Managing the performance of healthcare networks: a ‘dance’ between control and collaboration

Jenna M. Evans, Elana Commisso, Agnes Grudniewicz, Jennifer Im, Jeremy Veillard and Gregory Richards

Public Management Review, 2024, vol. 26, issue 7, 2144-2168

Abstract: This qualitative case study examines how the tension between control and collaboration is managed in the relationship between a Network Administrative Organization (NAO) and the 40 inter-organizational service delivery networks it governs using a performance management system. We found that the relationship between the NAO and networks operated as a ‘dance’, with the NAO taking steps to collaborate with and control the networks. We identified three forms of network governance ambidexterity that characterize this dance – structural, goal, and behavioural – and propose a framework of their antecedents, stability, and influencing factors. Network governance ambidexterity may help explain network functioning and performance.

Date: 2024
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DOI: 10.1080/14719037.2023.2264873

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