Network analysis approach to stroke care and assistance provision: an empirical study

• Autorzy: Szczygiel N. , Santana S.

Identyfikatory

DOI

10.1515/emj-2017-0011

• Języki publikacji: EN

Abstrakty

EN

To model and analyse stroke care and assistance provision in the Portuguese context from the network perspective. We used the network theory as a theoretical foundation for the study. The model proposed by Frey et al. (2006) was used to elicit and comprehend possible interactions and relations between organisations expected to be involved in the provision of care and assistance to stroke patients in their pathway to rehabilitation. Providers were identified and contacted to evaluate the nature and intensity of relationships. Network analysis was performed with the NodeXL software package. Analysis of 509 entities based on about 260 000 entries indicates that stroke care provision in the evaluated context is best captured in the coalition-collaboration setting, which appears to best demonstrate the character of the network. Information from analysis of the collaboration stage was not sufficient to determine the network dynamics. Application of the network theory to understand interorganisational dynamics of the complex health care context. Empirical validation of the model proposed by Frey et al. (2006) in terms of its operationalisation and the way it actually reflects the practical context. Examination and analysis of interorganisational relationships and its contribution to management of compound health care context involving actors from various sectors.

Słowa kluczowe

EN

network analysis; care and assistance provision; stroke

PL

analiza sieci; opieka i pomoc; udar

• Wydawca: Oficyna Wydawnicza Politechniki Białostockiej
• Czasopismo: Engineering Management in Production and Services
• Rocznik: 2017
• Tom: Vol. 9, no. 2
• Strony: 32--37
• Opis fizyczny: Bibliogr. 24 poz., tab.

Twórcy

autor

Szczygiel N.

• University of Aveiro, Research Unit in Governance, Competitiveness and Public Policies, Department of Economics, Management, Industrial Engineering and Tourism, Portugal

autor

Santana S.

• University of Aveiro, Institute of Electronics and Informatics Engineering of Aveiro Research Unit in Governance, Competitiveness and Public Policies, Department of Economics, Management, Industrial Engineering and Tourism, Portugal

Bibliografia

• Andreasson, S., & Winge, M. (2010). Innovations for sustainable health and social care: Value-creating health and social care processes based on patient need. Stockholm, Sweden: Swedish Governmental Agency for Innovation System.
• Barros, P., & Simões, J. (2007). Health system review. Health Systems in Transition, 9(5), 1-140.
• Brass, D.J., Butterfield, K.D., & Skaggs, B.C. (1998). Relationships and unethical behavior: A social network perspective. The Academy of Management Review, 23(1), 14-31.
• Eurostat. (2008). Population Statistics. Retrieved from http://epp.eurostat.ec.europa.eu/portal/page/portal/population/data/database
• Eurostat. (2010). Europe in figures. Eurostat yearbook 2010. Retrieved from http://ec.europa.eu/eurostat/documents/3217494/5721265/KS-CD-10-220-EN.PDF/e47b231c-c411-4d4e-8cd6-e0257be4f2e6?version=1.0
• Freeman, L.C. (1979). Centrality in social networks: Conceptual clarification. Social Networks, 1, 215-239.
• Frey, B.B., Lohmeier, J.H., Lee, S W., & Tollefson, N. (2006). Measuring collaboration among grant partners. American Journal of Evaluation, 27(3), 383-392.
• Garton, L., Haythornwaite, C., & Wellman, B. (1999). Studying on-line social networks. In S. Jones (Ed.), Doing Internet Research. Thousand Oaks, USA: SAGE Publications Inc.
• Greenwald, H.P. (2008). Challenges in cross-sectoral partnerships: An organizational perspective. Consortium on Collaborative Governance (CCG) Mini-Conference. Retrieved from http://www.serviceleader.org/sites/default/files/file/Challenges%20in%20Cross-Sector%20Partnerships,%20Greenwald.pdf
• Kreisel, W., & von Schrinding, Y. (1998). Intersectoral action for health: A cornerstone for health for all in the twenty-first century. World Health Statistics Quarterly, 51(1), 75-78.
• Lewis, J.M. (2005). A network approach for researching partnerships in health. Australia and New Zealand Health Policy, 2(22).
• Lim, P.C., & Tang, N.K.H. (2000). A study of patients’ expectations and satisfaction in Singapore hospitals. International Journal of Health Care Quality Assurance, 13(7), 290-299.
• Luke, D., & Harris, J. (2007). Network analysis in public health: History, methods, and applications. Annual Review of Public Health, 28, 69-93.
• Mackay, J., & Mensah, G. (2004). The atlas of heart disease and stroke. Geneva, Switzerland: World Health Organization.
• Mitchell, J.C. (1969). The concept and use of social networks. In J.C. Mitchell (Ed.), Social Networks in Urban Situations, (pp. 1-44). Manchester, England: Manchester University Press.
• Moutinho, M., Magalhães, R., Correia, M., & Silva, M.C. (2013). Avaliação da via verde do acidente vascular cerebral de Portugal: Caracterização e prognóstico dos utilizadores [Evaluation of the green pathway of stroke in Portugal: Characterization and prognosis of users]. Acta Médica Portuguesa, 26(2), 113-122.
• Palazzolo, M., Grippa, F., Booth, A., Rechner, S. Bucuvalas, J., & Gloor, P. (2011). Measuring social network structure of clinical teams caring for patients with complex conditions. Procedia - Social and Behavioral Sciences, 26, 17-29.
• Pierson, C. (2006). Beyond the welfare state?: The new political economy of welfare. Cambridge, England: Polity Press.
• Rutten, R.P.J.H., & Boekema, F.W.M. (2004). The spatial dimension of inter-firm learning: Case study and conceptualization. In: P.H. Cooke, A. Piccaluga (Eds.), Regional Economies as Knowledge Laboratories. Cheltenham, England: Edward Elgar.
• Sá, M.J. (2009). AVC – primeira causa de morte em Portugal [AVC - the leading cause of death in Portugal]. Revista da Faculdade de Ciências da Saúde, 6, 12-19.
• Santana, S., Rente, J., Neves, C., Redondo, P., Szczygiel, N., Larsen, T., Jepsen, B., & Langhorne, P. (2016). Early home-supported discharge for patients with stroke in Portugal: A randomized controlled trial. Clinical Rehabilitation, 31(2), 197-206.
• Truelsen, T., Piechowski-Jozwiak, B., Bonita, R., Mathers, C., Bogousslavsky, J., & Boysen, G. (2006). Stroke incidence and prevalence in Europe: A review of available data. European Journal of Neurology, 13(6), 581-598.
• Wasserman, S., & Faust, K. (1994). Social network analysis: Methods and applications. New York, USA: Cambridge University Press.
• World Health Organization. (2010). Portugal. Health system performance assessment. Retrieved from http://www.euro.who.int/__data/assets/pdf_file/0006/131766/E94518.pdf?ua=1