Measuring social capital of hospital management boards in European hospitals: A validation study on psychometric properties of a questionnaire for Chief Executive Officers

Hammer, Antje; Arah, Onyebuchi A.; Mannion, Russell; Groene, Oliver; Suñol, Rosa; Pfaff, Holger; Choi, Kyung-Eun

doi:10.1186/s12913-021-07067-y

Cited by 3 publications

(3 citation statements)

References 34 publications

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“…The results of this long-term care facility study are in line with the results of two other organizational studies [24,25,27]. These studies showed that hospitals that fulfill two of the four AGIL functions-goal orientation and integration-have higher implementation rates with regard to quality management or clinical risk management than hospitals that do not fulfill these two functions properly.…”

Section: Discussionsupporting

confidence: 86%

“…The goal attainment function is fulfilled when a collective of people has the ability to define and set desired goals collectively, to monitor and control goal attainment, and to correct false goal-oriented strategies and actions [24,25]. The integration function is fulfilled when the parts of a collective system are closely connected through mutual trust, cohesiveness, and supportive networks [24][25][26][27]. The latent pattern maintenance function is achieved when the value and knowledge system as well as the belief system are maintained by institutionalization of value-based structures and are transferred to the next generation of members by socialization [23,28].…”

Section: Introductionmentioning

confidence: 99%

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Is the Systemic Agency Capacity of Long-Term Care Organizations Enabling Person-Centered Care during the COVID-19 Pandemic? A Repeated Cross-Sectional Study of Organizational Resilience

Pfaff

Pförtner

Banaszak-Holl

et al. 2022

IJERPH

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The COVID-19 pandemic has strained long-term care organization staff and placed new demands on them. This study examines the role of the general ability and power of a long-term care organization to act and react collectively as a social system, which is called systemic agency capacity, in safeguarding the provision of person-centered care during a crisis. The question of how the systemic agency capacity of long-term care organizations helps to ensure person-centered care during the pandemic is an open research question. We conducted a pooled cross-sectional study on long-term care organizations in Germany during the first and second waves of the pandemic (April 2020 and December 2020–January 2021). The sample consisted of 503 (first wave) and 294 leaders (second wave) of long-term care organizations. The top managers of these facilities were asked to report their perceptions of their facility’s agency capacity, measured by the AGIL scale, and the extent to which the facility provides person-centered care. We found a significant positive association between the leaders’ perceptions of systemic agency capacity and their perceptions of delivered person-centered care, which did not change over time. The results tentatively support the idea that fostering the systemic agency capacity of long-term care organizations facilitates their ability to provide quality routine care despite environmental shocks such as the COVID-19 pandemic.

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Section: Discussionsupporting

confidence: 86%

Section: Introductionmentioning

confidence: 99%

Is the Systemic Agency Capacity of Long-Term Care Organizations Enabling Person-Centered Care during the COVID-19 Pandemic? A Repeated Cross-Sectional Study of Organizational Resilience

Pfaff

Pförtner

Banaszak-Holl

et al. 2022

IJERPH

Self Cite

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“…Lastly, social capital has long been recognized as integral in individual and team performance. Previous research shows the association between social capital and the maturity of a hospital’s quality management system [ 88 ] and validated measurement tools for social capital within hospital management has subsequently been created [ 89 ]. Our research demonstrates the feasibility of using network metrics to monitor dimensions of individual social capital in relation to their embedded networks, and its association with quality outcomes such as prescribing.…”

Section: Discussionmentioning

confidence: 99%

Can peer effects explain prescribing appropriateness? a social network analysis

Wang,

Larrain,

Groene

2023

BMC Med Res Methodol

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Background Optimizing prescribing practices is important due to the substantial clinical and financial costs of polypharmacy and an increasingly aging population. Prior research shows the importance of social relationships in driving prescribing behaviour. Using social network analysis, we examine the relationship between a physician practices’ connectedness to peers and their prescribing performance in two German regions. Methods We first mapped physician practice networks using links established between two practices that share 8 or more patients; we calculated network-level (density, average path length) and node-level measures (degree, betweenness, eigenvector). We defined prescribing performance as the total number of inappropriate medications prescribed or appropriate medications not prescribed (PIMs) to senior patients (over the age of 65) during the calendar year 2016. We used FORTA (Fit fOR The Aged) algorithm to classify medication appropriateness. Negative binomial regression models estimate the association between node-level measures and prescribing performance of physician practices controlling for patient comorbidity, provider specialization, percentage of seniors in practice, and region. We conducted two sensitivity analyses to test the robustness of our findings – i) limiting the network mapping to patients younger than 65; ii) limiting the network ties to practices that share more than 25 patients. Results We mapped two patient-sharing networks including 436 and 270 physician practices involving 28,508 and 20,935 patients and consisting of 217,126 and 154,274 claims in the two regions respectively. Regression analyses showed a practice’s network connectedness as represented by degree, betweenness, and eigenvector centrality, is significantly negatively associated with prescribing performance (degree—bottom vs. top quartile aRR = 0.04, 95%CI: 0.035,0.045; betweenness—bottom vs. top quartile aRR = 0.063 95%CI: 0.052,0.077; eigenvector—bottom vs. top quartile aRR = 0.039, 95%CI: 0.034,0.044). Conclusions Our study provides evidence that physician practice prescribing performance is associated with their peer connections and position within their network. We conclude that practices occupying strategic positions at the edge of networks with advantageous access to novel information are associated with better prescribing outcomes, whereas highly connected practices embedded in insulated information environments are associated with poor prescribing performance.

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Versorgungsforschung – Beiträge der Medizinsoziologie in Vergangenheit und Gegenwart

Pfaff

Pförtner

2022

Medizinische Soziologie in Deutschland

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Measuring social capital of hospital management boards in European hospitals: A validation study on psychometric properties of a questionnaire for Chief Executive Officers

Cited by 3 publications

References 34 publications

Is the Systemic Agency Capacity of Long-Term Care Organizations Enabling Person-Centered Care during the COVID-19 Pandemic? A Repeated Cross-Sectional Study of Organizational Resilience

Is the Systemic Agency Capacity of Long-Term Care Organizations Enabling Person-Centered Care during the COVID-19 Pandemic? A Repeated Cross-Sectional Study of Organizational Resilience

Can peer effects explain prescribing appropriateness? a social network analysis

Versorgungsforschung – Beiträge der Medizinsoziologie in Vergangenheit und Gegenwart

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