协作网络对护理成本的影响:综合医疗保健分析
Ji Wu1, Jianna Wang2, Doris Chenguang Wu2
1School of Business, Sun Yat-sen University, 135 Xingang Xi Road, Guangzhou, 510275, China. wuji3@mail.sysu.edu.cn.
Health care management science
|January 29, 2026
概括
医生协作网络显著影响住院护理费用. 更高的程度和接近中心性降低了成本,而中间中心性则增加了成本,特别是在医生工作量较高的情况下.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医疗信息学 医疗信息学
- 社交网络分析 社交网络分析
背景情况:
- 住院护理费用研究往往忽视了医生合作.
- 社交网络分析 (SNA) 提供了微观层面的合作成本影响的视角.
研究的目的:
- 调查医生协作网络如何影响医疗保健成本.
- 探索这种关系中的机制和调节因素 (医生工作量).
主要方法:
- 利用来自中国医院的数字追踪数据.
- 使用社交网络分析来绘制协作网络的地图.
- 应用了日志线性模型来评估网络的中心性和住院费用.
主要成果:
- 关键性的程度和接近度与住院费用有负相关性.
- 中间中心性与住院费用正相关.
- 医生工作量减轻了中心性对成本的影响,而综合程度和工作量显示出负相关性.
结论:
- 医生网络结构和中心性是医疗保健成本的关键决定因素.
- 定位网络职位和管理医生工作量可以优化成本效益.
- 调查结果为有效的成本管理提供了协作医疗保健模型的信息.
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