Analysing the form and structural design of network governance
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2025-02-26
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en
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A qualitative study into the impact of the structural design and form of governance on the extent to which governance of a health care network is desired.
This study aims to explore whether the performed network governance of a health care network is in line with the structural design theory and the network theory. Therefore, a gap analysis is conducted. This was followed by a double cause analysis in which the adjusted governance form and structure of governance were studied as possible causes of (un)desired network governance.
In order to perform the gap analysis, desired values regarding both theories were determined. In line with the structural design theory, desired governance should contain all regulatory activities; operational regulation, regulation by design and strategic regulation. In line with the network theory, desired governance contains allocating resources efficiently, coordinating and controlling joint action and addressing and solving conflicts. As the actual situation of the health care network was identified, the gap between the actual and desired situation could be determined.
Thereafter, the desired values of the form and the structure of governance are determined in order to perform both cause analyses. A desired network governance form (shared governance, external lead organisation (NAO), internal lead organization) should align with certain values of included key network factors (level of trust, number of participants, goal consensus, network level skills). Besides, the structure of governance is desired when design parameters have the lowest value as possible given the circumstances. Directly related design parameters as well as indirectly related design parameters were included in this research (separation of operational and regulatory tasks, specialization of regulatory tasks, functional concentration, specialization of operational tasks).
Within the health care network, medical professionals perform highly professionalized jobs. Besides, their time is really scarce. Considering these circumstances, regulatory support seems important for the medical specialists to be able to perform network tasks on top of their jobs. As a result, some undesired values regarding both cause analyses, were examined as appropriate, considering these circumstances.
A desired governance form and a desired structure of governance seem to enable desired network governance of the health care network.
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Faculteit der Managementwetenschappen