Effect of hospital referral networks on patient readmissions

Mascia, Daniele; Angeli, Federica; Vincenzo, Fausto Di

doi:10.1016/j.socscimed.2015.03.029

Cited by 50 publications

(58 citation statements)

References 46 publications

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“…A significant amount of research indicates that there may be many advantages to HCNs [13202122]. However, this does not mean this the case for every HCN.…”

Section: Ethical Principles For Health Care Networkmentioning

confidence: 99%

“…Third, a significant role might be played by civil society, which refers to ‘the space for collective action around shared interests, purposes and values, generally distinct from government and commercial for-profit actors’ [20]. Within this space social entities (groups, institutions, associations, etc.)…”

Section: Mechanisms Of Coordination (Government Markets and Civil Smentioning

confidence: 99%

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Organizing Health Care Networks: Balancing Markets, Government and Civil Society

Raus¹,

Mortier²,

Eeckloo

2018

International Journal of Integrated Care

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Much is changing in health care organization today. A perspective or paradigm that is gaining ever increasing momentum is that of translational, extramural and integrated care. Current research suggests many potential benefits for integrated care and health care networks but the ethical issues are less frequently emphasized. Showing that integrated care can be beneficial, does not mean it is automatically ethically justified. We will argue for three ethical requirements such health care networks should meet. Subsequently we will look at the mechanisms driving the formation of networks and examine how these can cause networks to meet or fail to meet these ethical requirements or obligations. The three mechanisms we will examine are government, civil society and market mechanisms, which, we argue, should be balanced properly. Each mechanism is able to provide a relevant ethical perspective to health care networks. However, when the balance is skewed towards a single mechanism, health care networks might fail to promote one or more of the ethical requirements.

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“…A significant amount of research indicates that there may be many advantages to HCNs [13202122]. However, this does not mean this the case for every HCN.…”

Section: Ethical Principles For Health Care Networkmentioning

confidence: 99%

Section: Mechanisms Of Coordination (Government Markets and Civil Smentioning

confidence: 99%

Organizing Health Care Networks: Balancing Markets, Government and Civil Society

Raus¹,

Mortier²,

Eeckloo

2018

International Journal of Integrated Care

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“…The dependent variable of this study represents patient-transfer relations between hospitals in the sample. Although one of the most important forms of interhospital collaboration, patient transfers have only recently been investigated by research on interorganizational networks in healthcare (IWASHYNA et al, 2009;LEE et al, 2011;LOMI and PALLOTTI, 2012;LOMI et al, 2014;MASCIA et al, 2015;PALLOTTI et al, 2015). A patient transfer occurs when a hospital directly transfers one or more patients to another hospital during the same calendar day.…”

Section: Variables and Measuresmentioning

confidence: 99%

Don’t stand so close to me: competitive pressures, proximity and inter-organizational collaboration

2016

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This paper investigates how geographical proximity moderates the nonmonotonic relation between niche overlap and the propensity of organizations to collaborate. The main prediction is that the strength of this relation is different for organizations with low versus high levels of geographical proximity. Proposed hypotheses are tested by using data collected within a community of hospital organizations serving more than five million residents in one of the largest Italian geographical regions. After controlling for internal resource complementarities and differences in organizational forms, behavioural orientations and institutional constraints among hospitals, this paper finds strong empirical support to the research hypotheses.

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“…Patient transfer is one of the most important forms of inter-hospital collaboration (Lee et al 2011;Veinot et al 2012;Iwashyna and Courey 2011;Iwashyna et al, 2009;Lomi and Pallotti, 2012;Mascia et al, 2015;Stadtfeld et al, 2016;Mascia, Pallotti, and Angeli 2016), and typically occurs via direct inter-hospital patient transfers whereby patients discharged from one ("sender") hospital are admitted to another ("recipient") hospital. To be sure, patient transfers are ostensibly intended to promote the patient's health: A transfer occurs when a hospital has patients with complex pathologies for which it does not have adequate diagnostic and therapeutic facilities or clinical competences, or patients with pathologies that may be treated more efficiently and effectively elsewhere.…”

Section: A 'Network' Of Patient Transfer Eventsmentioning

confidence: 99%

Investigating the Temporal Dynamics of Interorganizational Exchange: Patient Transfers among Italian Hospitals

Kitts

Lomi

Mascia

et al. 2017

American Journal of Sociology

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Previous research on interaction behavior among organizations (resource exchange, collaboration, communication) has typically aggregated those behaviors over time as a network of organizational relationships. We instead study structural-temporal patterns in organizational exchange, focusing on the dynamics of reciprocation. Applying this lens to a community of Italian hospitals during the period 2003-2007, we observe two mechanisms of interorganizational reciprocation: organizational embedding and resource dependence. We show how these two mechanisms operate on distinct time frames: Dependence applies to contemporaneous exchange structures, whereas embedding develops through longer-term historical patterns. We also show how these processes operate differently in competitive and noncompetitive contexts, operationalized in terms of market differentiation and geographic space. In noncompetitive contexts, we observe both logics of reciprocation, dependence in the short term and embedding over the long term, developing into population-level generalized exchange. In competitive contexts, we find no reciprocation and instead observe the microfoundations of status hierarchies. INTRODUCTION

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Effect of hospital referral networks on patient readmissions

Cited by 50 publications

References 46 publications

Organizing Health Care Networks: Balancing Markets, Government and Civil Society

Organizing Health Care Networks: Balancing Markets, Government and Civil Society

Don’t stand so close to me: competitive pressures, proximity and inter-organizational collaboration

Investigating the Temporal Dynamics of Interorganizational Exchange: Patient Transfers among Italian Hospitals

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