A contribution to the analysis of the first Spanish public-private partnership in primary and specialized maternity carea Social Network Analysis approach

  1. Camacho Morell, Francisca 1
  2. Esparcia Pérez, Javier 1
  1. 1 Universidad de Valencia, España
Revista:
Revista internacional de sociología

ISSN: 0034-9712

Ano de publicación: 2021

Volume: 79

Número: 1

Tipo: Artigo

DOI: 10.3989/RIS.2021.79.1.19.057 DIALNET GOOGLE SCHOLAR lock_openAcceso aberto editor

Outras publicacións en: Revista internacional de sociología

Resumo

The La Ribera University Hospital (Alzira, Valencia) was the first experience of public-private partnership in the Spanish National Health System. In addition to the need to coordinate two levels of health care (primary/specialised), two models of human resource management (public/private) had to be coordinated. To illustrate this complexity, the group of midwives in the health area has been taken, analysing their relational patterns through the methodological approach of Social Network Analysis. In terms of results, out of a population of 31 midwives, those of the public model occupy peripheral positions and cooperate poorly, both internally and externally. However, those of the private model constitute a cohesive subgroup, which proves to be both a strength and a weakness. Midwives in primary care and in the private model bridge subgroups. Therefore, the presence of two management models determines the efficiency of maternal care rather than the division of care into two levels.

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Información de financiamento

The paper has been partly funded (translation costs) by the Spanish DG Research, at the Ministry of Science, Innovation and Universities (CSO2015-68215-R, having ERDF funding). The methodological implementation of SNA in this research have been previously proven in the scope of this project.

