Rural Health Networks: How Network Analysis Can Inform Patient Care and Organizational Collaboration in a Rural Breast Cancer Screening Network

Prusaczyk, Beth; Maki, Julia; Luke, Douglas A.; Lobb, Rebecca

doi:10.1111/jrh.12302

Cited by 10 publications

(5 citation statements)

References 23 publications

(23 reference statements)

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“…These included size, number of connections, cohesion (level of participation, density, and centralization), function (information sharing or referrals), and integration. 16,17,22,58-90 Eight studies identified organizations central to the network and/or network brokers (organizations serving as a bridge between other organizations) and characterized how those organizations positively contribute to network development. Another 5 studies identified and characterized sub-networks which included smaller groups of organizations within the overall network.…”

Section: Resultsmentioning

confidence: 99%

Understanding the Development, Evaluation, and Sustainability of Community Health Networks Using Social Network Analysis: A Scoping Review

et al. 2021

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Objective Identify the scope of the literature which reports use of social network analysis to inform, support, or evaluate health promotion–focused community network/partnership development. Data Source A comprehensive search (not date-limited) of PubMed, CINAHL, Web of Science Core Collection, PsycInfo, and the Cochrane Library Database for Systematic Reviews. Inclusion and Exclusion Criteria Criteria for inclusion included published in the English language and used social network analysis to inform, support, or evaluate development of community networks/partnerships aiding health promotion efforts. Studies were excluded if they did not use social network analysis or were not focused upon health promotion. Data Extraction Three of the four authors extracted data using a summary chart to document information regarding study aims, target issue/population, methods, and key outcomes of the social network analysis. Data Synthesis The extracted data were qualitatively analyzed by 3 authors to categorize key social network analysis outcomes into categories. Results Ninety-seven studies representing 9 geographical regions were included, with the majority (69) published after 2010. Key outcomes included the effectiveness of social network analysis to identify network characteristics, track network change over time, compare similar networks across locations, and correlate network attributes with outcomes. Conclusion Findings support the utility of social network analysis to inform, support, and evaluate development of sustainable health promotion–focused networks/partnerships.

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Section: Resultsmentioning

confidence: 99%

Understanding the Development, Evaluation, and Sustainability of Community Health Networks Using Social Network Analysis: A Scoping Review

et al. 2021

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“…Interestingly, communication among people and organizations during program implementation was always described positively in these studies (see networks and communications construct under Inner Setting domain), with little discussion of challenges and potential solutions. Approaches such as network analysis could provide more insight into the density and functionality of networks of healthcare and community-based organizations, particularly in rural areas where opportunities for collaboration may be constrained by geography [ 49 , 50 ]. In addition, some authors have called for greater attention to communication theory in implementation science research [ 51 , 52 ]; these paradigms could provide insight into how network nodes co-create priorities, information, and resources related to public health and cancer screening.…”

Section: Discussionmentioning

confidence: 99%

Assessing the use of constructs from the consolidated framework for implementation research in U.S. rural cancer screening promotion programs: a systematic search and scoping review

Moss

Stoltzfus

Popalis

et al. 2023

BMC Health Serv Res

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Background Cancer screening is suboptimal in rural areas, and interventions are needed to improve uptake. The Consolidated Framework for Implementation Research (CFIR) is a widely-used implementation science framework to optimize planning and delivery of evidence-based interventions, which may be particularly useful for screening promotion in rural areas. We examined the discussion of CFIR-defined domains and constructs in programs to improve cancer screening in rural areas. Methods We conducted a systematic search of research databases (e.g., Medline, CINAHL) to identify studies (published through November 2022) of cancer screening promotion programs delivered in rural areas in the United States. We identified 166 records, and 15 studies were included. Next, two reviewers used a standardized abstraction tool to conduct a critical scoping review of CFIR constructs in rural cancer screening promotion programs. Results Each study reported at least some CFIR domains and constructs, but studies varied in how they were reported. Broadly, constructs from the domains of Process, Intervention, and Outer setting were commonly reported, but constructs from the domains of Inner setting and Individuals were less commonly reported. The most common constructs were planning (100% of studies reporting), followed by adaptability, cosmopolitanism, and reflecting and evaluating (86.7% for each). No studies reported tension for change, self-efficacy, or opinion leader. Conclusions Leveraging CFIR in the planning and delivery of cancer screening promotion programs in rural areas can improve program implementation. Additional studies are needed to evaluate the impact of underutilized CFIR domains, i.e., Inner setting and Individuals, on cancer screening programs.

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“…Th e urban environment was the source of residence for 100% of the patients included in the study, the access to specialized medical services being limited for patients located in rural areas 9 .…”

Section: Demographic Datamentioning

confidence: 99%

The Romanian National Breast Reconstruction Program - Results and Conclusions after 5 Years

Bejinariu¹,

Marinescu²,

ENESCU³

2019

Rev. Med. Mod.

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Introduction: The optimization of the breast reconstruction treatment protocols and the introduction of state-subsidized national programs are global priorities. The present paper presents the results obtained within the National Program of Breast Reconstruction at the "Bagdasar-Arseni" Emergency Clinical Hospital, highlighting the advantages and disadvantages of the surgical techniques used. Materials and Methods: The results obtained after 71 surgical interventions were used for the study. The methodology used involved the use of demographic data, patient history, and the description of the surgical methods and techniques that were used. Results: Among the main results, the paper highlights the fact that mammary reconstruction by using the 'expander-implant' surgical technique was 5 times more frequent than the "implant-myocutaneous flap" technique. Post-operative complications have been present in 57% of the patients who associate comorbidities. Breast reconstruction using the TRAM (transverse rectus abdominis muscle 1) flap was the rescue solution for severe complications. Conclusions: The TRAM flap was proven to be the best technique in the treatment of diffi cult cases. Carrying out these statistical analyzes related to projects of a national scale form the solid foundation of documented studies that bring a signifi cant contribution to the development of the Romanian medical system.

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Rural Health Networks: How Network Analysis Can Inform Patient Care and Organizational Collaboration in a Rural Breast Cancer Screening Network

Cited by 10 publications

References 23 publications

Understanding the Development, Evaluation, and Sustainability of Community Health Networks Using Social Network Analysis: A Scoping Review

Understanding the Development, Evaluation, and Sustainability of Community Health Networks Using Social Network Analysis: A Scoping Review

Assessing the use of constructs from the consolidated framework for implementation research in U.S. rural cancer screening promotion programs: a systematic search and scoping review

The Romanian National Breast Reconstruction Program - Results and Conclusions after 5 Years

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