Evidence map›Paper›PMID 27369357›Full record

ArticleBMC research notes2016

Local networks of community and healthcare organisations: a mixed methods study.

Wendy Kemper-Koebrugge, Jan Koetsenruijter, Anne Rogers, Miranda Laurant, Michel Wensing

Abstract read
In one paragraph

Article in BMC research notes, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
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  5. Mapping the Lay of the Land: Using Interactive Network Analytic Tools for Collaboration in Rural Cancer Prevention and Control.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2022
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Wendy Kemper-KoebruggeFaculty of Health and Social Studies, HAN University of Applied Sciences, PO Box 6960, 6503, Nijmegen, The Netherlands. wendy.kemper@han.nl.ORCID http://orcid.org/0000-0003-4468-9447
Jan KoetsenruijterRadboud Institute for Health Sciences, IQ Healthcare Nijmegen, The Netherlands114-IQ Healthcare, Radboud University Medical Center, PO Box 9101, 6500, Nijmegen, The Netherlands.
Anne RogersFaculty of Health Sciences, NIHR CLAHRC Wessex, University of Southampton, Highfield Campus Building 67 Room 4017, Southampton, SO17 1BJ, UK.
Miranda LaurantFaculty of Health and Social Studies, HAN University of Applied Sciences, PO Box 6960, 6503, Nijmegen, The Netherlands.
Michel WensingRadboud Institute for Health Sciences, IQ Healthcare Nijmegen, The Netherlands114-IQ Healthcare, Radboud University Medical Center, PO Box 9101, 6500, Nijmegen, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLocal collaboration of community organisations and healthcare organisations is seen as relevant for the efficiency and efficacy of health and social care because of their potential role in providing social involvement which may reduce the need for the utilisation of formal services. Care organisations connect to each other in different ways, thus comprising an organisational network. This study aimed to describe and explore organisational networks with respect to their activities for people with diabetes mellitus type 2 and potential mechanisms of effective collaboration. Collaboration could include, for example, referring to each other and organising activities together. Potential mechanisms are navigation, negotiation and contagion.

methodsA mixed methods study was conducted in an urban and a rural area in the Netherlands. The participating organisations were mentioned by a sample of diabetes patients in these regions and by organisations' representatives in a snowballing procedure. Next a quantitative survey and a semi-structured interview were conducted, including 35 representatives of these local organisations. The social network analysis methods was used to map and characterise the organisational networks based on results from the survey. A thematic analysis of interviews was undertaken to identify how three mechanisms (navigation, negotiation and contagion) were used in the collaboration.

resultsBoth interviews and network structures showed evidence of navigation-related mechanisms. Organisations referred patients with diabetes to services within their organisation or to relevant services provided by other organisations. Hardly any negotiation or contagion-related mechanisms were identified. If negotiation between organisations was found, it seemed externally enforced. The density, centrality, and reciprocity in the networks seemed low to facilitate contagion of practices. Some organisations reported actions that could have impacted on contagion. Representatives emphasized the need of network collaboration with local or regional community and healthcare organisations.

conclusionThe study suggests that navigation to resources is a relevant theme in organisational networks, which could be targeted by interventions. More research is needed to explore the relevance of other network-related mechanisms.

Indexed as

Cooperative BehaviorCommunity Health ServicesCommunity NetworksDiabetes Mellitus, Type 2FemaleHumansMaleNetherlandsQualitative ResearchReferral and ConsultationRural PopulationSurveys and QuestionnairesUrban PopulationCollaborationIntegrated careMixed methodsSocial network analysis

Identifiers

PMID27369357
PMCPMC4930621

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.