Understanding a Collaborative Effort to Reduce Racial and Ethnic Disparities in Health Care: Contributions from Social Network Analysis  

Oleh:

Gold, Marsha ; Doreian, Patrick ; Taylor, Erin Fries

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Social Science & Medicine (www.elsevier.com/locate/sosscimed) vol. 67 no. 6 (Sep. 2008), page 1018-1027.
Topik: Managed Care; Inequalities; Health Plans; Quality Improvement; Network Analysis; USA; Health Care

Ketersediaan

Perpustakaan Pusat (Semanggi) Nomor Panggil: SS53.22 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

Quality improvement collaboratives have become a common strategy for improving health care. This paper uses social network analysis to study the relationships among organizations participating in a large scale public-private collaboration among major health plans to reduce racial and ethnic disparities in health care in the United States. Pre-existing ties, the collaborative process, participants' perceived contributions, and the overall organizational standing of participants were examined. Findings suggest that sponsors and support organizations, along with a few of the health plans, from the core of this network and act as the "glue" that holds the collaboration together. Most health plans (and one or two support organizations) are in the perphery. While health plans do not interact much with one another, their interactions with the core organizations provided a way of helping achieve health plans' disparities goals. The findings illustrate the role sponsors can play in encouraging organizations to voluntarily work together to achieve social ends while also highlighting the challenges.

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