A Scoping Review of Multilevel Patient-Sharing Network Measures in Health Services Research

卫生服务研究中多层次患者共享网络措施的范围界定综述

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Abstract

Social network analysis is the study of the structure of relationships between social entities. Access to health care administrative datasets has facilitated use of "patient-sharing networks" to infer relationships between health care providers based on the extent to which they have encounters with common patients. The structure and nature of patient-sharing relationships can reflect observed or latent aspects of health care delivery systems, such as collaboration and influence. We conducted a scoping review of peer-reviewed studies that derived patient-sharing network measure(s) in the analyses. There were 134 papers included in the full-text review. We identified and created a centralized resource of 118 measures and uncovered three major themes captured by them: Influential and Key Players, Care Coordination and Teamwork, and Network Structure and Access to Care. Researchers may use this review to inform their use of patient-sharing network measures and to guide the development of novel measures.

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