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Organizational network analysis as a tool for program evaluation.

M Eisenberg1, N Swanson

  • 1University of Connecticut Health Center, USA.

Evaluation & the Health Professions
|November 3, 1996
PubMed
Summary

Connecticut's Healthy Start program acts as a vital "broker," connecting numerous health services for pregnant women. Network analysis revealed its crucial role in integrating fragmented care systems, especially in urban areas.

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Area of Science:

  • Public Health
  • Health Services Research
  • Network Analysis

Background:

  • Health program evaluations often overlook a program's role within larger service systems.
  • Understanding inter-program relationships is crucial for effective healthcare delivery.
  • Connecticut's Healthy Start program serves pregnant women within a complex service network.

Purpose of the Study:

  • To evaluate the role of Connecticut's Healthy Start program within its broader healthcare service system.
  • To analyze program referral patterns using network analysis.

Main Methods:

  • Employed network analysis to map referral patterns of the Healthy Start program.
  • Conducted case studies in four communities, including an urban setting.

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Main Results:

  • Healthy Start functioned as a "broker" by facilitating a high volume of referrals.
  • In urban areas, distinct service subsets with limited interconnections were identified.
  • Healthy Start was instrumental in integrating these disconnected service subsets.

Conclusions:

  • Network analysis provides valuable insights into a program's systemic role.
  • The Healthy Start program plays a key integration role in the maternal healthcare system.
  • Addressing fragmentation in healthcare services is essential for improving patient outcomes.