A FRAMEWORK FOR ADMINISTRATIVE CLAIM DATA TO EXPLORE HEALTHCARE COORDINATION AND COLLABORATION
Previous studies have documented the application of electronic health insurance claim data for health services research purposes. In addition to administrative and billing details of healthcare services, insurance data reveal important information regarding professional interactions/links that emerge among healthcare service providers through, for example, informal knowledge sharing. By utilising details of such professional interactions and social network analysis methods, this study aims to develop a research framework to explore healthcare coordination and collaboration. The proposed framework has been exercised to analyse patient-centric care coordination network and physician collaboration network. The usefulness of this framework and its applications in exploring collaborative efforts of different healthcare professionals and service providers has been discussed in this paper.