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Integrating network theory into the study of integrated healthcare

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  • Burns, Lawton R.
  • Nembhard, Ingrid M.
  • Shortell, Stephen M.

Abstract

Healthcare policy in the United States (U.S.) has focused on promoting integrated healthcare to combat fragmentation (e.g., 1993 Health Security Act, 2010 Affordable Care Act). Researchers have responded by studying coordination and developing typologies of integration. Yet, after three decades, research evidence for the benefits of coordination and integration are lacking. We argue that research efforts need to refocus in three ways: (1) use social networks to study relational coordination and integrated healthcare, (2) analyze integrated healthcare at three levels of analysis (micro, meso, macro), and (3) focus on clinical integration as the most proximate impact on patient outcomes. We use examples to illustrate the utility of such refocusing and present avenues for future research.

Suggested Citation

  • Burns, Lawton R. & Nembhard, Ingrid M. & Shortell, Stephen M., 2022. "Integrating network theory into the study of integrated healthcare," Social Science & Medicine, Elsevier, vol. 296(C).
    • Handle: RePEc:eee:socmed:v:296:y:2022:i:c:s0277953621009965
    DOI: 10.1016/j.socscimed.2021.114664
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    References listed on IDEAS

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    Cited by:

    1. Tietschert, Maike & Bahadurzada, Hassina & Kerrissey, Michaela, 2024. "Revisiting organizational culture in healthcare: Heterogeneity as a resource," Social Science & Medicine, Elsevier, vol. 356(C).
    2. Westra, Daan & Makai, Peter & Kemp, Ron, 2024. "Return to sender: Unraveling the role of structural and social network ties in patient sharing networks," Social Science & Medicine, Elsevier, vol. 340(C).
    3. Peeters, Robin & Westra, Daan & van Raak, Arno J.A. & Ruwaard, Dirk, 2023. "Getting our hopes up: How actors perceive network effectiveness and why it matters," Social Science & Medicine, Elsevier, vol. 325(C).

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