Social network analysis in primary care: The impact of interactions on prescribing behaviour
AbstractObjectives In many healthcare systems of affluent countries, general practitioners (GPs) are encouraged to work in collaborative arrangements to increase patients' accessibility and the quality of care. There are two lines of thought regarding the ways in which belonging to a network can affect GP behaviour: (1) the social capital framework posits that, through relationships, individuals acquire resources, such as information, that allow them to perform better; and (2) the social influence framework sees relationships as avenues through which individual actors influence other individuals and through which behavioural norms are developed and enforced. The objective of this study is to provide an evaluation of the effects of GP network organisation on their prescribing behaviour.Methods We used administrative data from a Local Health Authority (LHA) in Italy concerning GPs organisation and prescriptions.Results We found that GPs working in a collaborative arrangement have a similar prescribing behaviour while we did not find a significant relationship between the centrality of a GP and her capability to meet LHA's targets.Conclusions Our data support the conclusion that, in the case of GP collaboration initiatives, the social influence mechanism is more relevant than the social capital mechanism.
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Bibliographic InfoArticle provided by Elsevier in its journal Health Policy.
Volume (Year): 92 (2009)
Issue (Month): 2-3 (October)
Contact details of provider:
Web page: http://www.elsevier.com/locate/healthpol
Physicians Family Organizational policy Models Organizational Group practice Primary care Social network analysis Prescription Interaction patterns;
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- Wennberg, John E. & Barnes, Benjamin A. & Zubkoff, Michael, 1982. "Professional uncertainty and the problem of supplier-induced demand," Social Science & Medicine, Elsevier, vol. 16(7), pages 811-824, January.
- de Jong, Judith D. & Groenewegen, Peter P. & Westert, Gert P., 2003. "Mutual influences of general practitioners in partnerships," Social Science & Medicine, Elsevier, vol. 57(8), pages 1515-1524, October.
- West, Elizabeth & Barron, David N. & Dowsett, Juliet & Newton, John N., 1999. "Hierarchies and cliques in the social networks of health care professionals: implications for the design of dissemination strategies," Social Science & Medicine, Elsevier, vol. 48(5), pages 633-646, March.
- Kanouse, David E. & Kallich, Joel D. & Kahan, James P., 1995. "Dissemination of effectiveness and outcomes research," Health Policy, Elsevier, vol. 34(3), pages 167-192, December.
- Huesch, Marco D., 2011. "Is blood thicker than water? Peer effects in stent utilization among Floridian cardiologists," Social Science & Medicine, Elsevier, vol. 73(12), pages 1756-1765.
- Hannemann-Weber, Henrike & Kessel, Maura & Schultz, Carsten, 2012. "Research performance of centers of expertise for rare diseases—The influence of network integration, internal resource access and operational experience," Health Policy, Elsevier, vol. 105(2), pages 138-145.
- Fiorentini, Gianluca & Lippi Bruni, Matteo & Ugolini, Cristina, 2013.
"GPs and hospital expenditures. Should we keep expenditure containment programs alive?,"
Social Science & Medicine,
Elsevier, vol. 82(C), pages 10-20.
- G. Fiorentini & M. Lippi Bruni & C. Ugolini, 2012. "GPs and hospital expenditures. Should we keep expenditure containment programs alive?," Working Papers wp829, Dipartimento Scienze Economiche, Universita' di Bologna.
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