Skip to main content
bioRxiv
  • Home
  • About
  • Submit
  • ALERTS / RSS
Advanced Search
New Results

Guiding Interoperable Electronic Health Records Through Patient Sharing Networks

View ORCID ProfileJonathan M Clarke, Leigh R Warren, Sonal Arora, Mauricio Barahona, Ara W Darzi
doi: https://doi.org/10.1101/473272
Jonathan M Clarke
1NIHR Patient Safety Translational Research Centre, Imperial College London, London W2 1NY, UK
2EPSRC Centre for Mathematics of Precision Healthcare, Imperial College London, London SW7 2AZ, UK
3Centre for Health Policy, Imperial College London, London W2 1NY, UK
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for Jonathan M Clarke
Leigh R Warren
1NIHR Patient Safety Translational Research Centre, Imperial College London, London W2 1NY, UK
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Sonal Arora
1NIHR Patient Safety Translational Research Centre, Imperial College London, London W2 1NY, UK
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Mauricio Barahona
2EPSRC Centre for Mathematics of Precision Healthcare, Imperial College London, London SW7 2AZ, UK
4Department of Mathematics, Imperial College London, London SW7 2AZ, UK
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Ara W Darzi
1NIHR Patient Safety Translational Research Centre, Imperial College London, London W2 1NY, UK
3Centre for Health Policy, Imperial College London, London W2 1NY, UK
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Abstract
  • Full Text
  • Info/History
  • Metrics
  • Preview PDF
Loading

Abstract

Effective sharing of clinical information between care providers is a critical component of a safe, efficient health system. National data sharing systems may be costly, politically contentious and do not reflect local patterns of care delivery. This study examines hospital attendances in England from 2013 to 2015 to identify instances of patient sharing between hospitals. Of 19.6 million patients receiving care from 155 hospital care provider, 130 million presentations were identified. On 14.7 million occasions (12%), patients attended a different hospital to the one they attended on their previous interaction. A network of hospitals was constructed based on the frequency of patient sharing between hospitals which was partitioned using the Louvain algorithm into 10 distinct data-sharing communities, improving the continuity of data sharing in such instances from 0% to 65-95%. Locally implemented data-sharing communities of hospitals may achieve effective accessibility of clinical information without a large-scale national interoperable information system.

Copyright 
The copyright holder for this preprint is the author/funder, who has granted bioRxiv a license to display the preprint in perpetuity. It is made available under a CC-BY 4.0 International license.
Back to top
PreviousNext
Posted November 19, 2018.
Download PDF
Email

Thank you for your interest in spreading the word about bioRxiv.

NOTE: Your email address is requested solely to identify you as the sender of this article.

Enter multiple addresses on separate lines or separate them with commas.
Guiding Interoperable Electronic Health Records Through Patient Sharing Networks
(Your Name) has forwarded a page to you from bioRxiv
(Your Name) thought you would like to see this page from the bioRxiv website.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Share
Guiding Interoperable Electronic Health Records Through Patient Sharing Networks
Jonathan M Clarke, Leigh R Warren, Sonal Arora, Mauricio Barahona, Ara W Darzi
bioRxiv 473272; doi: https://doi.org/10.1101/473272
Reddit logo Twitter logo Facebook logo LinkedIn logo Mendeley logo
Citation Tools
Guiding Interoperable Electronic Health Records Through Patient Sharing Networks
Jonathan M Clarke, Leigh R Warren, Sonal Arora, Mauricio Barahona, Ara W Darzi
bioRxiv 473272; doi: https://doi.org/10.1101/473272

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
  • Tweet Widget
  • Facebook Like
  • Google Plus One

Subject Area

  • Epidemiology
Subject Areas
All Articles
  • Animal Behavior and Cognition (4840)
  • Biochemistry (10766)
  • Bioengineering (8026)
  • Bioinformatics (27215)
  • Biophysics (13947)
  • Cancer Biology (11095)
  • Cell Biology (16016)
  • Clinical Trials (138)
  • Developmental Biology (8764)
  • Ecology (13254)
  • Epidemiology (2067)
  • Evolutionary Biology (17332)
  • Genetics (11669)
  • Genomics (15890)
  • Immunology (11004)
  • Microbiology (26023)
  • Molecular Biology (10620)
  • Neuroscience (56406)
  • Paleontology (417)
  • Pathology (1729)
  • Pharmacology and Toxicology (2999)
  • Physiology (4534)
  • Plant Biology (9599)
  • Scientific Communication and Education (1610)
  • Synthetic Biology (2677)
  • Systems Biology (6963)
  • Zoology (1508)