2019-04-05 08:30:00 2019-04-05 09:30:00 America/Indiana/Indianapolis PhD Seminar - Mina Ostovari "The Impact of Healthcare Provider Collaborations on Patient Outcomes: A Social Network Analysis Approach" GRIS 302

April 5, 2019

PhD Seminar - Mina Ostovari

Event Date: April 5, 2019
Hosted By: Dr. Denny Yu
Time: 8:30 - 9:30 AM
Location: GRIS 302
Contact Name: Anita Park
Contact Phone: 4-0680
Contact Email: apark@purdue.edu
Open To: all
Priority: No
School or Program: Industrial Engineering
College Calendar: Show
“The Impact of Healthcare Provider Collaborations on Patient Outcomes: A Social Network Analysis Approach”

ABSTRACT

Care of patients with chronic conditions is complicated and usually includes a large number of healthcare providers. Understanding the team structure and networks of healthcare providers help to make informed decisions for health policy makers and design of wellness programs by identifying the influencers in the network. This work presents a novel approach to assess the collaboration of healthcare providers involved in the care of patients with chronic conditions and the impact on patient outcomes. In the first study, we assessed the health needs and preventive service utilization of a population with high prevalence of diabetes, hypertension, and hyperlipidemia over a three-year period. Classification models were developed to identify groups of patients with similar characteristics and healthcare utilization. Logistic regression models identified patient factors that impacted their utilization of preventive health services. Females had higher utilizations compared to males. Type of insurance coverages, and presence of diabetes/hypertension were significant factors that impacted utilization. In the second study, we followed the patient cohort with diabetes from Study 1 and extracted their healthcare providers over a two-year period. Social network analysis was used to generate networks of healthcare providers based on the patient sharing relations. A multi-scale community detection algorithm was used to identify groups of healthcare providers more closely working together. Centrality measures of the social network identified the influencers in the overall network and each community. Mail-order and retail pharmacies were identified as central providers in the overall network and majority of communities. In the last chapter, we focused on patients with diabetes, hypertension, and hyperlipidemia due to their similar healthcare needs and utilization. Similar to the second study, social network analysis and a multi-scale community detection algorithm were used to identify the network and communities of healthcare providers. We identified providers who were the majority source of care for patients over a three-year period. Regression models using generalized estimating equations were developed to assess the impact of majority source of care providers' centrality in their assigned community on patient outcomes. Higher connectedness (higher degree centrality) and higher access (higher closeness centrality) of the majority source of care provider were associated with reduced number of in-patient hospitalization and emergency department visits. This research proposed a framework based on social network analysis that provides metrics for assessment of care team relations using large-scale health data. These metrics help implementation experts to identify influencers in the network for better design of care intervention programs. The framework is also useful for health services researchers to assess impact of care teams' relations on patient outcomes.