Brokerage-centrality conjugates for multi-level organizational field networks: Toward a blockchain implementation to enhance coordination of healthcare delivery

Kayo Fujimoto; Camden J. Hallmark; Rebecca L. Mauldin; Jacky Kuo; Connor Smith; Natascha Del Vecchio; Lisa M. Kuhns; John A. Schneider; Peng Wang

doi:10.1007/978-3-030-78755-4_11

Brokerage-centrality conjugates for multi-level organizational field networks: Toward a blockchain implementation to enhance coordination of healthcare delivery

Kayo Fujimoto^*, Camden J. Hallmark, Rebecca L. Mauldin, Jacky Kuo, Connor Smith, Natascha Del Vecchio, Lisa M. Kuhns, John A. Schneider, Peng Wang

^*Corresponding author for this work

Pediatrics

Research output: Chapter in Book/Report/Conference proceeding › Chapter

7 Scopus citations

Abstract

A fragmented U.S. healthcare delivery system may reflect a highly brokered communication network controlled by only a few brokers. Such relational inequality in brokerage influences the formation of interorganizational brokerage relations. This chapter presents the theoretical mechanisms that underlie the reasoning of instantiating organizational power dynamics in controlling communication (brokerage) while increasing connectivity (degree centrality); determining opportunities for accessing and exchanging resources across subgroups; and shaping organizational decisions and actions that are transformed collectively into locally centralized or decentralized brokerage structures, called 'brokerage-centrality conjugates.' These conjugates make up the interorganizational collaboration network of an organizational field, and is tested and supported by multi-level exponential random graph models. Finally, a blockchain-based network intervention is proposed to enhance interorganizational communication and coordination to improve population health.

Original language	English (US)
Title of host publication	Networks, Knowledge Brokers, and the Public Policymaking Process
Publisher	Springer International Publishing
Pages	265-314
Number of pages	50
ISBN (Electronic)	9783030787554
ISBN (Print)	9783030787547
DOIs	https://doi.org/10.1007/978-3-030-78755-4_11
State	Published - Nov 3 2021

ASJC Scopus subject areas

General Social Sciences
General Medicine

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10.1007/978-3-030-78755-4_11

Cite this

Fujimoto, K., Hallmark, C. J., Mauldin, R. L., Kuo, J., Smith, C., Del Vecchio, N., Kuhns, L. M., Schneider, J. A., & Wang, P. (2021). Brokerage-centrality conjugates for multi-level organizational field networks: Toward a blockchain implementation to enhance coordination of healthcare delivery. In Networks, Knowledge Brokers, and the Public Policymaking Process (pp. 265-314). Springer International Publishing. https://doi.org/10.1007/978-3-030-78755-4_11

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abstract = "A fragmented U.S. healthcare delivery system may reflect a highly brokered communication network controlled by only a few brokers. Such relational inequality in brokerage influences the formation of interorganizational brokerage relations. This chapter presents the theoretical mechanisms that underlie the reasoning of instantiating organizational power dynamics in controlling communication (brokerage) while increasing connectivity (degree centrality); determining opportunities for accessing and exchanging resources across subgroups; and shaping organizational decisions and actions that are transformed collectively into locally centralized or decentralized brokerage structures, called 'brokerage-centrality conjugates.' These conjugates make up the interorganizational collaboration network of an organizational field, and is tested and supported by multi-level exponential random graph models. Finally, a blockchain-based network intervention is proposed to enhance interorganizational communication and coordination to improve population health.",

author = "Kayo Fujimoto and Hallmark, {Camden J.} and Mauldin, {Rebecca L.} and Jacky Kuo and Connor Smith and {Del Vecchio}, Natascha and Kuhns, {Lisa M.} and Schneider, {John A.} and Peng Wang",

note = "Publisher Copyright: {\textcopyright} The Author(s), under exclusive license to Springer Nature Switzerland AG 2021.",

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Fujimoto, K, Hallmark, CJ, Mauldin, RL, Kuo, J, Smith, C, Del Vecchio, N, Kuhns, LM, Schneider, JA & Wang, P 2021, Brokerage-centrality conjugates for multi-level organizational field networks: Toward a blockchain implementation to enhance coordination of healthcare delivery. in Networks, Knowledge Brokers, and the Public Policymaking Process. Springer International Publishing, pp. 265-314. https://doi.org/10.1007/978-3-030-78755-4_11

Brokerage-centrality conjugates for multi-level organizational field networks: Toward a blockchain implementation to enhance coordination of healthcare delivery. / Fujimoto, Kayo; Hallmark, Camden J.; Mauldin, Rebecca L. et al.
Networks, Knowledge Brokers, and the Public Policymaking Process. Springer International Publishing, 2021. p. 265-314.

Research output: Chapter in Book/Report/Conference proceeding › Chapter

TY - CHAP

T1 - Brokerage-centrality conjugates for multi-level organizational field networks

T2 - Toward a blockchain implementation to enhance coordination of healthcare delivery

AU - Fujimoto, Kayo

AU - Hallmark, Camden J.

AU - Mauldin, Rebecca L.

AU - Kuo, Jacky

AU - Smith, Connor

AU - Del Vecchio, Natascha

AU - Kuhns, Lisa M.

AU - Schneider, John A.

AU - Wang, Peng

PY - 2021/11/3

Y1 - 2021/11/3

N2 - A fragmented U.S. healthcare delivery system may reflect a highly brokered communication network controlled by only a few brokers. Such relational inequality in brokerage influences the formation of interorganizational brokerage relations. This chapter presents the theoretical mechanisms that underlie the reasoning of instantiating organizational power dynamics in controlling communication (brokerage) while increasing connectivity (degree centrality); determining opportunities for accessing and exchanging resources across subgroups; and shaping organizational decisions and actions that are transformed collectively into locally centralized or decentralized brokerage structures, called 'brokerage-centrality conjugates.' These conjugates make up the interorganizational collaboration network of an organizational field, and is tested and supported by multi-level exponential random graph models. Finally, a blockchain-based network intervention is proposed to enhance interorganizational communication and coordination to improve population health.

AB - A fragmented U.S. healthcare delivery system may reflect a highly brokered communication network controlled by only a few brokers. Such relational inequality in brokerage influences the formation of interorganizational brokerage relations. This chapter presents the theoretical mechanisms that underlie the reasoning of instantiating organizational power dynamics in controlling communication (brokerage) while increasing connectivity (degree centrality); determining opportunities for accessing and exchanging resources across subgroups; and shaping organizational decisions and actions that are transformed collectively into locally centralized or decentralized brokerage structures, called 'brokerage-centrality conjugates.' These conjugates make up the interorganizational collaboration network of an organizational field, and is tested and supported by multi-level exponential random graph models. Finally, a blockchain-based network intervention is proposed to enhance interorganizational communication and coordination to improve population health.

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Fujimoto K, Hallmark CJ, Mauldin RL, Kuo J, Smith C, Del Vecchio N et al. Brokerage-centrality conjugates for multi-level organizational field networks: Toward a blockchain implementation to enhance coordination of healthcare delivery. In Networks, Knowledge Brokers, and the Public Policymaking Process. Springer International Publishing. 2021. p. 265-314 doi: 10.1007/978-3-030-78755-4_11

Brokerage-centrality conjugates for multi-level organizational field networks: Toward a blockchain implementation to enhance coordination of healthcare delivery

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