{"id":"https://openalex.org/W4416922086","doi":"https://doi.org/10.1007/s41109-025-00762-3","title":"Changes in patient-sharing patterns after oncologist departures in rural and urban settings: a Medicare cohort study","display_name":"Changes in patient-sharing patterns after oncologist departures in rural and urban settings: a Medicare cohort study","publication_year":2025,"publication_date":"2025-12-02","ids":{"openalex":"https://openalex.org/W4416922086","doi":"https://doi.org/10.1007/s41109-025-00762-3","pmid":"https://pubmed.ncbi.nlm.nih.gov/41509684"},"language":"en","primary_location":{"id":"doi:10.1007/s41109-025-00762-3","is_oa":true,"landing_page_url":"https://doi.org/10.1007/s41109-025-00762-3","pdf_url":null,"source":{"id":"https://openalex.org/S3035517252","display_name":"Applied Network Science","issn_l":"2364-8228","issn":["2364-8228"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310319965","host_organization_name":"Springer Nature","host_organization_lineage":["https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Applied Network Science","raw_type":"journal-article"},"type":"article","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1007/s41109-025-00762-3","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5079536400","display_name":"Sarah L. Cornelius","orcid":"https://orcid.org/0000-0002-7722-7276"},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Sarah L. Cornelius","raw_affiliation_strings":["Department of Biomedical Data Science, Geisel School of Medicine at Dartmouth, 1 Medical Center Drive, Lebanon, NH 03756 USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Biomedical Data Science, Geisel School of Medicine at Dartmouth, 1 Medical Center Drive, Lebanon, NH 03756 USA","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5068655863","display_name":"A. James O\u2019Malley","orcid":"https://orcid.org/0000-0001-8389-6217"},"institutions":[{"id":"https://openalex.org/I4390039367","display_name":"Dartmouth Cancer Center","ror":"https://ror.org/044b05b34","country_code":null,"type":"healthcare","lineage":["https://openalex.org/I4390039367"]},{"id":"https://openalex.org/I4210120259","display_name":"Dartmouth Psychiatric Research Center","ror":"https://ror.org/02td3ps96","country_code":"US","type":"facility","lineage":["https://openalex.org/I4210120259"]},{"id":"https://openalex.org/I126688049","display_name":"Dartmouth Institute for Health Policy and Clinical Practice","ror":"https://ror.org/0511yej17","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I126688049"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"A. James O\u2019Malley","raw_affiliation_strings":["Dartmouth Cancer Center, Lebanon, NH, USA","The Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine at Dartmouth, Lebanon, NH, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Dartmouth Cancer Center, Lebanon, NH, USA","institution_ids":["https://openalex.org/I4210120259","https://openalex.org/I4390039367"]},{"raw_affiliation_string":"The Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine at Dartmouth, Lebanon, NH, USA","institution_ids":["https://openalex.org/I126688049"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5075264942","display_name":"Gabriel A. Brooks","orcid":"https://orcid.org/0000-0003-3984-9995"},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Gabriel A. Brooks","raw_affiliation_strings":["Dartmouth Cancer Center, Lebanon, NH USA","Department of Medicine, Geisel School of Medicine at Dartmouth, Lebanon, NH USA","The Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine at Dartmouth, Lebanon, NH USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Dartmouth Cancer Center, Lebanon, NH USA","institution_ids":[]},{"raw_affiliation_string":"Department of Medicine, Geisel School of Medicine at Dartmouth, Lebanon, NH USA","institution_ids":[]},{"raw_affiliation_string":"The Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine at Dartmouth, Lebanon, NH USA","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5038929684","display_name":"Anna N.A. Tosteson","orcid":"https://orcid.org/0000-0001-7718-8943"},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Anna N. A. Tosteson","raw_affiliation_strings":["Dartmouth Cancer Center, Lebanon, NH USA","The Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine at Dartmouth, Lebanon, NH USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Dartmouth Cancer Center, Lebanon, NH USA","institution_ids":[]},{"raw_affiliation_string":"The Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine at Dartmouth, Lebanon, NH USA","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5083035521","display_name":"Andrew J. Schaefer","orcid":"https://orcid.org/0000-0002-0379-741X"},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Andrew Schaefer","raw_affiliation_strings":["The Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine at Dartmouth, Lebanon, NH USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine at Dartmouth, Lebanon, NH USA","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5051353953","display_name":"Erika L. Moen","orcid":"https://orcid.org/0000-0002-9800-8742"},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Erika