Click here to download

La governance delle reti cliniche in un contesto di trasformazione istituzionale: il caso della Rete Oncologica Veneta
Journal Title: MECOSAN 
Author/s: Mario Del Vecchio, Anna Romiti, Domenico Mantoan, Gino Sartor 
Year:  2019 Issue: 109 Language: Italian 
Pages:  20 Pg. 11-30 FullText PDF:  370 KB
DOI:  10.3280/MESA2019-109002
(DOI is like a bar code for intellectual property: to have more infomation:  clicca qui   and here 


The article deals with clinical networks, with a focus on mandated networks. The aim of the study is to evaluate how networks can be influenced by the healthcare system dynamics and how networks themselves contribute to the system governance. The study investigates the cancer network in the region of Veneto using a case study approach, through the review of documentation and semi-structured interviews to stakeholders. Our results show that within the Veneto system a balance was found in terms of power dynamics between the various levels involved and that different governance modes in the network guarantee its internal equilibrium and functioning.
Keywords: Governance, mandated networks, cancer networks, governance modes, power dynamics, healthcare system.

  1. Addicott R., Ferlie E. (2007). Understanding Power Relationships in Health Care Networks. Journal of Health, Organisation and Management, 21(4-5): 393-405., DOI: 10.1108/14777260710778925
  2. Agranoff R. (2008). Enhancing Performance Through Public Sector Networks: Mobilizing Human Capital in Communities of Practice. Public Performance & Management Review, 31(3): 320-347., DOI: 10.2753/PMR1530-9576310301
  3. Alberti V.F. (2012). Le ragioni e gli obiettivi della ricerca. In: Alberti V.F., Tozzi V.D., Pinelli N., Sartirana M. (a cura di). Il ruolo delle Aziende Sanitarie nelle reti cliniche in Italia. Roma: Iniziative Sanitarie.
  4. Brown B.B., Patel C., McInnes E., Mays N., Young J., Haines M. (2016). The Effectiveness of Clinical Networks in Improving Quality of Care and Patient Outcomes: A Systematic Review of Quantitative and Qualitative Studies. BMC Health Services Research, 16(360): 1-16.
  5. Cameron A., Lart R., Bostock L., Coomber C. (2014). Factors That Promote and Hinder Joint and Integrated Working between Health and Social Care Services: A Review of Research Literature. Health and Social Care in the Community, 22(3): 225-33.
  6. Cantarelli P., Lega F., Longo F. (2017). La Regione Capogruppo Sanitaria: Assetti Istituzionali e Modelli Organizzativi Emergenti. In: Cergas Bocconi (a cura di). L’aziendalizzazione della Sanità in Italia. Rapporto OASI 2017. Milano: Egea.
  7. Cepiku D., Ferrari D., Greco A. (2006). Governance e Coordinamento Strategico Delle Reti Di Aziende Sanitarie. Mecosan, 57: 17-36.
  8. Crant J.M., Bateman T.S. (2000). Charismatic Leadership Viewed from above: The Impact of Proactive Personality. Journal of Organizational Behavior, 21(1): 63-75.
  9. Cristofoli D., Markovic J., Meneguzzo M. (2012). Governance, management and performance in public networks: How to be successful in shared-governance networks. Journal of Management and Governance, 18: 77-93. DOI 10.1007/s10997-012-9237-2.
  10. Cunningham F.C., Ranmuthugala G., Westbrook J.I., Braithwaite J. (2012). Net Benefits: Assessing the Effectiveness of Clinical Networks in Australia through Qualitative Methods. Implementation Science, 7(1): 1-13., DOI: 10.1186/1748-5908-7-108
  11. Das T.K., Teng B.S. (2002). The Dynamics of Alliance Conditions in the Alliance Development Process. Journal of Management Studies, 39(5): 725-746., DOI: 10.1111/1467-6486.00006
  12. Davis L.E., North D.C., Smorodin C. (1971). Institutional change and American economic growth. Cambridge: Cambridge University Press.
  13. Del Vecchio M., Romiti A. (2017). Nuovi Scenari per la Governance delle Aziende e dei Sistemi Sanitari Regionali. In: Del Vecchio M., Pinelli N., Ripa di Meana F., Romiti A., Tanese A. (a cura di).
  14. Aziende e Management per il Futuro del SSN. Roma: KOS Comunicazione e Servizi s.r.l.
  15. Dubini P., Aldrich H. (1991). Personal and Extended Networks Are Central to the Entrepreneurial Process. Journal of Business Venturing, 6(5): 305-313., DOI: 10.1016/0883-9026(91)90021-5
  16. Dyer W.G., Wilkins A.L. (1991). Better stories, not better constructs, to generate better theory: a rejoinder to Eisenhardt. Academy of Management Review, 16(3): 613-619., DOI: 10.5465/AMR.1991.4279492
  17. Ferlie E., Dopson S., Fitzgerald L., McGivern G., Exworthy M. (2010). Networks in Health Care: A Comparative Study of Their Management, Impact and Performance. Report for the National Institute for Health Research Service Delivery and Organisation programme. -- Testo disponibile al sito: http://www.netscc.ac.uk/hsdr/files/project/SDO_FR_08-1518-102_V01.pdf.
  18. Ferlie E., Fitzgerald L., McGivern G., Dopson S., Bennett C. (2013). Making Wicked Problems Governable? The Case of Managed Networks in Health Care. Oxford: Oxford University Press.
  19. Gatti Schafer J. (2016). Mandates to Coordinate: The Case of the Southern Nevada Public Lands Management Act. Public Performance and Management Review, 40(1): 23-47., DOI: 10.1080/15309576.2016.1177555
  20. Glasby J. (2016). If Integration Is the Answer, What Was the Question? What next for English Health and Social Care Partnerships? International Journal of Integrated Care, 16(4): 11.
  21. Goodstein J., Boeker W. (1991). Turbulence at the Top: A New Perspective on Governance Structure Changes and Strategic Change. Academy of Management Journal, 34: 306-330., DOI: 10.2307/256444
  22. Goodwin N. (2012). Networks in Care: Strategies Used by Effective Networks to Support

Mario Del Vecchio, Anna Romiti, Domenico Mantoan, Gino Sartor, in "MECOSAN" 109/2019, pp. 11-30, DOI:10.3280/MESA2019-109002

   

FrancoAngeli is a member of Publishers International Linking Association a not for profit orgasnization wich runs the CrossRef service, enabing links to and from online scholarly content