How process-driven organizational change reshapes advice and expertise networks in hospitals

This study explores the dynamics of multiple social networks among healthcare professionals during a process-based reorganization in a hospital department, specifically examining how these relationships influence collaboration and adaptability amidst change. Utilizing a social network analysis framework, we investigate the interplay between advice and subject matter expertise (SME) networks among 67 healthcare professionals in a major Italian hospital. The findings reveal that the presence of multiplex ties-relationships characterized by various forms of interaction-facilitates enhanced collaboration and knowledge sharing, thereby improving the efficacy of organizational change initiatives. Notably, differing intentions regarding change among healthcare professionals can hinder the formation of new ties, indicating the importance of alignment in perceptions for successful network evolution. Ultimately, this study provides valuable insights into the transformative role of social networks in healthcare environments, contributing to a better understanding of how to leverage these networks for improved outcomes in patient care and organizational efficiency.

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Publication Details

Journal
Health Services Management Research
Published
2025-11-05
DOI
https://doi.org/10.1177/09514848251393489
Primary Topic
Healthcare Systems and Technology
Type
article
Field-Weighted Citation Impact
0.00
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article

How process-driven organizational change reshapes advice and expertise networks in hospitals

Luca Giorgio, Giovanna Liuzzo, Mario Masiello
Health Services Management Research
Healthcare Systems and Technology
article

How process-driven organizational change reshapes advice and expertise networks in hospitals

Luca Giorgio, Giovanna Liuzzo, Mario Masiello
article en

Abstract

This study explores the dynamics of multiple social networks among healthcare professionals during a process-based reorganization in a hospital department, specifically examining how these relationships influence collaboration and adaptability amidst change. Utilizing a social network analysis framework, we investigate the interplay between advice and subject matter expertise (SME) networks among 67 healthcare professionals in a major Italian hospital. The findings reveal that the presence of multiplex ties-relationships characterized by various forms of interaction-facilitates enhanced collaboration and knowledge sharing, thereby improving the efficacy of organizational change initiatives. Notably, differing intentions regarding change among healthcare professionals can hinder the formation of new ties, indicating the importance of alignment in perceptions for successful network evolution. Ultimately, this study provides valuable insights into the transformative role of social networks in healthcare environments, contributing to a better understanding of how to leverage these networks for improved outcomes in patient care and organizational efficiency.

Health Services Management Research
Università Cattolica del Sacro Cuore (IT), Agostino Gemelli University Polyclinic (IT), European University of Rome (IT)
Openalex Percentile: Top 62%
Healthcare Systems and Technology
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