Determinants of knowledge-sharing networks in primary care

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Mascia, Daniele ; Pallotti, Francesca ; Dandi, Roberto (2018)

Background. Around the world, health reforms are increasingly fostering collaboration and integration among primary care physicians with the aim of facilitating knowledge sharing and evidence-informed decision making. Although extant research on this topic is abundant, the evidence and results regarding social and organizational factors affecting the formation of knowledge-sharing networks in this setting are inconclusive. \ud \ud Purposes. The aim of this article is to explore multiple theoretical mechanisms explaining the formation of knowledge-sharing networks among primary care physicians across relevant clinical areas.\ud \ud Methodology/Approach. The data are collected from two local health authorities (LHAs) in the Italian National Health Service that are responsible for delivering primary care in two Italian regions. Exponential random graph models are used to test the hypotheses.\ud \ud Findings. Our findings indicate that knowledge-sharing networks are highly correlated across clinical areas. In addition, knowledge-sharing networks are highly reciprocal and clustered. We also observe that formal models adopted to foster collaboration have remarkably different effects on the formation of knowledge networks, depending upon the diverse knowledge management approaches adopted in the surveyed LHAs.\ud \ud Practice Implications. Primary care organizations need to develop and implement knowledge management practices in order to help physicians in identifying knowledge domain experts as well as to support connections through formal groupings and incentives.
  • References (30)
    30 references, page 1 of 3

    Armeni, P., Compagni, A., Longo, F. (2014). Multiprofessional Primary Care Units: What Affects the Clinical Performance of Italian General Practitioners? Medical Care Research & Review, 71(4), 315-336.

    Borgatti, S.P., Cross, R. (2003). A relational view of information seeking and learning in social networks. Management Science, 49(4), 432-445.

    Burt, R.S. (1992). Structural Holes: The Social Structure of Competition. Harvard University Curley, S.P., Connelly, D.P., Rich, E.C. (1990). Physicians' Use of Medical Knowledge Resources. Medical Decision Making, 10(4), 231-241.

    Elstein, A.S. (1999). Heuristics and Biases: Selective Errors in Clinical Reasoning. Academic Medicine, 74, 791-794.

    Fantini, M.P., Compagni, A., Rucci, P., Mimmi, S., Longo, F. (2011). General practitioners adherence to evidence-based guidelines: a multilevel analysis. Health Care Management Review, 74, 225-230.

    Fattore, G., Salvatore, D. (2010). Network organizations of general practitioners: antecedents of formation and consequence of participation. BMC Health Services Research, 10, 118.

    Fattore, G., Frosini, F., Salvatore, D., et al. (2009). Social network analysis in primary care: the impact of interactions on prescribing behaviour. Health Policy, 92, 141-148.

    Feld, S.L. (1981). The Focused Organization of Social Ties. American Journal of Sociology, 86, 1015-1035.

    Gaither, C. A., Bagozzi, R. P., Kirking, D. M., and Ascione, F. J. (1994). Factors related to physicians' attitudes and beliefs toward drug information sources. Drug Information Journal, 28 (3), 817-827.

    Huerta, T.R. and Dandi, R. (2014). Social Network Analysis and the Integration of Care: Theory and Method. In Mick, S.S., Shay, P.D. (Eds.), Advances in Health Care Organization Theory, 2nd Edition, (pp. 229-258). San Francisco. Jossey-Bass Inc.

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