Financiadores

Referencias bibliográficas

  • Balkundi, P. and M. Kilduff. 2006. “The ties that lead: A social network approach to leadership.” The Leadership Quarterly 17(4): 419-439.
  • Barlow, J., J. Roehrich and S. Wright. 2012. The search for lowcost integrated healthcare. The Alzira model – from the region of Valencia. Brussels: NHS European Office.
  • Barlow, J., J. Roehrich and S. Wright. 2013. “Europe sees mixed results from Public-Private Partnerships for building and managing health care facilities and services.” Health Affairs 32(1): 146-154.
  • Borgatti, S. P. 2002. Netdraw for Windows: Software for Social Network Analysis. Harvard: Analytic Technologies.
  • Borgatti, S. P., M. G. Everett and L. C. Freeman. 2002. UCINET for Windows: Software for Social Network Analysis. Harvard: Analytic Technologies.
  • Borgatti, S. P., K. M. Carley and D. Krackhardt. 2006. “On the robustness of centrality measures under conditions of imperfect data.” Social Networks 28(2): 124-136.
  • Borgatti, S. P., A. Mehra, D. J. Brass and G. Labianca. 2009. “Network analysis in the social sciences.” Science 323: 892-895.
  • Borgatti, S. P., M. G. Everett and J. C. Johnson. 2013. Analyzing Social Networks. London: Sage Publications Ltd.
  • Boyer, L., R. Belzeaux, O. Maurel, K. Baumstarck‐Barrau and J. C. Samuelian. 2010. “A social network analysis of healthcare professional relationships in a French hospital.” International Journal of Health Care Quality Assurance 23(5): 460-469.
  • Brandt, P. T. and J. T. Williams. 2007. Basic Vector Autoregression Models. London: Sage Research Methods.
  • Caballer-Tarazona, M. and D. Vivas-Consuelo. 2016. “A cost and performance comparison of PPP and public hospitals in Spain.” Health Economics Review 6: 17.
  • Camacho-Morell, F., J. Espert-Galera, S. Sanchis-Valero and S. Sebastián-Abril. 2019. “Coordinación entre matronas del área de salud de La Ribera desde un enfoque fenomenológico.” Matronas Profesión 20(1): 5-12.
  • Cappellaro, G. and F. Longo. 2011. “Institutional public private partnerships for core health services: evidence from Italy.” BMC Health Services Research 11: 82.
  • Chambers, D., P. Wilson, C. Thompson and M. Harden. 2012. “Social network analysis in healthcare settings: a systematic scoping review.” PLoS One 7: e41911.
  • Cunningham, F. C., G. Ranmuthugala, J. Plumb, A. Georgiou, J. I. Westbrook and J. Braithwaite. 2012. “Health professional networks as a vector for improving healthcare quality and safety: a systematic review.” BMJ Quality & Safety 21: 239-249.
  • De Brún, A. and E. McAuliffe. 2018. “Social Network Analysis as a Methodological Approach to Explore Health Systems: A Case Study Exploring Support among Senior Managers/Executives in a Hospital Network.” International Journal of Environmental Research and Public Health 15(3): 511.
  • Den Breejen, E. M., M. A. Hilbink, W. L. Nelen, T. J. Wiersma, J. S. Burgers, J. A. Kremer and R. P. Hermens. 2014. “A patientcentered network approach to multidisciplinary-guideline development: a process evaluation.” Implementation Science 9: 68.
  • Esparcia, J. and J. Serrano. 2016. “Analysing social networks in rural development: a gender approach.” International Review of Social Research 6: 206-220.
  • Esparcia, J. 2017. “Capital social y desarrollo territorial: redes sociales y liderazgos en las nuevas dinámicas rurales en España.” Ph.D. dissertation, Department of Sociology, Autonomous University of Barcelona. https://tdx.cat/handle/10803/457367#page=1
  • Gould, R. V. and R. M. Fernandez. 1989. “Structures of Mediation: A Formal Approach to Brokerage in Transaction Networks.” Sociological Methodology 19: 89-126.
  • Government of Spain. 1986. “Law 14/1986: General Health Law.” Boletín Oficial del Estado 102:15207-15224, December 12th 2018.
  • Government of Spain. 1997. “Law 15/1997: Enabling new ways of managing the National Health System.” Boletín Oficial del Estado 100:13449-13450, December 12th 2018.
  • Groenen, C., N. van Duijnhoven, M. Faber, J. Koetsenruijter, J. Kremer and F. Vandenbussche. 2017. “Use of social network analysis in maternity care to identify the profession most suited for case manager role.” Midwifery 45: 50-55.
  • Haggerty, J., R. Reid, G. K. Freeman, B. H. Starfield, C. E. Adair and R. Mc-Kendry. 2003. “Continuity of care: a multidisciplinary review.” British Medical Journal 327: 1219-1221.
