Multilevel integrated healthcare : The evaluation of Project ECHO® networks to integrate children's healthcare in Australia
Broccatelli, Chiara (Universitat Autònoma de Barcelona. Departament d'Antropologia Social i Cultural)
Nixon, Phil (Children's Health Queensland Hospital and Health Service (Australia))
Moss, Perrin (Children's Health Queensland Hospital and Health Service (Australia))
Baggio, Sarah (Children's Health Queensland Hospital and Health Service (Australia))
Young, Angela (Children's Health Queensland Hospital and Health Service (Australia))
Newcomb, Dana (Children's Health Queensland Hospital and Health Service (Australia))

Data:	2025
Resum:	The present empirical study aims to explore medical knowledge sharing in the Australian healthcare context, aiming to broadly evaluate the potential impact of Project ECHO®, an online mentoring and networking health program. We focus on health-related knowledge sharing practices among the network of professionals through formal and informal channels, and across different health and non-health sectors and organisational systems. Studying knowledge transmission among professional networks is essential for optimizing healthcare delivery, promoting innovation, and providing insights on improvement of patient experiences within the healthcare system. We utilize a multilevel approach to shape our data collection strategy. Employing network measures and Multilevel Exponential Random Graph Models, we aim to explore how advice and knowledge sharing behaviours among healthcare professionals and their institutions are interdependently connected. Then, we incorporate network generated results within an evaluation framework for establishing some aspects of the efficiency of the ECHO program along four pillars: Acceptability, Capability, Reachability, and Integration. Our investigation found that among ECHO members, hierarchy is less pronounced compared to across levels and organizations, with certain individuals emerging as central in advice-sharing. The multilevel network perspective showed complex, informal patterns of knowledge and information sharing, including inter-organizational hierarchy, role and sector homophily, brokerage roles with popularity across health organizations, and connectivity through knowledge-sharing in cross-level small group clusters.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, i la comunicació pública de l'obra, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original. No es permet la creació d'obres derivades.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	Integrated healthcare ; Multilevel exponential random graph models ; Advice-seeking networks ; Interorganisational networking
Publicat a:	Social networks, Vol. 80 (january 2025) , p. 44-58, ISSN 1879-2111

DOI: 10.1016/j.socnet.2024.08.007

15 p, 7.3 MB

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