IDEAS home Printed from https://ideas.repec.org/a/bla/jcmkts/v60y2022i5p1488-1510.html
   My bibliography  Save this article

Networked Health Cooperation in the European Union: Horizontal or Hierarchical?

Author

Listed:
  • Reini Schrama
  • Dorte Sindbjerg Martinsen
  • Ellen Mastenbroek

Abstract

During the COVID‐19 crisis, European Union (EU) health policy has become high politics. Key parts of EU health cooperation have, however, long developed more discretely in European administrative networks (EANs) and become core building blocks in the institutional architecture of an EU health policy. In these networks, health experts interact regularly and, by doing so, pool key resources and develop common standards. However, are some network members more influential than others in defining the way forward, and if so, why? In this paper, we examine the structure of networked health cooperation in the case of health technology assessment (HTA), by means of unique survey data and social network analysis, employing exponential random graph models (ERGMs) for different types of interaction. A horizontal structure of interaction fosters cooperation by and for all, whereas a hierarchical structure allows certain members to set agendas and place themselves in a powerful position. We find that the network structure is indeed hierarchical, with some members constituting the core of the network based on their national HTA experience as well as external contact relations.

Suggested Citation

  • Reini Schrama & Dorte Sindbjerg Martinsen & Ellen Mastenbroek, 2022. "Networked Health Cooperation in the European Union: Horizontal or Hierarchical?," Journal of Common Market Studies, Wiley Blackwell, vol. 60(5), pages 1488-1510, September.
    • Handle: RePEc:bla:jcmkts:v:60:y:2022:i:5:p:1488-1510
    DOI: 10.1111/jcms.13327
    as