  • Hanneman, R. A. and M. Riddle. 2005. Introduction to social network methods. Riverside: University of California.
  • Henao, D., M. L. Vázquez and I. Vargas. 2009. “Factores que influyen en la coordinación entre niveles asistenciales según la opinión de directivos y profesionales sanitarios.” Gaceta Sanitaria 23(4): 280-286.
  • Herr, A., H. Schmitz and B. Augurzky. 2011. “Profit efficiency and ownership of German hospitals.” Health Economics 20: 660-674.
  • Hoeve, Y, S. Kunnen, J. Brouwer and P. F. Roodbol. 2018. “The voice of nurses: Novice nurses’ first experiences in a clinical setting. A longitudinal diary study.” Journal of clinical nursing 27: e1612-e1626.
  • Klijn, E. H. and G. R. Teisman. 2003. “Institutional and Strategic Barriers to Public—Private Partnership: An Analysis of Dutch Cases.” Public Money and Management 23(3): 137-146.
  • Knoke, D. and S. Yang. 2008. Social network analysis. Thousand Oacks, CA: Sage Publications.
  • Kroll-Desrosiers, A. R., S. L. Crawford, T. A. Moore Simas, A. K. Rosen and K. M. Mattocks. 2016. “Improving pregnancy outcomes through maternity care coordination: a systematic review.” Womens Health Issues 26(1): 87-99.
  • Lillrank, P. 2012. “Integration and coordination in healthcare: an operations management view.” Journal of Integrated Care 20(1): 6-12.
  • López-Casanovas, G. and J. E. Llano-Señarís. 2017. Colaboración público-privada en Sanidad: el modelo Alzira. Madrid: Fundación Gaspar Casal.
  • Luke, D. A. 2005. “Getting the big picture in community science: Methods that capture context.” American Journal of Community Psychology 35: 185-200.
  • Luke, D. A. and J. K. Harris. 2007. “Network analysis in public health: History, methods and applications.” Annual Review of Public Health 28: 69-93.
  • Marek K., L. Popejoy, G. Petroski and M. Rantz. 2006. “Nurse care coordination in community-based long-term care.” Journal of Nursing Scholarship 38(1): 80-86.
  • Martínez, J. and M. I. Baena. 2004. “Sistema nacional de salud español: estructura y competencias.” Pp. 239-256 in Los Sistemas de Salud de Iberoamérica de Cara al Siglo XXI. México: Universidad de Guadalajara.
  • Ojeda, J. J., J. M. Freire and J. Gérvas. 2006. “La coordinación entre Atención Primaria y Especializada: ¿reforma del sistema sanitario o reforma del ejercicio profesional?” Revista de Administración Sanitaria 4(2): 357-382.
  • Oliver, K., M. Everett, A. Verma and F. de Vocht. 2012. “The human factor: Re-organisations in public health policy.” Health Policy 106(1): 97-103.
  • Ortún, V. and G. López. 2000. Financiación capitativa, articulación entre niveles asistenciales y descentralización de las organizaciones sanitarias. Barcelona: Universitat Pompeu Fabra.
  • Perdok, H., L. Mokkink, J. van Dillen, M. Westerneng, S. Jans, B. W. Mol and A. de Jonge. 2014. “Opinions of maternity care professionals about integration of care during labor for “moderate risk” indications: a Delphi study in the Netherlands.” Birth 41: 195-205.
  • Perdok, H., S. Jans, C. Verhoeven, L. Henneman, T. Wiegers, B. W. Mol, F. Schellevis and A. de Jonge. 2016. “Opinions of maternity care professionals and other stakeholders about integration of maternity care: a qualitative study in the Netherlands.” BMC Pregnancy and Childbirth 16:188.
  • Perkins, J. M., S. V. Subramanian and N. A. Christakis. 2015. “Social networks and health: A systematic review of sociocentric network studies in low- and middleincome countries.” Social Science & Medicine 125: 60-78.
  • Provan, K. G., J. Harvey and J. Guernsey de Zapien. 2005. “Network structure and attitudes toward collaboration in a community partnership for diabetes control on the US-Mexican border.” Journal of Health Organization and Management 19(6): 504-518.
  • Ramos-Vidal, I. 2019. “Social network analysis in public health research: a systematic review.” Revista de salud pública (Bogota, Colombia) 21(1): 109-114.
  • Rechel, B., J. Erskine, B. Dowdeswell, S. Wright and M. McKee. 2009. Capital investment for health: case studies from Europe. Copenhagen: European Observatory on Health Systems and Policies, WHO Regional Office for Europe.
  • Robinson, K. M. 2010. “Care coordination: a priority for health reform.” Policy, Politics, and Nursing Practice 11(4): 266-274.
  • Rodríguez, C. and C. des Rivières-Pigeon. 2007. “A literature review on integrated perinatal care.” International Journal of Integrated Care 7: e28.
