Effects of primary care team social networks on quality of care and costs for patients with cardiovascular disease

Annals of Family Medicine
Marlon P MundtJohn W Beasley

Abstract

Cardiovascular disease is the leading cause of mortality and morbidity in the United States. Primary care teams can be best suited to improve quality of care and lower costs for patients with cardiovascular disease. This study evaluates the associations between primary care team communication, interaction, and coordination (ie, social networks); quality of care; and costs for patients with cardiovascular disease. Using a sociometric survey, 155 health professionals from 31 teams at 6 primary care clinics identified with whom they interact daily about patient care. Social network analysis calculated variables of density and centralization representing team interaction structures. Three-level hierarchical modeling evaluated the link between team network density, centralization, and number of patients with a diagnosis of cardiovascular disease for controlled blood pressure and cholesterol, counts of urgent care visits, emergency department visits, hospital days, and medical care costs in the previous 12 months. Teams with dense interactions among all team members were associated with fewer hospital days (rate ratio [RR] = 0.62; 95% CI, 0.50-0.77) and lower medical care costs (-$556; 95% CI, -$781 to -$331) for patients with cardio...Continue Reading

Citations

Sep 28, 2016·Dental Clinics of North America·Janet H SoutherlandCharles P Mouton
Oct 3, 2015·Health Care Management Review·Hector P RodriguezMark W Friedberg
Oct 1, 2019·Medical Care·Yong-Fang KuoJames S Goodwin
Oct 30, 2018·IISE Transactions on Healthcare Systems Engineering·Abigail R WooldridgeBrendan Eagan
Jul 24, 2020·BMC Health Services Research·Janita F J VosMarjolein van Offenbeek
Mar 17, 2020·Applied Ergonomics·John W BeasleyTosha B Wetterneck

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