KT archetype and organizing logic | Explorative dimension | Exploitative dimension | Strengths | Leadership challenges |
---|---|---|---|---|
Archetype E | Research explicitly managed by central controls, who hold governance oversight. | Exploitation supported by systematic approaches to quality management, ensuring consistency. | Project level control by central management enables high levels of accountability. | Low levels of research autonomy risks alienation of high calibre academics. |
Central management control | Research directly influenced or determined by local provider concerns, thus low academic autonomy. | Strong central governance and organization. | Sustained investment in local service improvement. | Incremental nature of service orientated research and alienation of academics decreases likelihood of high impact publications. |
Exploration is more incremental. | High likelihood of research implementation due to central management control and highly contextualized improvement- orientated research. | Integrates into culture and goals of a hierarchical health service system. | ||
Central management systematically collects and collates research findings. | Absorptive capacity about implementation processes and service improvement developed. |