Network approaches and interventions in healthcare settings: A systematic scoping review
The growing interest in networks of interactions is sustained by the conviction that they can be leveraged to improve the quality and efficiency of healthcare delivery systems. Evidence in support of this conviction, however, is mostly based on descriptive studies. Systematic evaluation of the outco...
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| Veröffentlicht in: | PloS one 2023-02, Vol.18 (2), p.e0282050-e0282050 |
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| description | The growing interest in networks of interactions is sustained by the conviction that they can be leveraged to improve the quality and efficiency of healthcare delivery systems. Evidence in support of this conviction, however, is mostly based on descriptive studies. Systematic evaluation of the outcomes of network interventions in healthcare settings is still wanting. Despite the proliferation of studies based on Social Network Analysis (SNA) tools and techniques, we still know little about how intervention programs aimed at altering existing patterns of social interaction among healthcare providers affect the quality of service delivery. We update and extend prior reviews by providing a comprehensive assessment of available evidence.
We searched eight databases to identify papers using SNA in healthcare settings published between 1st January 2010 and 1st May 2022. We followed Chambers et al.'s (2012) approach, using a Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) checklist. We distinguished between studies relying on SNA as part of an intervention program, and studies using SNA for descriptive purposes only. We further distinguished studies recommending a possible SNA-based intervention. We restricted our focus on SNA performed on networks among healthcare professionals (e.g., doctors, nurses, etc.) in any healthcare setting (e.g., hospitals, primary care, etc.). Our final review included 102 papers. The majority of the papers used SNA for descriptive purposes only. Only four studies adopted SNA as an intervention tool, and measured outcome variables.
We found little evidence for SNA-based intervention programs in healthcare settings. We discuss the reasons and challenges, and identify the main component elements of a network intervention plan. Future research should seek to evaluate the long-term role of SNA in changing practices, policies and behaviors, and provide evidence of how these changes affect patients and the quality of service delivery. |
| doi_str_mv | 10.1371/journal.pone.0282050 |
| format | Article |
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We searched eight databases to identify papers using SNA in healthcare settings published between 1st January 2010 and 1st May 2022. We followed Chambers et al.'s (2012) approach, using a Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) checklist. We distinguished between studies relying on SNA as part of an intervention program, and studies using SNA for descriptive purposes only. We further distinguished studies recommending a possible SNA-based intervention. We restricted our focus on SNA performed on networks among healthcare professionals (e.g., doctors, nurses, etc.) in any healthcare setting (e.g., hospitals, primary care, etc.). Our final review included 102 papers. The majority of the papers used SNA for descriptive purposes only. Only four studies adopted SNA as an intervention tool, and measured outcome variables.
We found little evidence for SNA-based intervention programs in healthcare settings. We discuss the reasons and challenges, and identify the main component elements of a network intervention plan. Future research should seek to evaluate the long-term role of SNA in changing practices, policies and behaviors, and provide evidence of how these changes affect patients and the quality of service delivery.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0282050</identifier><identifier>PMID: 36821554</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Behavior ; Citation indexes ; Computer and Information Sciences ; Delivery of Health Care ; Evaluation ; Health care ; Health care industry ; Health care reform ; Health Personnel ; Hospitals ; Humans ; Intervention ; Literature reviews ; Management ; Medical care ; Medical personnel ; Medicine and Health Sciences ; Network analysis ; People and Places ; Physicians ; Primary care ; Professionals ; Quality management ; Research and Analysis Methods ; Search strategies ; Services ; Social factors ; Social network analysis ; Social Networking ; Social networks ; Social organization ; Social Sciences ; Subject heading schemes</subject><ispartof>PloS one, 2023-02, Vol.18 (2), p.e0282050-e0282050</ispartof><rights>Copyright: © 2023 Saatchi et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.</rights><rights>COPYRIGHT 2023 Public Library of Science</rights><rights>2023 Saatchi et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2023 Saatchi et al 2023 Saatchi et al</rights><rights>2023 Saatchi et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-bf7bbacb301c89ee5b910d32a529ce89104a742ee69c8f093d87e72485e935443</citedby><cites>FETCH-LOGICAL-c692t-bf7bbacb301c89ee5b910d32a529ce89104a742ee69c8f093d87e72485e935443</cites><orcidid>0000-0002-1045-4722 ; 0000-0002-5499-1159</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9949682/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9949682/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,2915,23845,27901,27902,53766,53768,79342,79343</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36821554$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Saatchi, Ameneh Ghazal</creatorcontrib><creatorcontrib>Pallotti, Francesca</creatorcontrib><creatorcontrib>Sullivan, Paul</creatorcontrib><title>Network approaches and interventions in healthcare settings: A systematic scoping review</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>The growing interest in networks of interactions is sustained by the conviction that they can be leveraged to improve the quality and efficiency of healthcare delivery systems. Evidence in support of this conviction, however, is mostly based on descriptive studies. Systematic evaluation of the outcomes of network interventions in healthcare settings is still wanting. Despite the proliferation of studies based on Social Network Analysis (SNA) tools and techniques, we still know little about how intervention programs aimed at altering existing patterns of social interaction among healthcare providers affect the quality of service delivery. We update and extend prior reviews by providing a comprehensive assessment of available evidence.
