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The Impact of Social Networks in Developing and Managing Chronic Care Models

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Book cover Operations Research Applications in Health Care Management

Part of the book series: International Series in Operations Research & Management Science ((ISOR,volume 262))

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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.

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Notes

  1. 1.

    World Health Organization.

  2. 2.

    Self-management support, clinical information systems, delivery system redesign, decision support, health care organization, and community resources.

  3. 3.

    http://www.altalex.com/documents/leggi/2012/11/12/dl-sanita-la-legge-di-conversione-del-decreto-balduzzi

References

  • Alter C, Hage J (1993) Organizations working together. Sage, Newbury Park

    Google Scholar 

  • 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

    Google Scholar 

  • Barringer BR, Harrison JS (2000) Walking a tightrope: creating value through interorganizational relationships. J Manag 26(3):367–403

    Google Scholar 

  • 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

    Article  Google Scholar 

  • Butera F (1990) Il castello e la rete. Franco Angeli Libri, Milano

    Google Scholar 

  • Cicchetti A, Mascia D (2007) Organizzare le reti in Sanità: teoria, metodi e strumenti di social network analysis. Mecosan 61:9–32

    Google Scholar 

  • 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

    Google Scholar 

  • 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

    Google Scholar 

  • Dawson B (1920) Interim report on the future provision of medical and allied services 1920. Ministry of Health, London

    Google Scholar 

  • 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

    Google Scholar 

  • 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

    Article  Google Scholar 

  • Girvan M, Newman MEJ (2002) Community structure in social and biological networks. Proc Natl Acad Sci U S A 99(12):7821–7826

    Article  Google Scholar 

  • 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

    Article  Google Scholar 

  • Kickert WJ, Koppenjan JF (1997) Public management and network management: an overview. Netherlands Institute of Government, Enschede

    Google Scholar 

  • 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

    Google Scholar 

  • Klijn EH, Steijn B, Edelenbos J (2010) The impact of network management on outcomes in governance networks. Public Adm 88(4):1065

    Article  Google Scholar 

  • Mascia D (2009) L’organizzazione delle reti in sanità. Teoria, metodi e strumenti di social network analysis. FrancoAngeli, Milano

    Google Scholar 

  • 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

    Google Scholar 

  • 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

    Google Scholar 

  • 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

    Google Scholar 

  • Porter ME, Van der Linde C (1995) Toward a new conception of the environment-competitiveness relationship. J Econ Perspect 9:97–118

    Article  Google Scholar 

  • 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

    Article  Google Scholar 

  • 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

    Chapter  Google Scholar 

  • 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

    Google Scholar 

  • Resta M (2016) Computational intelligence paradigms in economic and financial decision making. Springer, Switzerland

    Book  Google Scholar 

  • Rhodes RAW (1996) The new governance: governing without government. Political Stud 44(4):652–667

    Article  Google Scholar 

  • 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

    Article  Google Scholar 

  • Scott J (1991) Social network analysis. A handbook. Sage, London

    Google Scholar 

  • 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

    Article  Google Scholar 

  • Tasselli S (2014) Social networks of professionals in health care organizations a review. Med Care Res Rev 71(6):619–660

    Article  Google Scholar 

  • 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

    Article  Google Scholar 

  • Wagner EH, Austin BT, Von Korff M (1996) Organizing care for patients with chronic illness. Milbank Q 74:511–544

    Article  Google Scholar 

  • 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

    Article  Google Scholar 

  • 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

    Google Scholar 

  • Wasserman S, Faust K (1994) Social network analysis. Methods and applications. Cambridge University Press, Cambridge

    Book  Google Scholar 

  • Weber EP, Khademian AM (2008) Wicked problems, knowledge challenges, and collaborative capacity builders in network settings. Public Adm Rev 68(2):334–349

    Article  Google Scholar 

  • World Health Organization and Alzheimer’s Disease International (2012) Dementia: a public health priority

    Google Scholar 

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Authors and Affiliations

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Correspondence to Marina Resta .

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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

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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

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