SMART work design: Accelerating the diagnosis of rare diseases in the Western Australian Undiagnosed Diseases Program

The accurate and efficient diagnosis of rare diseases, many of which include congenital anomalies, depends largely on the specialists who diagnose them – including their ability to work alongside specialists from other fields and to take full advantage of cutting-edge precision medicine technologies...

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Main Authors: Hay, Georgia, Klonek, Florian, Thomas, Cati, Bauskis, Alicia, Baynam, Gareth, Parker, Sharon
Format: Journal Article
Published: Frontiers Media 2020
Online Access:http://purl.org/au-research/grants/arc/FL160100033
http://hdl.handle.net/20.500.11937/80490
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author Hay, Georgia
Klonek, Florian
Thomas, Cati
Bauskis, Alicia
Baynam, Gareth
Parker, Sharon
author_facet Hay, Georgia
Klonek, Florian
Thomas, Cati
Bauskis, Alicia
Baynam, Gareth
Parker, Sharon
author_sort Hay, Georgia
building Curtin Institutional Repository
collection Online Access
description The accurate and efficient diagnosis of rare diseases, many of which include congenital anomalies, depends largely on the specialists who diagnose them – including their ability to work alongside specialists from other fields and to take full advantage of cutting-edge precision medicine technologies and precision public health approaches. However, highly specialized clinicians operating within a historically-siloed healthcare system is antithetical to the multi-disciplinary, collaborative, and creative approach that facilitates the diagnosis of rare diseases. The Western Australian Undiagnosed Diseases Program (UDP-WA) successfully re-designed the work of the involved clinicians to facilitate teamworking across silos. To analyze and understand the effectiveness of the Western Australian program, we draw on a SMART work design perspective. We propose that redesign was successful in part because it improved crucial psychosocial work characteristics that are less prevalent in the broader work system, as identified in the SMART model. Based on the effectiveness of UDP-WA and its SMART design, we provide a framework that clinicians, healthcare managers, and policymakers can consider when they re-design work so that they can create SMART jobs within healthcare.
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spelling curtin-20.500.11937-804902021-01-13T03:09:38Z SMART work design: Accelerating the diagnosis of rare diseases in the Western Australian Undiagnosed Diseases Program Hay, Georgia Klonek, Florian Thomas, Cati Bauskis, Alicia Baynam, Gareth Parker, Sharon The accurate and efficient diagnosis of rare diseases, many of which include congenital anomalies, depends largely on the specialists who diagnose them – including their ability to work alongside specialists from other fields and to take full advantage of cutting-edge precision medicine technologies and precision public health approaches. However, highly specialized clinicians operating within a historically-siloed healthcare system is antithetical to the multi-disciplinary, collaborative, and creative approach that facilitates the diagnosis of rare diseases. The Western Australian Undiagnosed Diseases Program (UDP-WA) successfully re-designed the work of the involved clinicians to facilitate teamworking across silos. To analyze and understand the effectiveness of the Western Australian program, we draw on a SMART work design perspective. We propose that redesign was successful in part because it improved crucial psychosocial work characteristics that are less prevalent in the broader work system, as identified in the SMART model. Based on the effectiveness of UDP-WA and its SMART design, we provide a framework that clinicians, healthcare managers, and policymakers can consider when they re-design work so that they can create SMART jobs within healthcare. 2020 Journal Article http://hdl.handle.net/20.500.11937/80490 10.3389/fped.2020.00582 http://purl.org/au-research/grants/arc/FL160100033 http://creativecommons.org/licenses/by/4.0/ Frontiers Media fulltext
spellingShingle Hay, Georgia
Klonek, Florian
Thomas, Cati
Bauskis, Alicia
Baynam, Gareth
Parker, Sharon
SMART work design: Accelerating the diagnosis of rare diseases in the Western Australian Undiagnosed Diseases Program
title SMART work design: Accelerating the diagnosis of rare diseases in the Western Australian Undiagnosed Diseases Program
title_full SMART work design: Accelerating the diagnosis of rare diseases in the Western Australian Undiagnosed Diseases Program
title_fullStr SMART work design: Accelerating the diagnosis of rare diseases in the Western Australian Undiagnosed Diseases Program
title_full_unstemmed SMART work design: Accelerating the diagnosis of rare diseases in the Western Australian Undiagnosed Diseases Program
title_short SMART work design: Accelerating the diagnosis of rare diseases in the Western Australian Undiagnosed Diseases Program
title_sort smart work design: accelerating the diagnosis of rare diseases in the western australian undiagnosed diseases program
url http://purl.org/au-research/grants/arc/FL160100033
http://hdl.handle.net/20.500.11937/80490