Abstract
The aim of this chapter is to monitor the impact of interrelations in the development of an efficient and proactive system of chronic care management by tools of Social Network Analysis (SNA). The basic motivation of this work resides in observing the complexity of the healthcare practice, embedded within an evolving framework with epidemiological changes, population ageing, and chronic diseases ruling on acute cases. Focusing on a population benchmark of patients affected by chronic degenerative disease, we provide evidence of how SNA can help to understand the dynamics of mutual relationships between the network of home-physicians and the other entities within the National Health System, and to suggest corrective interventions to improve the overall quality of the provided service.
Notes
- 1.
World Health Organization.
- 2.
Self-management support, clinical information systems, delivery system redesign, decision support, health care organization, and community resources.
- 3.
References
Alter C, Hage J (1993) Organizations working together. Sage, Newbury Park
Barr V, Robinson S, Marin-Link B, Underhill L, Dotts A, Ravensdale D, Salivaras S (2003) The expanded chronic care model. Hosp Q 7(1):73–82
Barringer BR, Harrison JS (2000) Walking a tightrope: creating value through interorganizational relationships. J Manag 26(3):367–403
Berry FS, Brower RS, Choi SO, Goa WX, Jang H, Kwon M, Word J (2004) Three traditions of network research: what the public management research agenda can learn from other research communities. Public Adm Rev 64(5):539–552
Butera F (1990) Il castello e la rete. Franco Angeli Libri, Milano
Cicchetti A, Mascia D (2007) Organizzare le reti in Sanità: teoria, metodi e strumenti di social network analysis. Mecosan 61:9–32
Cicchetti A, Papini P, Ruggeri M, De Luca A, Mascia D, Cippoloni E, Guasticchi G (2006) L’analisi dei network organizzativi nei sistemi sanitari: il caso della rete di emergenza nella Regione Lazio. Politiche Sanitarie 7(2):77–90
Dandi R, D’Alise C, Mascia D (2013) Network professionali e uso delle lenee guida: il caso della pediatria di libera scelta. Mecosan 87:9–22
Dawson B (1920) Interim report on the future provision of medical and allied services 1920. Ministry of Health, London
Di Fiandra T, Canevelli M, Di Pucchio A, Vanacore N, Italian Dementia National Plan Working Group (2015) The Italian dementia plan. Early release article. Ann Ist Super Sanità 51(4):261–264
Di Vincenzo F, Mascia D, Numerato D, Salvatore D (2014) Le reti sociali e i professionisti in sanità: una review della letteratura. Mecosan 89:71–83
Girvan M, Newman MEJ (2002) Community structure in social and biological networks. Proc Natl Acad Sci U S A 99(12):7821–7826
Isett KR, Mergel IA, LeRoux K, Mischen PA, Rethemeyer RK (2011) Networks in public administration scholarship: understanding where we are and where we need to go. J Public Adm Res Theory 21(1):157–173
Kickert WJ, Koppenjan JF (1997) Public management and network management: an overview. Netherlands Institute of Government, Enschede
Klijn EH, Koppenjan JF (2000) Public management and policy networks: foundations of a network approach to governance. Public Manag Int J Res Theory 2(2):135–158
Klijn EH, Steijn B, Edelenbos J (2010) The impact of network management on outcomes in governance networks. Public Adm 88(4):1065
Mascia D (2009) L’organizzazione delle reti in sanità. Teoria, metodi e strumenti di social network analysis. FrancoAngeli, Milano
McCulloch DK, Price MJ, Hindmarsh M, Wagner EH (1998) A population-based approach to diabetes management in a primary care setting: early results and lessons learned. Eff Clin Pract. 1998 1(1):12–22
Milward HB, Provan KG, Fish A, Isett KR, Huang K (2009) Governance and collaboration: an evolutionary study of two mental health networks. J Public Adm Res Theory 20(1):125–141
Munoz DA, Alonso W, Nembhard HB (2014) A social network analysis-based approach to evaluate workflow and quality in a pediatric intensive care unit. In: Proceedings of the 2014 Industrial and Systems Engineering Research Conference
Porter ME, Van der Linde C (1995) Toward a new conception of the environment-competitiveness relationship. J Econ Perspect 9:97–118
