tailieunhanh - báo cáo khoa học: " Connectedness of healthcare professionals involved in the treatment of patients with Parkinson’s disease: a social networks study"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Connectedness of healthcare professionals involved in the treatment of patients with Parkinson’s disease: a social networks study | Wensing et al. Implementation Science 2011 6 67 http content 6 1 67 Implementation Science IMPLEMENTATION SCIENCE RESEARCH Open Access Connectedness of healthcare professionals involved in the treatment of patients with Parkinson s disease a social networks study 1 2 1 2 Michel Wensing Martijn van der Eijk Jan Koetsenruijter Bastiaan R Bloem Marten Munneke 1 and Marjan Faber1 Abstract Background Patients with chronic illness typically receive ambulatory treatment from multiple health professionals. Connectedness between these professionals may influence their clinical decisions and the coordination of patient care. We aimed to describe and analyze connectedness in a regional network of health professionals involved in ambulatory treatment of patients with Parkinson s disease PD . Methods Observational study with 104 health professionals who had joined a newly established network ParkinsonNet were asked to complete a pre-structured form to report on their professional contacts with others in the network. Using social networks methods network measures were calculated for the total network and for the networks of individual health professionals. We planned to test differences between subgroups of health professionals regarding 12 network measures using a random permutation method. Results Ninety-six health professionals 92 provided data on 101 professionals. The reciprocity of reported connections was in the network of professional contacts. Measures characterizing the individual networks showed a wide variation . density varied between 0 and 100 mean value . Health professionals with 10 PD patients had higher values on 7 out of 12 network measures compare to those with 10 PD patients size number of connections two step reach indegree centrality outdegree centrality inreach centrality betweenness centrality . Primary care professionals had lower values on 11 out of 12 network measures all but reach efficiency compared to