使用社交网络分析检测老年创伤护理临床实践模式的变化
Molly P Jarman1,2, Mengyuan Ruan1, Masami Tabata-Kelly1,3
1Center for Surgery and Public Health, Brigham and Women's Hospital, Boston, MA.
Annals of surgery
|June 30, 2023
概括
医生专业网络因医院而异,并与老年创伤患者接受治疗的比例有关. 更密集,更有凝聚力的网络与更高的老年创伤患者数量相关,这表明实践模式存在差异.
科学领域:
- 老年人创伤护理 创伤护理
- 医疗保健服务研究 医疗服务研究
- 社交网络分析 社交网络分析
背景情况:
- 人们对老年人创伤结果的医院变化知之甚少.
- 医生实践模式,反映在专业网络中,可能解释结果差异.
研究的目的:
- 描述老年创伤患者的医院级医生专业网络.
- 检查网络特征与医院中老年创伤患者比例之间的关系.
主要方法:
- 使用佛罗里达州住院患者和医疗保险数据进行基于人口的横截面研究 (2014-2015年).
- 分析了来自158家医院的107,713名老年创伤患者和169,282名患者-医生二联.
- 使用社交网络分析来评估网络密度,凝聚力,小世界性和异质性.
主要成果:
- 医院老年创伤比例从21.5%到89.1%不等.
- 在网络密度,凝聚力,小世界性和医院老年创伤比例之间发现了积极的相关性.
- 在网络异质性和老年创伤比例之间观察到负相关性.
结论:
- 医生网络特征与老年创伤患者在医院接受治疗的比例有关.
- 这些关联表明,在不同老年创伤人群的医院中,实践模式不同.
- 对跨专业合作的进一步研究可以改善受伤老年人的治疗.
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