title: A framework for administrative claim data to explore healthcare coordination and collaboration.
abstract: Previous studies have documented the application of electronic health insurance claim data for health services research purposes. In addition to administrative and billing details of healthcare services, insurance data reveal important information regarding professional interactions and/or links that emerge among healthcare service providers through, for example, informal knowledge sharing. By using details of such professional interactions and social network analysis methods, the aim of the present study was to develop a research framework to explore health care coordination and collaboration. The proposed framework was used to analyse a patient-centric care coordination network and a physician collaboration network. The usefulness of this framework and its applications in exploring collaborative efforts of different healthcare professionals and service providers is discussed.
authors.affiliation: Centre for Complex Systems Research, Room 402, Civil Engineering Building (J05), University of Sydney, Sydney, NSW 2000, Australia.
authors.forename: Shahadat
authors.initials: S
authors.lastname: Uddin
authors.affiliation: Melbourne School of Population and Global Health, The University of Melbourne, Level 4, Room 438, 207-221 Bouverie Street, Parkville, Vic. 3052, Australia. Email.
authors.forename: Margaret
authors.initials: M
authors.lastname: Kelaher
authors.affiliation: Capital Markets Cooperative Research Centre (CMCRC), 55 Harrington Road, The Rocks, Sydney, NSW 2000, Australia. Email.
authors.forename: Uma
authors.initials: U
authors.lastname: Srinivasan
mesh_terms: D001291:Attitude of Health Personnel; D003299:Cooperative Behavior; D057286:Electronic Health Records; D066275:Health Information Exchange; D006302:Health Services Research; D006801:Humans; D007345:Insurance Claim Review; D010346:Patient Care Management; D018802:Patient-Centered Care; D012944:Social Support