Assessing Association Between Team Structure and Health Outcome and Cost by Social Network Analysis.

ABSTRACT:

Background/objective

To assess the impact of team structure composition and degree of collaboration among various providers on process and outcomes of primary care.

Design

Cross-sectional study.

Setting

Data from 20% randomly selected primary care service areas in the 2015 Medicare claims were used to identify primary care practices.

Participants

449,460 patients with diabetes, heart failure, or chronic obstructive pulmonary disease cared for by the identified primary care practices.

Measurements

Social network analysis measures, including edge density, degree centralization, and betweenness centralization for each practice.

Results

When compared with practices with MDs and nurse practitioners (NPs) or/and physicians assistants (PAs), the practice

SUBMITTER: Kuo YF 

PROVIDER: S-EPMC8166955 | biostudies-literature | 2020 Dec

REPOSITORIES: biostudies-literature