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Research ArticleMethodology

Social Network Analysis as an Analytic Tool for Interaction Patterns in Primary Care Practices

John Scott, Alfred Tallia, Jesse C. Crosson, A. John Orzano, Christine Stroebel, Barbara DiCicco-Bloom, Dena O’Malley, Eric Shaw and Benjamin Crabtree
The Annals of Family Medicine September 2005, 3 (5) 443-448; DOI: https://doi.org/10.1370/afm.344
John Scott
MD, PhD
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Alfred Tallia
MD, MPH
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Jesse C. Crosson
PhD
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A. John Orzano
MD, MPH
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Christine Stroebel
MPH
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Barbara DiCicco-Bloom
RN, PhD
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Dena O’Malley
BA
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Eric Shaw
PhD
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Benjamin Crabtree
PhD
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Abstract

PURPOSE Social network analysis (SNA) provides a way of quantitatively analyzing relationships among people or other information-processing agents. Using 2 practices as illustrations, we describe how SNA can be used to characterize and compare communication patterns in primary care practices.

METHODS Based on data from ethnographic field notes, we constructed matrices identifying how practice members interact when practice-level decisions are made. SNA software (UCINet and KrackPlot) calculates quantitative measures of network structure including density, centralization, hierarchy and clustering coefficient. The software also generates a visual representation of networks through network diagrams.

RESULTS The 2 examples show clear distinctions between practices for all the SNA measures. Potential uses of these measures for analysis of primary care practices are described.

CONCLUSIONS SNA can be useful for quantitative analysis of interaction patterns that can distinguish differences among primary care practices.

  • Evaluation studies
  • health care delivery
  • health services research
  • social networks
  • Received for publication October 3, 2004.
  • Revision received April 21, 2005.
  • Accepted for publication April 25, 2005.
  • © 2005 Annals of Family Medicine, Inc.
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The Annals of Family Medicine: 3 (5)
The Annals of Family Medicine: 3 (5)
Vol. 3, Issue 5
1 Sep 2005
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Social Network Analysis as an Analytic Tool for Interaction Patterns in Primary Care Practices
John Scott, Alfred Tallia, Jesse C. Crosson, A. John Orzano, Christine Stroebel, Barbara DiCicco-Bloom, Dena O’Malley, Eric Shaw, Benjamin Crabtree
The Annals of Family Medicine Sep 2005, 3 (5) 443-448; DOI: 10.1370/afm.344

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Social Network Analysis as an Analytic Tool for Interaction Patterns in Primary Care Practices
John Scott, Alfred Tallia, Jesse C. Crosson, A. John Orzano, Christine Stroebel, Barbara DiCicco-Bloom, Dena O’Malley, Eric Shaw, Benjamin Crabtree
The Annals of Family Medicine Sep 2005, 3 (5) 443-448; DOI: 10.1370/afm.344
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