Evidence map›Paper›PMID 29636315›Full record

ArticleJournal of medical Internet research2018

Multidisciplinary Collaboration in the Treatment of Patients With Type 2 Diabetes in Primary Care: Analysis Using Process Mining.

Tania Conca, Cecilia Saint-Pierre, Valeria Herskovic, Marcos Sepúlveda, Daniel Capurro, Florencia Prieto, Carlos Fernandez-Llatas

Abstract read
In one paragraph

Article in Journal of medical Internet research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
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  7. Review
  8. Article
  9. Using Unified Modeling Language to Analyze Business Processes in the Delivery of Child Health Services.International journal of environmental research and public health · 2022
    Article
  10. Article
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  15. Towards the Use of Standardized Terms in Clinical Case Studies for Process Mining in Healthcare.International journal of environmental research and public health · 2020
    Article
  16. Evaluation of multidisciplinary collaboration in pediatric trauma care using EHR data.Journal of the American Medical Informatics Association : JAMIA · 2019
    Article
  17. Toward Value-Based Healthcare through Interactive Process Mining in Emergency Rooms: The Stroke Case.International journal of environmental research and public health · 2019
    Article
  18. Article
  19. Article
  20. Analysis of the Relationship between the Referral and Evolution of Patients with Type 2 Diabetes Mellitus.International journal of environmental research and public health · 2018
    Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Tania ConcaComputer Science Department, School of Engineering, Pontificia Universidad Católica de Chile, Santiago, Chile.ORCID 0000-0001-5959-3080
Cecilia Saint-PierreComputer Science Department, School of Engineering, Pontificia Universidad Católica de Chile, Santiago, Chile.ORCID 0000-0002-3779-9990
Valeria HerskovicComputer Science Department, School of Engineering, Pontificia Universidad Católica de Chile, Santiago, Chile.ORCID 0000-0002-2650-6507
Marcos SepúlvedaComputer Science Department, School of Engineering, Pontificia Universidad Católica de Chile, Santiago, Chile.ORCID 0000-0002-9467-7666
Daniel CapurroDepartment of Internal Medicine, School of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile.ORCID 0000-0002-9256-1256
Florencia PrietoDepartment of Family Medicine, School of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile.ORCID 0000-0003-0508-5229
Carlos Fernandez-LlatasInstitute of Information and Communication Technologies, Universitat Politècnica de València, Valencia, Spain.ORCID 0000-0002-2819-5597

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPublic health in several countries is characterized by a shortage of professionals and a lack of economic resources. Monitoring and redesigning processes can foster the success of health care institutions, enabling them to provide a quality service while simultaneously reducing costs. Process mining, a discipline that extracts knowledge from information system data to analyze operational processes, affords an opportunity to understand health care processes.

objectiveHealth care processes are highly flexible and multidisciplinary, and health care professionals are able to coordinate in a variety of different ways to treat a diagnosis. The aim of this work was to understand whether the ways in which professionals coordinate their work affect the clinical outcome of patients.

methodsThis paper proposes a method based on the use of process mining to identify patterns of collaboration between physician, nurse, and dietitian in the treatment of patients with type 2 diabetes mellitus and to compare these patterns with the clinical evolution of the patients within the context of primary care. Clustering is used as part of the preprocessing of data to manage the variability, and then process mining is used to identify patterns that may arise.

resultsThe method is applied in three primary health care centers in Santiago, Chile. A total of seven collaboration patterns were identified, which differed primarily in terms of the number of disciplines present, the participation intensity of each discipline, and the referrals between disciplines. The pattern in which the three disciplines participated in the most equitable and comprehensive manner had a lower proportion of highly decompensated patients compared with those patterns in which the three disciplines participated in an unbalanced manner.

conclusionsBy discovering which collaboration patterns lead to improved outcomes, health care centers can promote the most successful patterns among their professionals so as to improve the treatment of patients. Process mining techniques are useful for discovering those collaborations patterns in flexible and unstructured health care processes.

Indexed as

Data MiningDiabetes Mellitus, Type 2HumansPrimary Health Caredata mininginterprofessional relationsprimary health careprocess assessment (health care)type 2 diabetes mellitus

Identifiers

PMID29636315
PMCPMC5915667

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.