Integrating network theory into the study of integrated healthcare.

Soc Sci Med

Blue Cross of California Distinguished Professor of Health Policy and Management Emeritus and Professor of the Graduate School, School of Public Health, UC-Berkeley, 2121 Berkeley Way, Berkeley, CA, 94704, USA. Electronic address:

Published: March 2022

Healthcare policy in the United States (U.S.) has focused on promoting integrated healthcare to combat fragmentation (e.g., 1993 Health Security Act, 2010 Affordable Care Act). Researchers have responded by studying coordination and developing typologies of integration. Yet, after three decades, research evidence for the benefits of coordination and integration are lacking. We argue that research efforts need to refocus in three ways: (1) use social networks to study relational coordination and integrated healthcare, (2) analyze integrated healthcare at three levels of analysis (micro, meso, macro), and (3) focus on clinical integration as the most proximate impact on patient outcomes. We use examples to illustrate the utility of such refocusing and present avenues for future research.

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http://dx.doi.org/10.1016/j.socscimed.2021.114664DOI Listing

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