Use of social network analysis in maternity care to identify the profession most suited for case manager role

Groenen, Carola J.M.; Duijnhoven, Noortje T.L. van; Faber, Marjan J.; Koetsenruijter, Jan; Kremer, J.A.M.; Vandenbussche, Frank P.H.A.

doi:10.1016/j.midw.2016.12.007

Cited by 14 publications

(13 citation statements)

References 25 publications

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“…However, health professionals (whose network was composed of a single component) presented greater connectivity, a greater exchange of information and therefore, more resources and innovations. In terms of the present, this finding suggests the need to think about and analyse how the structure of relatives and/or health professional networks may promote the exchange of information on maternity-related subjects such as childbirth [ 20 ].…”

Section: Discussionmentioning

confidence: 99%

“…Regarding SNA studies applied to maternity care, the subject of the present research, the literature provides little evidence [ 20 , 21 , 22 ]. To date, it has been found that community-based midwives present a high degree of connectivity in the community, suggesting that they occupy a position in the network that facilitates ties between different professionals, thus endowing them with a standing that renders them competent to act as maternity case managers [ 20 ]. However, no in-depth analyses have been conducted of the relational processes that characterise actors with a higher standing and thus this relationship strategy has yet to be determined, rendering it impossible at present to promote or replicate it with other actors in similar contexts.…”

Section: Introductionmentioning

confidence: 99%

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Social Network Analysis Applied to a Historical Ethnographic Study Surrounding Home Birth

Díaz

Ovalle-Perandones

Ramos-Vidal

et al. 2018

IJERPH

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Safety during birth has improved since hospital delivery became standard practice, but the process has also become increasingly medicalised. Hence, recent years have witnessed a growing interest in home births due to the advantages it offers to mothers and their newborn infants. The aims of the present study were to confirm the transition from a home birth model of care to a scenario in which deliveries began to occur almost exclusively in a hospital setting; to define the social networks surrounding home births; and to determine whether geography exerted any influence on the social networks surrounding home births. Adopting a qualitative approach, we recruited 19 women who had given birth at home in the mid 20th century in a rural area in Spain. We employed a social network analysis method. Our results revealed three essential aspects that remain relevant today: the importance of health professionals in home delivery care, the importance of the mother’s primary network, and the influence of the geographical location of the actors involved in childbirth. All of these factors must be taken into consideration when developing strategies for maternal health.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Social Network Analysis Applied to a Historical Ethnographic Study Surrounding Home Birth

Díaz

Ovalle-Perandones

Ramos-Vidal

et al. 2018

IJERPH

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“…Cunningham et al (2012) stress that cohesive professional healthcare networks enable effective healthcare coordination. At the same time, several studies point out that working in well-coordinated health professional networks is associated with improved quality of care, increased patient satisfaction, improved efficiency and decreased care costs (Groenen et al 2017;Kroll-Desrosiers et al 2016;Waibel et al 2016;Schölmerich et al 2014;Den Breejen et al 2014;Tahan and Campagna 2010). Therefore, it can be understood that a measure of the cohesion of a group of health professionals through the SNA approach is a useful proxy to analyse the efficiency of that group.…”

Section: Introductionmentioning

confidence: 99%

“…Some well-known analysis refer to, for example, relational guidelines in the transmission of infectious diseases (Smith and Christakis 2008), relationships in health organisations (De Brún and McAuliffe 2018;Provan, Harvey and Guernsey de Zapien 2005;West et al 1999) and public health (Ramos-Vidal 2019). In spite of the growing number of SNA and health studies in recent years, there are few studies carried out using the SNA methodology that refer to maternity care (Groenen et al 2017) and to date there are no contributions specifically linking the analysis of maternity care and health PPPs from the SNA approach.…”

Section: Introductionmentioning

confidence: 99%

Análisis de la primera colaboración público-privada en asistencia maternal en atención primaria y especializada en España: una aplicación del análisis de redes sociales

Morell

Pérez

2021

revintsociol

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El Hospital Universitario de La Ribera (Alzira, Valencia) fue la primera experiencia de colaboración público-privada en el Sistema Nacional de Salud español. Además de la necesidad de coordinar dos niveles de atención sanitaria (primaria/especializada) hubo que coordinar dos modelos de gestión de recursos humanos (público/privado). Para ejemplificar esta complejidad, se toma el colectivo de matronas del área de salud, analizando sus pautas relacionales mediante la aproximación metodológica del Análisis de Redes Sociales. En cuanto a resultados, de una población de 31 matronas, las del modelo público ocupan posiciones periféricas y cooperan poco, tanto interna como externamente. Las del modelo privado constituyen un subgrupo cohesivo, que supone tanto una fortaleza como una debilidad. Las matronas de Atención Primaria y modelo privado constituyen puentes entre subgrupos. Por tanto, la presencia de dos modelos de gestión condiciona la eficiencia de la atención maternal más que la división de la atención en dos niveles.

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“…The role of a knowledge broker is identified through centrality analysis (ie, betweenness centrality), where the number of times an actor connects pairs of other actors who otherwise would not be able to reach one another (table 1). 20–22 Other structural and relational information from the network analysis such as network density could also be explored as this measure relates to how well the network is co-ordinated 24. Dense networks are thought to be beneficial for the co-ordination of an activity among actors.…”

Section: Introductionmentioning

confidence: 99%

Uncovering social structures and informational prejudices to reduce inequity in delivery and uptake of new molecular technologies

Filoche

Stone

Cram³

et al. 2020

J Med Ethics

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Advances in molecular technologies have the potential to help remedy health inequities through earlier detection and prevention; if, however, their delivery and uptake (and therefore any benefits associated with such testing) are not more carefully considered, there is a very real risk that existing inequities in access and use will be further exacerbated. We argue this risk relates to the way that information and knowledge about the technology is both acquired and shared, or not, between health practitioners and their patients.A healthcare system can be viewed as a complex social network comprising individuals with different worldviews, hierarchies, professional cultures and subcultures and personal beliefs, both for those giving and receiving care. When healthcare practitioners are not perceived as knowledge equals, they would experience informational prejudices, and the result is that knowledge dissemination across and between them would be impeded. The uptake and delivery of a new technology may be inequitable as a result. Patients would also experience informational prejudice when they are viewed as not being able to understand the information that is presented to them, and information may be withheld.Informational prejudices driven by social relations and structures have thus far been underexplored in considering (in)equitable implementation and uptake of new molecular technologies. Every healthcare interaction represents an opportunity for experiencing informational prejudice, and with it the risk of being inappropriately informed for undertaking (or offering) such screening or testing. Making knowledge acquisition and information dissemination, and experiences of informational prejudice, explicit through sociologically framed investigations would extend our understandings of (in)equity, and offer ways to affect network relationships and structures that support equity in delivery and uptake.

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Use of social network analysis in maternity care to identify the profession most suited for case manager role

Cited by 14 publications

References 25 publications

Social Network Analysis Applied to a Historical Ethnographic Study Surrounding Home Birth

Social Network Analysis Applied to a Historical Ethnographic Study Surrounding Home Birth

Análisis de la primera colaboración público-privada en asistencia maternal en atención primaria y especializada en España: una aplicación del análisis de redes sociales

Uncovering social structures and informational prejudices to reduce inequity in delivery and uptake of new molecular technologies

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