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Network evaluation of an innovation platform in continuous quality improvement in Australian Indigenous primary healthcare

BACKGROUND: From 2014 to 2019, the Centre for Research Excellence in Integrated Quality Improvement (CRE-IQI) was evaluated as an innovation platform focusing on continuous quality improvement in Indigenous Australian primary healthcare. Although social network analysis (SNA) is a recognized method...

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Autores principales: Cunningham, Frances Clare, Potts, Boyd Alexander, Ramanathan, Shanthi Ann, Bailie, Jodie, Bainbridge, Roxanne Gwendalyn, Searles, Andrew, Laycock, Alison Frances, Bailie, Ross Stewart
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9620635/
https://www.ncbi.nlm.nih.gov/pubmed/36316678
http://dx.doi.org/10.1186/s12961-022-00909-z
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author Cunningham, Frances Clare
Potts, Boyd Alexander
Ramanathan, Shanthi Ann
Bailie, Jodie
Bainbridge, Roxanne Gwendalyn
Searles, Andrew
Laycock, Alison Frances
Bailie, Ross Stewart
author_facet Cunningham, Frances Clare
Potts, Boyd Alexander
Ramanathan, Shanthi Ann
Bailie, Jodie
Bainbridge, Roxanne Gwendalyn
Searles, Andrew
Laycock, Alison Frances
Bailie, Ross Stewart
author_sort Cunningham, Frances Clare
collection PubMed
description BACKGROUND: From 2014 to 2019, the Centre for Research Excellence in Integrated Quality Improvement (CRE-IQI) was evaluated as an innovation platform focusing on continuous quality improvement in Indigenous Australian primary healthcare. Although social network analysis (SNA) is a recognized method for evaluating the functioning, collaboration and effectiveness of innovation platforms, applied research is limited. This study applies SNA to evaluate the CRE-IQI’s functioning as an innovation platform. METHODS: Two surveys (2017, 2019) were conducted using social survey and network methods. Survey items covered respondent characteristics, their perceptions of the CRE-IQI’s performance, and its impact and sociometric relationships. Members’ relationship information was captured for the CRE-IQI at three time points, namely start (retrospectively), midpoint and final year, on three network types (knew, shared information, collaborated). SNA software was used to compute standard network metrics including diameter, density and centrality, and to develop visualizations. Survey and network results were addressed in a workshop held by members to develop improvement strategies. RESULTS: The response rate was 80% in 2017 and 65% in 2019 (n = 49 and 47, respectively). Between 2017 and 2019, respondents’ mean ratings of the CRE-IQI’s functioning and achievements in meeting its goals were sustained. They perceived the CRE-IQI as multidisciplinary, having effective management and governance, and incorporating Indigenous research leadership, representation and ways of working. Respondents recognized high levels of trust amongst members, rated “good communication and coordination with participants” highly, and “facilitating collaboration” as the CRE’s most strongly recognized achievement. In collaboration and information-sharing networks, average path length remained low in 2017 and 2019, indicating good small-world network properties for relaying information. On average, respondents shared information and collaborated with more CRE members in 2017 than 2019. However, in both 2017 and 2019 there were new collaborations and information-sharing outside of direct collaborations. CRE-IQI outcomes included: evidence generation; knowledge transfer and skills development in quality improvement; research capacity-building, career development; mentoring; grant support; development of new projects; health service support; and policy impact. CONCLUSIONS: This study shows the utility of network analysis in evaluating the functioning, and collaboration, at the individual, organizational and health system levels, of an innovation platform, and adds to our understanding of factors enabling successful innovation platforms. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12961-022-00909-z.
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spelling pubmed-96206352022-11-01 Network evaluation of an innovation platform in continuous quality improvement in Australian Indigenous primary healthcare Cunningham, Frances Clare Potts, Boyd Alexander Ramanathan, Shanthi Ann Bailie, Jodie Bainbridge, Roxanne Gwendalyn Searles, Andrew Laycock, Alison Frances Bailie, Ross Stewart Health Res Policy Syst Research BACKGROUND: From 2014 to 2019, the Centre for Research Excellence in Integrated Quality Improvement (CRE-IQI) was evaluated as an innovation platform focusing on continuous quality improvement in Indigenous Australian primary healthcare. Although social network analysis (SNA) is a recognized method for evaluating the functioning, collaboration and effectiveness of innovation platforms, applied research is limited. This study applies SNA to evaluate the CRE-IQI’s functioning as an innovation platform. METHODS: Two surveys (2017, 2019) were conducted using social survey and network methods. Survey items covered respondent characteristics, their perceptions of the CRE-IQI’s performance, and its impact and sociometric relationships. Members’ relationship information was captured for the CRE-IQI at three time points, namely start (retrospectively), midpoint and final year, on three network types (knew, shared information, collaborated). SNA software was used to compute standard network metrics including diameter, density and centrality, and to develop visualizations. Survey and network results were addressed in a workshop held by members to develop improvement strategies. RESULTS: The response rate was 80% in 2017 and 65% in 2019 (n = 49 and 47, respectively). Between 2017 and 2019, respondents’ mean ratings of the CRE-IQI’s functioning and achievements in meeting its goals were sustained. They perceived the CRE-IQI as multidisciplinary, having effective management and governance, and incorporating Indigenous research leadership, representation and ways of working. Respondents recognized high levels of trust amongst members, rated “good communication and coordination with participants” highly, and “facilitating collaboration” as the CRE’s most strongly recognized achievement. In collaboration and information-sharing networks, average path length remained low in 2017 and 2019, indicating good small-world network properties for relaying information. On average, respondents shared information and collaborated with more CRE members in 2017 than 2019. However, in both 2017 and 2019 there were new collaborations and information-sharing outside of direct collaborations. CRE-IQI outcomes included: evidence generation; knowledge transfer and skills development in quality improvement; research capacity-building, career development; mentoring; grant support; development of new projects; health service support; and policy impact. CONCLUSIONS: This study shows the utility of network analysis in evaluating the functioning, and collaboration, at the individual, organizational and health system levels, of an innovation platform, and adds to our understanding of factors enabling successful innovation platforms. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12961-022-00909-z. BioMed Central 2022-10-31 /pmc/articles/PMC9620635/ /pubmed/36316678 http://dx.doi.org/10.1186/s12961-022-00909-z Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Cunningham, Frances Clare
Potts, Boyd Alexander
Ramanathan, Shanthi Ann
Bailie, Jodie
Bainbridge, Roxanne Gwendalyn
Searles, Andrew
Laycock, Alison Frances
Bailie, Ross Stewart
Network evaluation of an innovation platform in continuous quality improvement in Australian Indigenous primary healthcare
title Network evaluation of an innovation platform in continuous quality improvement in Australian Indigenous primary healthcare
title_full Network evaluation of an innovation platform in continuous quality improvement in Australian Indigenous primary healthcare
title_fullStr Network evaluation of an innovation platform in continuous quality improvement in Australian Indigenous primary healthcare
title_full_unstemmed Network evaluation of an innovation platform in continuous quality improvement in Australian Indigenous primary healthcare
title_short Network evaluation of an innovation platform in continuous quality improvement in Australian Indigenous primary healthcare
title_sort network evaluation of an innovation platform in continuous quality improvement in australian indigenous primary healthcare
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9620635/
https://www.ncbi.nlm.nih.gov/pubmed/36316678
http://dx.doi.org/10.1186/s12961-022-00909-z
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