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- W2766171179 abstract "Greater fragmentation of patient care is associated with poorer patient outcomes; however, it is not clear how the structure of relationships between providers influences their ability to manage fragmentation. I hypothesized that structures that facilitate partner-specific investments in communication and allow for greater organization of the overall network of hospitals will be associated with more efficient and higher quality care by ameliorating the challenges associated with fragmentation. Using data derived from Medicare claims, I identified the inter-hospital network of shared Medicare patients. I found that hospitals with more concentrated networks had lower spending per Medicare beneficiary while more central hospitals had higher spending and lower 30-day all cause readmission rates. Across networks of hospitals, more concentrated and centralized networks were associated with lower spending and readmission rates among hospitals in the network. These findings highlight the importance of inter-organizational network structure in influencing the performance of organizations in overcoming challenges of fragmentation to coordinate in the efficient and high quality delivery of care for their population. They indicate that more concentrated relationships may promote improved care by facilitating coordinated care while centralized networks may benefit from the work of the central, coordinating hospital consistent with the literature on the regionalization of healthcare." @default.
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- W2766171179 date "2017-08-01" @default.
- W2766171179 modified "2023-10-17" @default.
- W2766171179 title "A Network Approach to Care Fragmentation: Impact on the Quality and Efficiency of Hospital Care" @default.
- W2766171179 doi "https://doi.org/10.5465/ambpp.2017.16183abstract" @default.
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