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The 6I model: an expanded 4I framework to conceptualise interorganisational learning in the global health sector.
Wodnik, Breanna K; Andiappan, Meena; Di Ruggiero, Erica; Lavery, James V.
Afiliación
  • Wodnik BK; Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada breanna.wodnik@mail.utoronto.ca.
  • Andiappan M; Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.
  • Di Ruggiero E; Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada.
  • Lavery JV; DeGroote School of Business, McMaster University, Hamilton, Ontario, Canada.
BMJ Open ; 14(5): e083830, 2024 May 30.
Article en En | MEDLINE | ID: mdl-38816060
ABSTRACT

INTRODUCTION:

An organisation's ability to learn and adapt is key to its long-term performance and success. Although calls to improve learning within and across health organisations and systems have increased in recent years, global health is lagging behind other sectors in attention to learning, and applications of conceptual models for organisational learning to this field are needed. LEVERAGING THE 4I FRAMEWORK This article proposes modifications to the 4I framework for organisational learning (which outlines the processes of intuition, interpretation, integration and institutionalisation) to guide the creation, retention and exchange of knowledge within and across global health organisations. PROPOSED EXPANSIONS Two expansions are added to the framework to account for interorganisational learning in the highly interconnected field (1) learning pathways across organisations via formal or informal partnerships and communities of practice and (2) learning pathways to and from macro-level 'coordinating bodies' (eg, WHO). Two additional processes are proposed by which interorganisational learning occurs interaction across partnerships and communities of practice, and incorporation linking global health organisations to coordinating bodies. Organisational politics across partnerships, communities of practice and coordinating bodies play an important role in determining why some insights are institutionalised while others are not; as such, the roles of the episodic influence and systemic domination forms of power are considered in the proposed additional organisational learning processes.

DISCUSSION:

When lessons are not shared across partnerships, communities of practice or the research community more broadly, funding may continue to support global health studies and programmes that have already been proven ineffective, squandering research and healthcare resources that could have been invested elsewhere. The '6I' framework provides a basis for assessing and implementing organisational learning approaches in global health programming, and in health systems more broadly.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Salud Global / Aprendizaje Límite: Humans Idioma: En Revista: BMJ Open Año: 2024 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Salud Global / Aprendizaje Límite: Humans Idioma: En Revista: BMJ Open Año: 2024 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Reino Unido