Ramsey SD, Newton K, Blough D, McCulloch DK, Sandhu N, Wagner EH (1999) Patient-level estimates of the cost of complications in diabetes in a managed-care population. PharmacoEconomics 16(3):285–295
Resta M (2012) An analysis of the financial statements of Italian health care providers through correlation-based networks. In: Tànfani E, Testi A (eds) Advanced decision making methods applied to health care, vol 173. International Series in Operations Research & Management Science, Springer, Milan, pp 155–171
Resta M (2013) Social networks design of hospital facilitators: an empirical study of the case of Italy. J Mod Acc Audit 9.2. ISSN:1548-6583:1–21
Resta M (2016) Computational intelligence paradigms in economic and financial decision making. Springer, Switzerland
Rhodes RAW (1996) The new governance: governing without government. Political Stud 44(4):652–667
Scott J, Tallia A, Crosson JC, Orzano AJ, Stroebel C, Dicicco-Bloom et al (2005) Social network analysis as an analytic tool for interaction patterns in primary care practices. Annals Fam Med 3(5):443–448
Scott J (1991) Social network analysis. A handbook. Sage, London
Swan M (2009) Emerging patient-driven health care models: an examination of health social networks, consumer personalized medicine and quantified self-tracking. Int J Environ Res Public Health 6(2):492–525
Tasselli S (2014) Social networks of professionals in health care organizations a review. Med Care Res Rev 71(6):619–660
Tumminello M, Aste T, Di Matteo T, Mantegna RN (2005) A tool for filtering information in complex systems. Proc Natl Acad Sci U S A 102(30):10421–10426
Wagner EH, Austin BT, Von Korff M (1996) Organizing care for patients with chronic illness. Milbank Q 74:511–544
Wagner EH, Austin BT, Davis C, Hindmarsh M, Schaefer J, Bonomi A (2001) Improving chronic illness care: translating evidence into action. Health Affairs 20(6):64–78. Nov–Dec 2001
Wagner EH (1998) Chronic disease management: what will it take to improve care for chronic illness? Eff Clin Pract 1(1):2–4. Aug–Sept 1998
Wasserman S, Faust K (1994) Social network analysis. Methods and applications. Cambridge University Press, Cambridge
Weber EP, Khademian AM (2008) Wicked problems, knowledge challenges, and collaborative capacity builders in network settings. Public Adm Rev 68(2):334–349
World Health Organization and Alzheimer’s Disease International (2012) Dementia: a public health priority
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Appendix 1
Appendix 1
List of shortcuts employed to abbreviate specializations names.
Name | Shortcut |
---|---|
Gynecology and obstetrics | GO |
Obstetrics | OG |
Pneumology | PNEU |
Endocrinology | END |
Sports medicine | SM |
Digestive system apparatus diseases | AD |
Pediatrics | PED |
Generic medicine | GM |
Dermatology | DE |
Oncology | ONC |
Nuclear medicine | NM |
Generic specialization | GS |
Rheumatology | REU |
Anesthesia and intensive care | AR |
Occupational medicine | LM |
Gastroenterology | GAE |
Respiratory apparatus diseases | RAD |
Tisis and other respiratory apparatus diseases | TRD |
Infectious diseases and pediatrics | IDP |
Medical microbiology and virology | MVM |
Internal medicine | IM |
Geriatrics | GER |
Emergency surgery and first aid | GS |
Neuropathology | NEU |
Immunology | IMM |
Prevention medicine | PM |
Cardiology | CA |
Nephrology | NE |
Generic surgery | GS |
Generic pathology | GP |
Palliative care | PC |
Emergency room and first aid | ER |
Otolaryngology | OT |
Anesthesia and intensive care | AR |
Rights and permissions
Copyright information
© 2018 Springer International Publishing AG
About this chapter
Cite this chapter
Resta, M., Arato, E. (2018). The Impact of Social Networks in Developing and Managing Chronic Care Models. In: Kahraman, C., Topcu, Y. (eds) Operations Research Applications in Health Care Management. International Series in Operations Research & Management Science, vol 262. Springer, Cham. https://doi.org/10.1007/978-3-319-65455-3_8
Download citation
DOI: https://doi.org/10.1007/978-3-319-65455-3_8
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-65453-9
Online ISBN: 978-3-319-65455-3
eBook Packages: Business and ManagementBusiness and Management (R0)