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Provider collaboration: cohesion, constellations, and shared patients.

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Area of Science:

  • Healthcare Management
  • Health Services Research
  • Network Science

Background:

  • Assumes consistent provider collaboration optimizes healthcare quality and efficiency.
  • Previous studies have not examined the diversity or recurrence of provider groups delivering patient care.

Purpose of the Study:

  • To indirectly measure healthcare teamwork and provider collaboration.
  • To analyze the recurrence and cohesion of provider constellations using claims data.

Main Methods:

  • Retrospective analysis of commercial healthcare claims data.
  • Constructed regional outpatient provider networks using shared patients as links.
  • Quantified patient sharing through measures of constellation cohesion and stability.

Main Results:

  • Analyzed 10,325 providers and 521,145 patients, identifying over 2.6 million collaborative pairs.
  • Most provider pairs (54%) and triads (92%) shared only one patient.
  • Provider constellations showed significant variability, with 89% of two-provider groups and 97% of three-provider groups sharing just one patient.

Conclusions:

  • Observed significant variability in provider constellations challenges assumptions about healthcare teamwork.
  • Findings suggest a less consistent pattern of provider collaboration than often presumed.