Feasibility of social network analysis to study outcomes of children with medical complexity.

Autor: Coller RJ; School of Medicine and Public Health, University of Wisconsin-Madison, Madison, Wisconsin, USA., Green HD Jr; School of Public Health-Bloomington, Indiana University, Bloomington, Indiana, USA., Kaminski PC; Luddy School of Informatics, Computing, and Engineering, Indiana University, Bloomington, Indiana, USA., Howell K; School of Medicine and Public Health, University of Wisconsin-Madison, Madison, Wisconsin, USA., Alfaro E; School of Medicine and Public Health, University of Wisconsin-Madison, Madison, Wisconsin, USA., Nelson C; School of Medicine and Public Health, University of Wisconsin-Madison, Madison, Wisconsin, USA., Warner G; School of Medicine and Public Health, University of Wisconsin-Madison, Madison, Wisconsin, USA., Werner NE; School of Public Health-Bloomington, Indiana University, Bloomington, Indiana, USA.
Jazyk: angličtina
Zdroj: Journal of hospital medicine [J Hosp Med] 2024 Jan; Vol. 19 (1), pp. 35-39. Date of Electronic Publication: 2023 Oct 25.
DOI: 10.1002/jhm.13231
Abstrakt: Since most care for children with medical complexity (CMC) is delivered daily in communities by multiple caregiving individuals, that is, caregiving networks, tools to assess and intervene across these networks are needed. This study evaluated the feasibility of applying social network analysis (SNA) to describe caregiving networks. Because hospitalization is among the most frequently used outcomes for CMC, exploratory correlations between network characteristics and CMC hospital use were evaluated. Within 3 weeks, the goal network enrollment was achieved, and all feasibility measures were favorable. Network characteristics correlated with hospital use, that is, smaller, denser networks, with more closed-loop communication correlated with fewer hospital days. Networks with more professional caregivers also correlated with fewer hospital days. SNA is a feasible tool to study CMC caregiving networks. Preliminary data support rigorous hypothesis testing using SNA methods. Network-based interventions to improve CMC health may be an important future direction.
(© 2023 The Authors. Journal of Hospital Medicine published by Wiley Periodicals LLC on behalf of Society of Hospital Medicine.)
Databáze: MEDLINE
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