Shadow Networks in Healthcare: Managing Cryptic Knowledge in Romania's Public Health Sector

Abstract

This research investigates the clandestine networks of knowledge exchange within Romania's healthcare system, addressing a critical gap in understanding the influence of informal knowledge channels on decision-making processes and policy formulation. Employing a mixed-methods approach, including qualitative interviews and quantitative surveys administered with the assistance of an intermediary consultancy institution, the study sheds light on the structure, dynamics, and impact of underground information networks. Findings reveal a complex interplay between formal and informal knowledge systems, highlighting the pivotal role of tacit knowledge exchange in shaping healthcare outcomes. The research underlines the importance of integrating informal networks into formal information systems to optimize knowledge management practices and enhance organizational performance.