Hierarchical Modeling of the Association Between Team Social Networks and Outcomes for Panel of Patients With Cardiovascular Disease
| Variable | BP Control OR (95% CI) | LDL Cholesterol Control OR (95% CI) | UC Visits RR (95% CI) | ED Visits RR (95% CI) | Hospital Days RR (95% CI) | Cost ($)β (SE) |
|---|---|---|---|---|---|---|
| Reduced form model | ||||||
| Team social network densitya | 1.14 (0.98–1.33) | 1.13 (0.97–1.31) | 0.28b (0.19–0.40) | 0.58c (0.42–0.80) | 0.64b (0.51–0.80) | −516b (129) |
| Team social network centralizationa | 1.00 (0.84–1.19) | 0.94 (0.80–1.11) | 3.07b (2.09–4.51) | 1.70c (1.23–2.35) | 1.47c (1.14–1.89) | 519c (143) |
| Full modeld | ||||||
| Team social network densitya | 1.15 (0.99–1.34) | 1.14 (1.00–1.31) | 0.95 (0.55–1.66) | 0.98 (0.50–1.89) | 0.62b (0.50–0.77) | −556b (115) |
| Team social network centralizationa | 1.03 (0.85–1.25) | 0.93 (0.79–1.08) | 1.20 (0.79–1.81) | 1.33 (0.83–2.13) | 1.45c (1.09–1.94) | 506c (155) |
BP = blood pressure; ED = emergency department; LDL = low-density lipoprotein; OR = odds ratio; RR = rate ratio; SE = standard error; UC = urgent care.
Note: There were 31 primary care teams and 7,457 patients who had cardiovascular disease.
↵a Team social network interaction related to daily face-to-face and/or EHR communication connections about patient care in a team.
↵b P <.001.
↵c P <.01.
↵d Patient-level covariates entered in the full model were sex, age, age squared, race/ethnicity, insurance, and comorbidity.