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Local networks of community and healthcare organisations: a mixed methods study

BACKGROUND: Local collaboration of community organisations and healthcare organisations is seen as relevant for the efficiency and efficacy of health and social care because of their potential role in providing social involvement which may reduce the need for the utilisation of formal services. Care...

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Autores principales: Kemper-Koebrugge, Wendy, Koetsenruijter, Jan, Rogers, Anne, Laurant, Miranda, Wensing, Michel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4930621/
https://www.ncbi.nlm.nih.gov/pubmed/27369357
http://dx.doi.org/10.1186/s13104-016-2135-y
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author Kemper-Koebrugge, Wendy
Koetsenruijter, Jan
Rogers, Anne
Laurant, Miranda
Wensing, Michel
author_facet Kemper-Koebrugge, Wendy
Koetsenruijter, Jan
Rogers, Anne
Laurant, Miranda
Wensing, Michel
author_sort Kemper-Koebrugge, Wendy
collection PubMed
description BACKGROUND: Local collaboration of community organisations and healthcare organisations is seen as relevant for the efficiency and efficacy of health and social care because of their potential role in providing social involvement which may reduce the need for the utilisation of formal services. Care organisations connect to each other in different ways, thus comprising an organisational network. This study aimed to describe and explore organisational networks with respect to their activities for people with diabetes mellitus type 2 and potential mechanisms of effective collaboration. Collaboration could include, for example, referring to each other and organising activities together. Potential mechanisms are navigation, negotiation and contagion. METHODS: A mixed methods study was conducted in an urban and a rural area in the Netherlands. The participating organisations were mentioned by a sample of diabetes patients in these regions and by organisations’ representatives in a snowballing procedure. Next a quantitative survey and a semi-structured interview were conducted, including 35 representatives of these local organisations. The social network analysis methods was used to map and characterise the organisational networks based on results from the survey. A thematic analysis of interviews was undertaken to identify how three mechanisms (navigation, negotiation and contagion) were used in the collaboration. RESULTS: Both interviews and network structures showed evidence of navigation-related mechanisms. Organisations referred patients with diabetes to services within their organisation or to relevant services provided by other organisations. Hardly any negotiation or contagion-related mechanisms were identified. If negotiation between organisations was found, it seemed externally enforced. The density, centrality, and reciprocity in the networks seemed low to facilitate contagion of practices. Some organisations reported actions that could have impacted on contagion. Representatives emphasized the need of network collaboration with local or regional community and healthcare organisations. CONCLUSION: The study suggests that navigation to resources is a relevant theme in organisational networks, which could be targeted by interventions. More research is needed to explore the relevance of other network-related mechanisms.
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spelling pubmed-49306212016-07-03 Local networks of community and healthcare organisations: a mixed methods study Kemper-Koebrugge, Wendy Koetsenruijter, Jan Rogers, Anne Laurant, Miranda Wensing, Michel BMC Res Notes Research Article BACKGROUND: Local collaboration of community organisations and healthcare organisations is seen as relevant for the efficiency and efficacy of health and social care because of their potential role in providing social involvement which may reduce the need for the utilisation of formal services. Care organisations connect to each other in different ways, thus comprising an organisational network. This study aimed to describe and explore organisational networks with respect to their activities for people with diabetes mellitus type 2 and potential mechanisms of effective collaboration. Collaboration could include, for example, referring to each other and organising activities together. Potential mechanisms are navigation, negotiation and contagion. METHODS: A mixed methods study was conducted in an urban and a rural area in the Netherlands. The participating organisations were mentioned by a sample of diabetes patients in these regions and by organisations’ representatives in a snowballing procedure. Next a quantitative survey and a semi-structured interview were conducted, including 35 representatives of these local organisations. The social network analysis methods was used to map and characterise the organisational networks based on results from the survey. A thematic analysis of interviews was undertaken to identify how three mechanisms (navigation, negotiation and contagion) were used in the collaboration. RESULTS: Both interviews and network structures showed evidence of navigation-related mechanisms. Organisations referred patients with diabetes to services within their organisation or to relevant services provided by other organisations. Hardly any negotiation or contagion-related mechanisms were identified. If negotiation between organisations was found, it seemed externally enforced. The density, centrality, and reciprocity in the networks seemed low to facilitate contagion of practices. Some organisations reported actions that could have impacted on contagion. Representatives emphasized the need of network collaboration with local or regional community and healthcare organisations. CONCLUSION: The study suggests that navigation to resources is a relevant theme in organisational networks, which could be targeted by interventions. More research is needed to explore the relevance of other network-related mechanisms. BioMed Central 2016-07-01 /pmc/articles/PMC4930621/ /pubmed/27369357 http://dx.doi.org/10.1186/s13104-016-2135-y Text en © The Author(s) 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Kemper-Koebrugge, Wendy
Koetsenruijter, Jan
Rogers, Anne
Laurant, Miranda
Wensing, Michel
Local networks of community and healthcare organisations: a mixed methods study
title Local networks of community and healthcare organisations: a mixed methods study
title_full Local networks of community and healthcare organisations: a mixed methods study
title_fullStr Local networks of community and healthcare organisations: a mixed methods study
title_full_unstemmed Local networks of community and healthcare organisations: a mixed methods study
title_short Local networks of community and healthcare organisations: a mixed methods study
title_sort local networks of community and healthcare organisations: a mixed methods study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4930621/
https://www.ncbi.nlm.nih.gov/pubmed/27369357
http://dx.doi.org/10.1186/s13104-016-2135-y
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