Administrative Claim Data to Learn about Effective Healthcare Collaboration and Coordination through Social Network

摘要

Previous studies have documented the application of administrative claim dataset for health services research purposes. In addition to administrative and billing details of healthcare services, insurance claim datasets can reveal important information regarding professional interactions or links that evolve among healthcare service providers through, for example, informal knowledge sharing. The aim of this study is to develop a research framework, which uses details of such professional interactions, to learn about effective healthcare coordination and collaboration. The proposed framework has been exercised to analyse Patient-centric Care Coordination Network and Physician Collaboration Network. The usefulness of this framework and its applications in exploring different collaborative efforts of healthcare service providers have been discussed in this paper.