Inter-agency collaboration in the care of children with complex chronic conditions.

Academic Pediatrics
Savithri NageswaranDouglas Easterling

Abstract

The purpose of this article was to describe the network of collaboration among agencies that serve children with complex chronic conditions (CCCs) and identify gaps in the network. We surveyed representatives from agencies that serve children with CCCs in Forsyth County, North Carolina, about their agencies' existing and desired collaborations with other agencies in the network. We used Social Network Analytical (SNA) methods to describe gaps in the network. Mean out-degree and in-degree centrality (number of collaborative ties extending from or directed toward an agency) and density (ratio of extant ties to all possible ties) were measured. In this network with 3658 possible collaborative ties, care-coordination agencies and pediatric practices reported the highest existing collaborations with other agencies (out-degree centrality: 32 and 30, respectively). Pediatric practices reported strong ties with subspecialty clinics (density: 73%), but weak ties with family support services (density: 3%). Pediatric practices and subspecialty clinics (in-degree: 26) received the highest collaborative ties from other agencies. Support services and durable medical equipment (DME) companies reported low ties with other agencies (out-degree:...Continue Reading

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Citations

May 5, 2012·Maternal and Child Health Journal·Savithri NageswaranEdward H Ip
Aug 3, 2014·Pediatric Clinics of North America·Scott Schwantes, Helen Wells O'Brien
Oct 6, 2016·PloS One·Matthew B CarsonNicholas D Soulakis
Jan 25, 2014·Journal of Child Health Care : for Professionals Working with Children in the Hospital and Community·Bernie CarterAnne Hunt
Sep 28, 2016·Home Healthcare Now·Savithri Nageswaran, Shannon L Golden
Jan 5, 2017·Circulation. Cardiovascular Quality and Outcomes·Matthew B CarsonNicholas D Soulakis
Aug 31, 2019·Nursing Children and Young People·Andrew O'Connell, Julia Petty

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