    Download full text from publisher

    File URL: https://doi.org/10.1111/jcms.13327
    Download Restriction: no
    File URL: https://libkey.io/10.1111/jcms.13327?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Newman, Abraham L., 2008. "Building Transnational Civil Liberties: Transgovernmental Entrepreneurs and the European Data Privacy Directive," International Organization, Cambridge University Press, vol. 62(1), pages 103-130, January.
    2. Giandomenico Majone, 2000. "The Credibility Crisis of Community Regulation," Journal of Common Market Studies, Wiley Blackwell, vol. 38(2), pages 273-302, June.
    3. Philip Leifeld & Volker Schneider, 2012. "Information Exchange in Policy Networks," American Journal of Political Science, John Wiley & Sons, vol. 56(3), pages 731-744, July.
    4. Handcock, Mark S. & Hunter, David R. & Butts, Carter T. & Goodreau, Steven M. & Morris, Martina, 2008. "statnet: Software Tools for the Representation, Visualization, Analysis and Simulation of Network Data," Journal of Statistical Software, Foundation for Open Access Statistics, vol. 24(i01).
    5. Martinsen, Dorte Sindbjerg & Schrama, Reini & Mastenbroek, Ellen, 2021. "Who Interacts with Whom? Drivers of Networked Welfare Governance in Europe," British Journal of Political Science, Cambridge University Press, vol. 51(4), pages 1636-1653, October.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Dorte Sindbjerg Martinsen & Klaus H. Goetz, 2022. "COVID‐19 and European Multi‐Level Democracy," Journal of Common Market Studies, Wiley Blackwell, vol. 60(S1), pages 137-149, September.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Reini Schrama, 2023. "Expert network interaction in the European Medicines Agency," Regulation & Governance, John Wiley & Sons, vol. 17(2), pages 491-511, April.
    2. Epskamp, Sacha & Cramer, Angélique O.J. & Waldorp, Lourens J. & Schmittmann, Verena D. & Borsboom, Denny, 2012. "qgraph: Network Visualizations of Relationships in Psychometric Data," Journal of Statistical Software, Foundation for Open Access Statistics, vol. 48(i04).
    3. Tanja Börzel, 2010. "European Governance: Negotiation and Competition in the Shadow of Hierarchy," Journal of Common Market Studies, Wiley Blackwell, vol. 48(2), pages 191-219, March.
    4. Tobias Böhmelt & Jürg Vollenweider, 2015. "Information flows and social capital through linkages: the effectiveness of the CLRTAP network," International Environmental Agreements: Politics, Law and Economics, Springer, vol. 15(2), pages 105-123, May.
    5. Samrachana Adhikari & Beau Dabbs, 2018. "Social Network Analysis in R: A Software Review," Journal of Educational and Behavioral Statistics, , vol. 43(2), pages 225-253, April.
    6. Christopher Gandrud & Mark Hallerberg, 2015. "Does Banking Union Worsen the EU's Democratic Deficit? The Need for Greater Supervisory Data Transparency," Journal of Common Market Studies, Wiley Blackwell, vol. 53(4), pages 769-785, July.
    7. Simon Fink & Eva Ruffing & Tobias Burst & Sara Katharina Chinnow, 2023. "Emotional citizens, detached interest groups? The use of emotional language in public policy consultations," Policy Sciences, Springer;Society of Policy Sciences, vol. 56(3), pages 469-497, September.
    8. Knopf, Amelia & Agot, Kawango & Sidle, John & Naanyu, Violet & Morris, Martina, 2015. "Reprint of: “This is the medicine:” A Kenyan community responds to a sexual concurrency reduction intervention," Social Science & Medicine, Elsevier, vol. 125(C), pages 182-191.
    9. Ole Danielsen & Kutsal Yesilkagit, 2014. "The Effects of European Regulatory Networks on the Bureaucratic Autonomy of National Regulatory Authorities," Public Organization Review, Springer, vol. 14(3), pages 353-371, September.
    10. Jungwon Yeo, 2023. "Interorganizational Coordination for Immigrant Integration into Local Society," Journal of International Migration and Integration, Springer, vol. 24(2), pages 567-585, June.
    11. de Wilde, Pieter & Rauh, Christian, 2019. "Going full circle: the need for procedural perspectives on EU responsiveness," EconStor Open Access Articles and Book Chapters, ZBW - Leibniz Information Centre for Economics, vol. 26(11), pages 1737-1748.
    12. John McLevey & Alexander V. Graham & Reid McIlroy-Young & Pierson Browne & Kathryn S. Plaisance, 2018. "Interdisciplinarity and insularity in the diffusion of knowledge: an analysis of disciplinary boundaries between philosophy of science and the sciences," Scientometrics, Springer;Akadémiai Kiadó, vol. 117(1), pages 331-349, October.
    13. Demortain, David, 2008. "Institutional polymorphism: the designing of the European Food Safety Authority with regard to the European Medicines Agency," LSE Research Online Documents on Economics 36534, London School of Economics and Political Science, LSE Library.
    14. Duxbury, Scott W, 2019. "Mediation and Moderation in Statistical Network Models," SocArXiv 9bs4u, Center for Open Science.
    15. Narisong Huhe & Daniel Naurin & Robert Thomson, 2018. "The evolution of political networks: Evidence from the Council of the European Union," European Union Politics, , vol. 19(1), pages 25-51, March.
    16. Cody J. Dey & James S. Quinn, 2014. "Individual attributes and self-organizational processes affect dominance network structure in pukeko," Behavioral Ecology, International Society for Behavioral Ecology, vol. 25(6), pages 1402-1408.
    17. Manuel Fischer & Philip Leifeld, 2015. "Policy forums: Why do they exist and what are they used for?," Policy Sciences, Springer;Society of Policy Sciences, vol. 48(3), pages 363-382, September.
    18. Alonso Roldán, Virginia & Villasante, Sebastian & Outeiro, Luis, 2015. "Linking marine and terrestrial ecosystem services through governance social networks analysis in Central Patagonia (Argentina)," Ecosystem Services, Elsevier, vol. 16(C), pages 390-402.
    19. Peter Humphreys & Seamus Simpson, 2008. "Globalization, the 'Competition' State and the Rise of the 'Regulatory' State in European Telecommunications," Journal of Common Market Studies, Wiley Blackwell, vol. 46, pages 849-874, September.
    20. Francesca Pia Vantaggiato, 2020. "Networks as First Best? Network Entrepreneurship and Venue Shifting in the Establishment of the Network of Euro–Mediterranean Energy Regulators," Journal of Common Market Studies, Wiley Blackwell, vol. 58(3), pages 654-671, May.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:bla:jcmkts:v:60:y:2022:i:5:p:1488-1510. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Wiley Content Delivery (email available below). General contact details of provider: http://www.blackwellpublishing.com/journal.asp?ref=0021-9886 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.