PURPOSE: The Dementia Care Networks' Study examined the effectiveness of four community-based, not-for-profit dementia networks. The study involved assessing the relationship between the types of administrative and service-delivery exchanges that occurred among the networked agencies and the network members' perception of the effectiveness of these exchanges. DESIGN AND METHODS: With the use of a case-study method, the evolution, structure, and processes of each network were documented. Social network analysis using a standardized questionnaire completed by member agencies identified patterns of administrative and clinical exchanges among networked agencies. RESULTS: Differences were found between the four networks in terms of their perceptions of service-delivery effectiveness; perceptions of administrative effectiveness did not factor significantly. Exchanges between groups of agencies (cliques) within each of the four networks were found to be more critical than those between individual agencies within each network. IMPLICATIONS: Integration-measured by the types of exchanges within as opposed to across networks-differentiated the four networks studied. This research contributes to our understanding of the use of multiple measures to evaluate the inner workings of service delivery and their impact on elder health and elder health care.
PURPOSE: The Dementia Care Networks' Study examined the effectiveness of four community-based, not-for-profit dementia networks. The study involved assessing the relationship between the types of administrative and service-delivery exchanges that occurred among the networked agencies and the network members' perception of the effectiveness of these exchanges. DESIGN AND METHODS: With the use of a case-study method, the evolution, structure, and processes of each network were documented. Social network analysis using a standardized questionnaire completed by member agencies identified patterns of administrative and clinical exchanges among networked agencies. RESULTS: Differences were found between the four networks in terms of their perceptions of service-delivery effectiveness; perceptions of administrative effectiveness did not factor significantly. Exchanges between groups of agencies (cliques) within each of the four networks were found to be more critical than those between individual agencies within each network. IMPLICATIONS: Integration-measured by the types of exchanges within as opposed to across networks-differentiated the four networks studied. This research contributes to our understanding of the use of multiple measures to evaluate the inner workings of service delivery and their impact on elder health and elder health care.
Authors: Mary E Wiktorowicz; Marie-Josée Fleury; Carol E Adair; Alain Lesage; Elliot Goldner; Suzanne Peters Journal: Int J Integr Care Date: 2010-10-26 Impact factor: 5.120
Authors: Frances C Cunningham; Geetha Ranmuthugala; Jennifer Plumb; Andrew Georgiou; Johanna I Westbrook; Jeffrey Braithwaite Journal: BMJ Qual Saf Date: 2011-11-30 Impact factor: 7.035
Authors: Markus Wübbeler; Diana Wucherer; Johannes Hertel; Bernhard Michalowsky; Steffen Heinrich; Saskia Meyer; Susanne Schaefer-Walkmann; Wolfgang Hoffmann; Jochen René Thyrian Journal: BMC Health Serv Res Date: 2015-05-22 Impact factor: 2.655
Authors: Sara J T Guilcher; Tiziana Casciaro; Louise Lemieux-Charles; Catharine Craven; Mary Ann McColl; Susan B Jaglal Journal: J Spinal Cord Med Date: 2012-09 Impact factor: 1.985