Brandon Klein Brandon understands that better teams are fundamental to all of our success. As a global thought leader, ushering in the 'Future of Work' revolution, he paves the way using data + design to accelerate the Collaboration Revolution. Brandon is the Co-Founder of the software start-up, Collaboration.Ai and an active member of The Value Web, a non-profit committed to changing the way decisions are made to better impact our world. Jul 21

Factors Affecting Influential Discussions Among Physicians: A Social Network Analysis of a Primary Care Practice

Background

Physicians often rely on colleagues for new information and advice about the care of their patients.
Objective

Evaluate the network of influential discussions among primary care physicians in a hospital-based academic practice.
Design

Survey of physicians about influential discussions with their colleagues regarding women’s health issues. We used social network analysis to describe the network of discussions and examined factors predictive of a physician’s location in the network.
Subjects

All 38 primary care physicians in a hospital-based academic practice.
Measurements

Location of physician within the influential discussion network and relationship with other physicians in the network.
Results

Of 33 responding physicians (response rate = 87%), the 5 reporting expertise in women’s health were more likely than others to be cited as sources of influential information (odds ratio [OR] 6.81, 95% Bayesian confidence interval [CI] 2.25–23.81). Physicians caring for more women were also more often cited (OR 1.03, 95% CI 1.01–1.05 for a 1 percentage-point increase in the proportion of women patients). Influential discussions were more frequent among physicians practicing in the same clinic within the practice than among those in different clinics (OR 5.03, 95% CI 3.10–8.33) and with physicians having more weekly clinical sessions (OR 1.33, 95% CI 1.15 to 1.54 for each additional session).
Conclusions

In the primary care practice studied, physicians obtained information from colleagues with greater expertise and experience as well as colleagues who were accessible based on location and schedule. It may be possible to organize practices to promote more rapid dissemination of high-quality evidence-based medicine.
KEY WORDS: consultation and referral, primary care, communication, physician behavior

collaborative web link, doctors, Healthcare Article, networkanalysis, peoplescience, research

Brandon Klein Brandon understands that better teams are fundamental to all of our success. As a global thought leader, ushering in the 'Future of Work' revolution, he paves the way using data + design to accelerate the Collaboration Revolution. Brandon is the Co-Founder of the software start-up, Collaboration.Ai and an active member of The Value Web, a non-profit committed to changing the way decisions are made to better impact our world.