Find Referral Social Networks

With the generalizing of Electronic Medical Records lots of facilities such as hospitals, insurance companies and some other government sections, accumulate large amounts of electronic data. Generally, data analysis technologies used in health insurance claims data are statistical and data mining. To get some new information from the data, the social network analysis (SNA) is proposed as a new way to explore the patientstransferring data held by Medical Insurance Bureau. In this paper, we first describe the condition of the basic medical insurance for urban and rural residents in China, then we demonstrate that the method of SNA used in the health insurance claims data can better understand the corporation among hospitals relating to patients-transferring. Particularly, this paper applies social network analysis to mine the data in three aspects: (a) community detection of hospitals network using different models. (b) the relationship among networks characteristics and healthcare quality including Length of stay(Los) in hospital, medicare cost and treatment results. (c)some interesting rules about the patients-transferring correlated with the Los and Cost.