We searched eight databases to identify papers using SNA in healthcare settings published between 1st January 2010 and 1st May 2022. We followed Chambers et al.'s (2012) approach, using a Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) checklist. We distinguished between studies relying on SNA as part of an intervention program, and studies using SNA for descriptive purposes only. We further distinguished studies recommending a possible SNA-based intervention. We restricted our focus on SNA performed on networks among healthcare professionals (e.g., doctors, nurses, etc.) in any healthcare setting (e.g., hospitals, primary care, etc.). Our final review included 102 papers. The majority of the papers used SNA for descriptive purposes only. Only four studies adopted SNA as an intervention tool, and measured outcome variables.
We found little evidence for SNA-based intervention programs in healthcare settings. We discuss the reasons and challenges, and identify the main component elements of a network intervention plan. Future research should seek to evaluate the long-term role of SNA in changing practices, policies and behaviors, and provide evidence of how these changes affect patients and the quality of service delivery.</description><subject>Behavior</subject><subject>Citation indexes</subject><subject>Computer and Information Sciences</subject><subject>Delivery of Health Care</subject><subject>Evaluation</subject><subject>Health care</subject><subject>Health care industry</subject><subject>Health care reform</subject><subject>Health Personnel</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Intervention</subject><subject>Literature reviews</subject><subject>Management</subject><subject>Medical care</subject><subject>Medical personnel</subject><subject>Medicine and Health Sciences</subject><subject>Network analysis</subject><subject>People and Places</subject><subject>Physicians</subject><subject>Primary care</subject><subject>Professionals</subject><subject>Quality 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We searched eight databases to identify papers using SNA in healthcare settings published between 1st January 2010 and 1st May 2022. We followed Chambers et al.'s (2012) approach, using a Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) checklist. We distinguished between studies relying on SNA as part of an intervention program, and studies using SNA for descriptive purposes only. We further distinguished studies recommending a possible SNA-based intervention. We restricted our focus on SNA performed on networks among healthcare professionals (e.g., doctors, nurses, etc.) in any healthcare setting (e.g., hospitals, primary care, etc.). Our final review included 102 papers. The majority of the papers used SNA for descriptive purposes only. Only four studies adopted SNA as an intervention tool, and measured outcome variables.
We found little evidence for SNA-based intervention programs in healthcare settings. We discuss the reasons and challenges, and identify the main component elements of a network intervention plan. Future research should seek to evaluate the long-term role of SNA in changing practices, policies and behaviors, and provide evidence of how these changes affect patients and the quality of service delivery.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>36821554</pmid><doi>10.1371/journal.pone.0282050</doi><tpages>e0282050</tpages><orcidid>https://orcid.org/0000-0002-1045-4722</orcidid><orcidid>https://orcid.org/0000-0002-5499-1159</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Behavior Citation indexes Computer and Information Sciences Delivery of Health Care Evaluation Health care Health care industry Health care reform Health Personnel Hospitals Humans Intervention Literature reviews Management Medical care Medical personnel Medicine and Health Sciences Network analysis People and Places Physicians Primary care Professionals Quality management Research and Analysis Methods Search strategies Services Social factors Social network analysis Social Networking Social networks Social organization Social Sciences Subject heading schemes |
| title | Network approaches and interventions in healthcare settings: A systematic scoping review |
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