  • Roehrich, J. K., M. A. Lewis and G. George. 2014. “Are PPP a healthy option? A systematic literature review.” Social Science and Medicine 113: 110-119.
  • Sánchez-Martínez, F. I., J. M. Abellán-Perpiñán and J. Oliva- Moreno. 2014. “Privatization in healthcare management: an adverse effect of the economic crisis and a symptom of bad governance. SESPAS report 2014.” Gaceta Sanitaria 28(S1): 75-80.
  • Schmied, V., A. Mills, S. Kruske, L. Kemp, C. Fowler and C. Homer. 2010. “The nature and impact of collaboration and integrated service delivery for pregnant women, children and families.” Journal of Clinical Nursing 19: 3516-3526.
  • Schölmerich, V., A. G. Posthumus, H. Ghorashi, A. Waelput, P. Groenewegen and S. Denktaş. 2014. “Improving interprofessional coordination in Dutch midwifery and obstetrics: a qualitative study.” BMC Pregnancy and Childbirth 14: 145.
  • Schroeder, E., S. Petrou, N. Patel, J. Hollowell, D. Puddicombe, M. Redshaw and P. Brocklehurst. 2012. “Cost effectiveness of alternative planned places of birth in woman at low risk of complications: evidence from the birthplace in England national prospective cohort study.” British Medical Journal 344: e2292.
  • Sekhri, N., R. Feachem and A. Ni. 2011. “Public-Private Integrated Partnerships Demonstrate The Potential To Improve Health Care Access, Quality, And Efficiency.” Health affairs 30(8): 1498-1507.
  • Shelton, R. C., M. Lee, L. E. Brotzman, D. M. Crookes, L. Jandorf, D. Erwin and E. A. Gage-Bouchard. 2019. “Use of social network analysis in the development, dissemination, implementation, and sustainability of health behavior interventions for adults: A systematic review.” Social Science and Medicine 220: 81-101.
  • Smith, K. P. and N. A. Christakis. 2008. “Social Networks and Health.” Annual Review of Sociology 34: 405-429.
  • Stewart, G., P. Bradd, T. Bruce, T. Chapman, B. McDougall, D. Shaw and L. Soars. 2017. “Integrated care in practice – the South Eastern Sydney experience.” Journal of Integrated Care 25(1): 49-60.
  • Tahan, H. A. and V. Campagna. 2010. “Case management roles and functions across various settings and professional disciplines.” Professional Case Management 15(5): 245-277.
  • Tarazona, E., A. de Rosa and M. Marín. 2005. “La experiencia del “Modelo Alzira” del Hospital de La Ribera a la Ribera-área 10 de salud: la consolidación del modelo.” Revista de Administración Sanitaria 3: 83-98.
  • Tasselli, S. 2014. “Social Networks of Professionals in Health Care Organizations: A Review.” Medical Care Research and Review 71: 619-660.
  • Terraza, R., I. Vargas and M. L. Vázquez. 2006. “La coordinación entre niveles asistenciales: una sistematización de sus instrumentos y medidas.” Gaceta Sanitaria 20: 485-495.
  • Torres, L. and V. Pina. 2001. “Public-private partnership and private finance initiatives in the EU and Spanish local governments.” European Accounting Review 10(3): 601-619.
  • Valente, T. W. and P. Pumpuang. 2007. “Identifying Opinion Leaders to Promote Behavior Change.” Health Education & Behaviour 34(6): 881-896.
  • Valentino, C. L. 2004. “The role of middle managers in the transmission and integration of organizational culture.” Journal of Healthcare Management 49(6): 393-404.
  • Vassliev, I., P. Marques-Sánchez and N. Serrano-Fuentes (Eds). 2019. “Social Networks and Health.” International Journal of Environmental Research and Public Health. Special Issue available in https://www.mdpi.com/journal/ijerph/special_issues/SNA
  • Vázquez, M. L., I. Vargas, J. Farré and R. Terraza. 2005. “Integrated health care organizations: Guideline foranalysis.” Revista Española de Salud Pública 79: 633-643.
  • Waibel, S., I. Vargas, M. B. Aller, J. Coderch, J. Farré and M. L. Vázquez. 2016. “Continuity of clinical management and information across care levels: perceptions of users of different healthcare areas in the Catalan national health system.” BMC Health Services Research 16: 466.
  • Wasserman, S. and K. Faust. 1994. Social network analysis: Methods and applications. New York: Cambridge University Press.
  • West, E., D. N. Barron, J. Dowsett and J. N. Newton. 1999. “Hierarchies and cliques in the social networks of health care professionals: Implications for the design of dissemination strategies.” Social Science and Medicine 48: 633-646.
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