Network governance in healthcare systems: a systematic review of the network-level factors

Abstract

PurposeInterorganizational collaborations are crucial for delivering high-quality, integrated healthcare services. To maximize the benefits of these collaborative networks, effective governance structures and mechanisms must be in place. While previous studies have extensively examined organizational-level factors, such as partner capabilities and backgrounds, this study focuses on network-level factors, including collaboration structures and tie characteristics that shape effective network governance.Design/methodology/approachA systematic literature review (SLR) was conducted to identify and synthesize the key network-level factors influencing governance structures and mechanisms in healthcare networks.FindingsThe review identified 22 critical factors, categorized into three primary groups that impact network governance. These findings offer a robust foundation for developing context-sensitive governance models tailored to healthcare systems.Practical implicationsThis study provides valuable insights for healthcare practitioners, policymakers and researchers by highlighting key factors that can improve interorganizational collaboration within healthcare systems. The findings contribute to both theory and practice, with the potential to enhance healthcare service delivery and patient outcomes.Originality/valueThis study is the first to systematically identify and categorize the network-level factors that influence governance structures and mechanisms in healthcare networks, providing a comprehensive and novel contribution to the field.