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Physician Communication Networks and the Adoption and Utilization of Computer Applications in Medicine

  • James G. Anderson
  • Stephen J. Jay
  • Harlan M. Schweer
  • Marilyn M. Anderson
  • David Kassing
Part of the Computers and Medicine book series (C+M)

Abstract

This study demonstrates a methodological technique that can be used to specify the structure of the informal organization of medical practice and its effect on the practice behavior of physicians. This approach uses routinely collected clinical data to construct and analyze consultation networks among physicians who share a common practice setting—in the current study, hospital services. The focus of the analysis is on the identification of structurally equivalent groups of physicians who share similar consultation patterns with their colleagues, the nature of relationships among and between groups of physicians, and the effects of network structure on practice behavior, specifically, the adoption and utilization of a hospital information system. Results of the analysis of data from orthopaedic surgery, general surgery, and family practice are reported. The findings suggest that the physician’s position in the consultation network significantly influences rates of adoption and utilization of new computer technology.

Keywords

Practice Pattern Family Practice Hospital Service Hospital Information System Practice Characteristic 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. [1]
    Eisenberg, J.M. Physician utilization: The state of research about physicians’ practice patterns. Medical Care 23: 461–483, 1985.PubMedCrossRefGoogle Scholar
  2. [2]
    Wennberg, J.E. Dealing with medical practice variations: A proposal for action. Health Affairs 3: 6, 1984.PubMedCrossRefGoogle Scholar
  3. [3]
    Luft, H.S. Variations in clinical practice patterns. Archives of Internal Medicine 143: 1861–1862, 1983.PubMedCrossRefGoogle Scholar
  4. [4]
    Williams, S.V., J.M. Eisenberg, L.A. Pascale, and D.S. Kitz. Physicians’ perceptions about unnecessary diagnostic testing. Inquiry 19: 363, 1982.PubMedGoogle Scholar
  5. [5]
    Geertsma, R.H., R.C. Parker, and S.K. Whitbourne. How physicians view the process of change in their practice behavior. Journal of Medical Education 57: 752–761, 1982.PubMedGoogle Scholar
  6. [6]
    Weinberg, A.D., L. Ullian, W.D. Richards, and P. Cooper. Informal advice-and information-seeking between physicians. Journal of Medical Education 56: 174–180, 1981.PubMedGoogle Scholar
  7. [7]
    Maxwell, J.A., P.G. Bashook, and L.J. Sandlow. The role of communication networks in physicians’ adoption of innovations. In: Proceedings 23rd Annual Conference on Research in Medical Education. Washington, DC: AAMC, 1984, pp. 231–236.Google Scholar
  8. [8]
    Wenrich, J.W., F.C. Mann, W.C. Morris, and A.J. Reilly. Informal educators for practicing physicians. Journal of Medical Education 46: 299–305, 1971.PubMedGoogle Scholar
  9. [9]
    Stross, J.K., and G.G. Boles. Evaluation of a continuing education program in rheumatoid arthritis. Arthritis and Rheumatism 23: 846–849, 1980.PubMedCrossRefGoogle Scholar
  10. [10]
    Stross, J.K., R.G. Hiss, C.M. Watts, W.K. Davis, and R. MacDonald. Continuing education in pulmonary disease for primary-care physicians. American Review of Respiratory Disease 127: 739–746, 1983.PubMedGoogle Scholar
  11. [11]
    Shortell, S.M. Patterns of referral among internists in private practice: A social exchange model Journal of Health and Social Behavior 14: 335–348, 1973.PubMedCrossRefGoogle Scholar
  12. [12]
    Anderson, J.G., and S.J. Jay. Computers and clinical judgment: The role of physician networks. Social Science and Medicine 20: 969–979, 1985.PubMedCrossRefGoogle Scholar
  13. [13]
    Anderson, J.G., S.J. Jay, H.M. Schweer, and M.M. Anderson. Why doctors don’t use computers: Some empirical findings. Journal of the Royal Society of Medicine 79: 142–144, March 1986.PubMedGoogle Scholar
  14. [14]
    Knoke, D., and J. Kuklinski. Network Analysis. Beverly Hills, CA: Sage Publications, 1982.Google Scholar
  15. [15]
    Mitchell, J.C. The concept and use of social networks. In J.C. Mitchell (ed.). Social Networks in Urban Situations. Manchester: University of Manchester Press, 1969, pp. 1–50.Google Scholar
  16. [16]
    Arabie, P., S. Boorman, and P. Levitt. Constructing blockmodels: How and why. Journal of Mathematical Psychology 17: 21–63, 1978.CrossRefGoogle Scholar
  17. [17]
    White, H.C., S. Boorman, and R. Breiger. Social structure from multiple networks. I. Blockmodels of roles and positions. American Journal of Sociology 81: 730–780, 1976.CrossRefGoogle Scholar
  18. [18]
    Burt, R.S. Cohesion versus structural equivalence as a basis for network subgroups. Sociological Methods & Research 7: 189–212, November 1978.CrossRefGoogle Scholar

Copyright information

© Springer-Verlag New York Inc. 1987

Authors and Affiliations

  • James G. Anderson
  • Stephen J. Jay
  • Harlan M. Schweer
  • Marilyn M. Anderson
  • David Kassing

There are no affiliations available

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