ArticleDrug safety2017
The Impact of Provider Networks on the Co-Prescriptions of Interacting Drugs: A Claims-Based Analysis.
Article in Drug safety, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The Relationship of Continuity of Care, Polypharmacy and Medication Appropriateness: A Systematic Review of Observational Studies.Drugs & aging · 2023Pooled it
- A Scoping Review of Multilevel Patient-Sharing Network Measures in Health Services Research.Medical care research and review : MCRR · 2025Article
- Identifying opioid agonist treatment prescriber networks from health administrative data: A validation study.PloS one · 2025Article
- Potentially harmful drug-drug interactions in the therapeutic regimens of persons with spinal cord injury.The journal of spinal cord medicine · 2024Observational
- A flexible approach to measure care coordination based on patient-sharing networks.BMC medical research methodology · 2024Article
- Can peer effects explain prescribing appropriateness? a social network analysis.BMC medical research methodology · 2023Article
- High opioid doses, naloxone, and central nervous system active medications received by Medicare-enrolled adults.Journal of the American Geriatrics Society · 2023Article
- Article
- Prevalence of potentially harmful multidrug interactions on medication lists of elderly ambulatory patients.BMC geriatrics · 2021Article
- An Examination of Prescribing Responsibilities between Psychiatrists and Primary Care Providers.The Psychiatric quarterly · 2021Article
- Concurrent Opioid and Benzodiazepine Prescriptions Among Older Women Diagnosed With Breast Cancer.Journal of the National Cancer Institute · 2020Article
- The Prevalence of Selected Potential Drug-Drug Interactions of Analgesic Drugs and Possible Methods of Preventing Them: Lessons Learned From the Analysis of the Real-World National Database of 38 Million Citizens of Poland.Frontiers in pharmacology · 2020Article
- Receipt of Promotional Payments at the Individual and Physician Network Level Associated with Higher Branded Antipsychotic Prescribing Rates.Administration and policy in mental health · 2020Article
- Use of Medicare Data to Identify Team-based Primary Care: Is it Possible?Medical care · 2019Article
- Evaluation of Physician Network-Based Measures of Care Coordination Using Medicare Patient-Reported Experience Measures.Journal of general internal medicine · 2019Article
- Patient-Sharing Relations in the Treatment of Diabetes and Their Implications for Health Information Exchange: Claims-Based Analysis.JMIR medical informatics · 2019Article
- Evaluating Breast Cancer Care Coordination at a Rural National Cancer Institute Comprehensive Cancer Center Using Network Analysis and Geospatial Methods.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2019Article
- A scoping review of patient-sharing network studies using administrative data.Translational behavioral medicine · 2018Article
- Tie Decay and Dissolution: Contentious Prescribing Practices in the Prescription Drug Epidemic.Organization science (Providence, R.I.)Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
introductionMultiple provider prescribing of interacting drugs is a preventable cause of morbidity and mortality, and fragmented care is a major contributing factor. We applied social network analysis to examine the impact of provider patient-sharing networks on the risk of multiple provider prescribing of interacting drugs.
methodsWe performed a retrospective analysis of commercial healthcare claims (years 2008-2011), including all non-elderly adult beneficiaries (n = 88,494) and their constellation of care providers. Patient-sharing networks were derived based on shared patients, and care constellation cohesion was quantified using care density, defined as the ratio between the total number of patients shared by provider pairs and the total number of provider pairs within the care constellation around each patient.
resultsIn our study, 2% (n = 1796) of patients were co-prescribed interacting drugs by multiple providers. Multiple provider prescribing of interacting drugs was associated with care density (odds ratio per unit increase in the natural logarithm of the value for care density 0.78; 95% confidence interval 0.74-0.83; p < 0.0001). The effect of care density was more pronounced with increasing constellation size: when constellation size exceeded ten providers, the risk of multiple provider prescribing of interacting drugs decreased by nearly 37% with each unit increase in the natural logarithm of care density (p < 0.0001). Other predictors included increasing age of patients, increasing number of providers, and greater morbidity.
conclusionImproved care cohesion may mitigate unsafe prescribing practices, especially in larger care constellations. There is further potential to leverage network analytics to implement large-scale surveillance applications for monitoring prescribing safety.
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