20practices%3A%20A%20longitudinal%20case%20study%20in%20Canada%26lt%3B%5C%2Fa%26gt%3B.%26quot%3B%20%26lt%3Bi%26gt%3BJournal%20of%20Health%20Services%20Research%20%26amp%3B%20Policy%26lt%3B%5C%2Fi%26gt%3B%2030%20%282%29%3A%2099%5Cu2013108.%20%20%26lt%3Ba%20title%3D%26%23039%3BDownload%26%23039%3B%20class%3D%26%23039%3Bzp-DownloadURL%20zp-getDownloadURL%26%23039%3B%20data-zp-dl%3D%26%23039%3Bapi_user_id%3D6046021%26amp%3Bdlkey%3DR2XVZJWY%26amp%3Bcontent_type%3Dapplication%5C%2Fpdf%26%23039%3B%20href%3D%26%23039%3Bjavascript%3Avoid%280%29%3B%26%23039%3B%26gt%3BDownload%26lt%3B%5C%2Fa%26gt%3B%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22The%20role%20of%20collaborative%20governance%20in%20translating%20national%20cancer%20programs%20into%20network-based%20practices%3A%20A%20longitudinal%20case%20study%20in%20Canada%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Dominique%22%2C%22lastName%22%3A%22Tremblay%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Susan%22%2C%22lastName%22%3A%22Usher%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Karine%22%2C%22lastName%22%3A%22Bilodeau%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Nassera%22%2C%22lastName%22%3A%22Touati%22%7D%5D%2C%22abstractNote%22%3A%22ObjectivesNetworks%20%28multiple%20organizations%20or%20actors%20coordinating%20their%20activities%20towards%20a%20common%20goal%29%20have%20been%20promoted%20in%20the%20cancer%20programs%20of%20a%20number%20of%20countries.%20But%20there%20is%20little%20empirical%20evidence%20on%20whether%20and%20how%20they%20overcome%20the%20siloed%20functioning%20endemic%20in%20specialized%20domains.%20This%20study%20examines%20how%20collaborative%20governance%20takes%20shape%20to%20support%20integrated%20network-based%20practices%20within%20a%20prescribed%20national%20cancer%20program.MethodsA%20longitudinal%20qualitative%20single-case%20study%20was%20conducted%20of%20the%20Quebec%20cancer%20network%20in%20Canada.%20Data%20were%20collected%20in%202018-2020%20through%20semi-structured%20interviews%20with%20stakeholders%20%28n%20%3D%2037%29%20involved%20in%20regional%20and%5C%2For%20national%20cancer%20network%20structures%20and%20a%20review%20of%20documents%20%28n%20%3D%2045%29%20generated%20at%20national%20and%20regional%20level.%20Abductive%20thematic%20analysis%20during%20and%20post-field%20work%20was%20based%20on%20Emerson%5Cu2019s%20collaborative%20governance%20framework.%20It%20aimed%20to%20identify%20how%20collaborative%20governance%20mechanisms%20%28principled%20engagement%2C%20shared%20motivation%20and%20capacity%20for%20joint%20action%29%20were%20activated%20in%20the%20network%2C%20and%20their%20contribution%20to%20translating%20a%20national%20cancer%20program%20into%20network-based%20practices%20at%20the%20point%20of%20care.ResultsPrincipled%20engagement%20was%20driven%20through%20interdisciplinary%20committees%20at%20national%20and%20regional%20level%2C%20communities%20of%20practice%20and%20trajectory-development%20efforts.%20These%20mandated%20structures%20supported%20knowledge%20exchange%20and%20contributed%20to%20the%20recognition%20of%20interdependencies%2C%20distribution%20of%20leadership%20and%20development%20of%20mutual%20understanding%20and%20trust.%20Shared%20motivation%20benefitted%20from%20a%20vision%20of%20patient-centred%20care%20but%20was%20hindered%20by%20top-down%20communication%20vehicles%20that%20did%20not%20allow%20regional%20priorities%20to%20filter%20upwards%20to%20central%20level.%20Between%20care%20providers%20in%20different%20settings%2C%20trust%20and%20candidacy%20were%20identified%20as%20mechanisms%20important%20to%20shared%20motivation%2C%20though%20network%20actions%20did%20not%20sufficiently%20support%20trust%20across%20care%20settings%2C%20or%20even%20between%20members%20of%20the%20same%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