利用关系方向性来增强对社交网络中的同行影响的统计建模
Xin Ran1,2, Nancy E Morden2,3, Ellen Meara4,5
1Department of Biomedical Data Science, Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire, USA.
Statistics in medicine
|July 9, 2024
概括
有风险的药物处方可以通过患者共享在医生之间传播. 相互患者关系显示出最强的影响,这表明基于网络的干预措施可以减少有害的处方做法.
科学领域:
- 公共卫生 公共卫生
- 医疗信息学 医疗信息学
- 网络科学 网络科学
背景情况:
- 危险的处方,包括过度使用阿片类药物,是美国的主要公共卫生问题.
- 了解医生之间的处方行为如何传播对于干预至关重要.
- 现有的研究往往忽视了医生与患者关系的方向性.
研究的目的:
- 调查医生之间风险处方行为的扩散.
- 在指导医生与患者共享网络中分析同行影响的影响.
- 量化对处方和患者结果的定向和相互对等效应.
主要方法:
- 使用医疗保险索赔数据 (2014-2015年) 构建了一个由10661名俄俄州医生组成的定向网络.
- 分析了患者访问序列,以建立医生之间有针对性的患者共享联系.
- 开发模型来估计风险处方的传染和溢出效应,区分方向和相互关系.
主要成果:
- 风险处方中的同行影响在相互患者共享关系中最强,而不是指向性关系中.
- 模拟证实了对相互和定向对等效应的准确同时估计.
- 在网络构建中忽视方向信息会导致误导性结果.
结论:
- 医生同行影响显著影响有风险的处方行为.
- 针对相互关系的基于网络的干预措施可以有效地减少风险的处方.
- 准确的网络构建保护定向信息对于理解医疗实践传播至关重要.
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