Mp08-18 Relationship Between Physician Social Network Structure and Hospital Teamwork Climate
Year: 2016
Type: article
Study design: Observational Study
Abstract: You have accessJournal of UrologyGeneral & Epidemiological Trends & Socioeconomics: Quality Improvement & Patient Safety II1 Apr 2016MP08-18 RELATIONSHIP BETWEEN PHYSICIAN SOCIAL NETWORK STRUCTURE AND HOSPITAL TEAMWORK CLIMATE John Hollingsworth, Parth Shah, Samuel Kaufman, and Jordan Everson John HollingsworthJohn Hollingsworth More articles by this author , Parth ShahParth Shah More articles by this author , Samuel KaufmanSamuel Kaufman More articles by this author , and Jordan EversonJordan Everson More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2016.02.2263AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Numerous health reforms have been launched that are designed to foster physician team building—most notably the patient-centered medical home, payment bundling, and accountable care organizations. However, the antecedents of a high-functioning physician team are poorly understood. In this context, we examined the relationship between the structure of physician social networks and the teamwork climate at the hospitals where the physicians in these networks work. METHODS Using claims data from Michigan Medicare beneficiaries, we identified men 65 years and older who underwent radical prostatectomy in the State between 2008 and 2011. Next, we mapped interactions among physicians who treated these men during their surgical episodes. For each hospital where radical prostatectomy was performed, we aggregated across discharges to construct the physician social network that served it. We then measured the tendency for physicians in the network to assemble into tightly-interconnected groups around shared patients using the clustering coefficient. Finally, we used multilevel regression models to examine the relationship between clustering in a network and the physician staff’s perception of the teamwork climate (assessed with the Safety Attitudes Questionnaire) at the hospital on which the network was anchored. RESULTS We observed substantial variation in physician clustering between hospitals in Michigan. While hospitals with higher and lower levels of physician clustering had similar case mixes, these hospitals differed over several important sociocultural and healthcare capacity factors (e.g., physician staff size, annual radical prostatectomy volume). After controlling for these differences, we observed that higher physician clustering at a hospital was positively correlated with the physician staff’s perception of the teamwork climate in the operating room and intensive care unit (P<0.001). CONCLUSIONS Initiatives that encourage physicians to share in the care of their mutual patients are likely to result in improved teamwork. © 2016FiguresReferencesRelatedDetails Volume 195Issue 4SApril 2016Page: e92 Advertisement Copyright & Permissions© 2016MetricsAuthor Information John Hollingsworth More articles by this author Parth Shah More articles by this author Samuel Kaufman More articles by this author Jordan Everson More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...
Source: The Journal of Urology
Authors: John Hollingsworth, Parth Shah, Samuel Kaufman, Jordan Everson
Language: English
Domain: Social Sciences
Open Access status: bronze
OpenAlex ID: W2323379800