Governance and Collaboration: An Evolutionary Study of Two Mental Health Networks

• 成果类型: Article; Proceedings Paper
• 署名作者: Milward, H. Brinton; Provan, Keith G.; Fish, Amy; Isett, Kimberley R.; Huang, Kun
• 署名单位: University of Arizona; Columbia University; University of New Mexico
• 刊物名称: JOURNAL OF PUBLIC ADMINISTRATION RESEARCH AND THEORY
• ISSN/ISSBN: 1053-1858
• DOI: 10.1093/jopart/mup038
• 发表日期: 2010
• 页码: I125-I141
• 关键词: organizational social outcomes; human-services network; STRUCTURAL EMBEDDEDNESS; for-profit; care; QUALITY; trust; cost

摘要

This article presents a comparative analysis of the evolution of two community mental health networks that both have similar contracts from the State of Arizona. One of the networks is governed by a for-profit firm that buys needed services from a network of largely nonprofit agencies. The other network is governed by a community-based nonprofit that contracts with four separate nonprofit agencies to provide services directly or through a network of other providers, most of which are nonprofit. These two networks are analyzed, using social network analysis, when each system was first formed and again, 4 years later. The for-profit governed network is then compared to the nonprofit governed network on four dimensions: sector, nonprofit or for-profit, relationships and trust, the evolution of the structure of the networks, and a limited comparison of the two networks' performance.