L. Moen","raw_affiliation_strings":["Dartmouth Cancer Center, Lebanon, NH USA","Department of Biomedical Data Science, Geisel School of Medicine at Dartmouth, 1 Medical Center Drive, Lebanon, NH 03756 USA","The Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine at Dartmouth, Lebanon, NH USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Dartmouth Cancer Center, Lebanon, NH USA","institution_ids":[]},{"raw_affiliation_string":"Department of Biomedical Data Science, Geisel School of Medicine at Dartmouth, 1 Medical Center Drive, Lebanon, NH 03756 USA","institution_ids":[]},{"raw_affiliation_string":"The Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine at Dartmouth, Lebanon, NH USA","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":6,"corresponding_author_ids":["https://openalex.org/A5079536400"],"corresponding_institution_ids":[],"apc_list":{"value":790,"currency":"GBP","value_usd":969},"apc_paid":{"value":790,"currency":"GBP","value_usd":969},"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.52405252,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"11","issue":"1","first_page":"1","last_page":"1"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11773","display_name":"Healthcare Operations and Scheduling Optimization","score":0.21060000360012054,"subfield":{"id":"https://openalex.org/subfields/3604","display_name":"Emergency Medical Services"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11773","display_name":"Healthcare Operations and Scheduling Optimization","score":0.21060000360012054,"subfield":{"id":"https://openalex.org/subfields/3604","display_name":"Emergency Medical Services"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12918","display_name":"Healthcare Systems and Technology","score":0.2101999968290329,"subfield":{"id":"https://openalex.org/subfields/1407","display_name":"Organizational Behavior and Human Resource Management"},"field":{"id":"https://openalex.org/fields/14","display_name":"Business, Management and Accounting"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.1257999986410141,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/cohort-study","display_name":"Cohort study","score":0.513700008392334},{"id":"https://openalex.org/keywords/medline","display_name":"MEDLINE","score":0.35100001096725464},{"id":"https://openalex.org/keywords/cohort","display_name":"Cohort","score":0.3497999906539917},{"id":"https://openalex.org/keywords/population-based-study","display_name":"Population based study","score":0.34880000352859497},{"id":"https://openalex.org/keywords/retrospective-cohort-study","display_name":"Retrospective cohort study","score":0.3059999942779541},{"id":"https://openalex.org/keywords/rural-population","display_name":"Rural population","score":0.29499998688697815}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7771999835968018},{"id":"https://openalex.org/C201903717","wikidata":"https://www.wikidata.org/wiki/Q1778788","display_name":"Cohort study","level":2,"score":0.513700008392334},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.4120999872684479},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.37380000948905945},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.35100001096725464},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.3497999906539917},{"id":"https://openalex.org/C3018709324","wikidata":"https://www.wikidata.org/wiki/Q818574","display_name":"Population based study","level":3,"score":0.34880000352859497},{"id":"https://openalex.org/C149923435","wikidata":"https://www.wikidata.org/wiki/Q37732","display_name":"Demography","level":1,"score":0.34279999136924744},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.3379000127315521},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.3059999942779541},{"id":"https://openalex.org/C2994082534","wikidata":"https://www.wikidata.org/wiki/Q175185","display_name":"Rural population","level":3,"score":0.29499998688697815},{"id":"https://openalex.org/C107130276","wikidata":"https://www.wikidata.org/wiki/Q133805","display_name":"Epidemiology","level":2,"score":0.26440000534057617},{"id":"https://openalex.org/C2984752397","wikidata":"https://www.wikidata.org/wiki/Q3259956","display_name":"Primary care","level":2,"score":0.26409998536109924},{"id":"https://openalex.org/C3020306683","wikidata":"https://www.wikidata.org/wiki/Q1371","display_name":"West virginia","level":2,"score":0.259799987077713}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.1007/s41109-025-00762-3","is_oa":true,"landing_page_url":"https://doi.org/10.1007/s41109-025-00762-3","pdf_url":null,"source":{"id":"https://openalex.org/S3035517252","display_name":"Applied Network Science","issn_l":"2364-8228","issn":["2364-8228"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310319965","host_organization_name":"Springer Nature","host_organization_lineage":["https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Applied Network Science","raw_type":"journal-article"},{"id":"pmid:41509684","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/41509684","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Applied network science","raw_type":null},{"id":"pmh:oai:doaj.org/article:66bab59a13374b47afb920015db84d57","is_oa":true,"landing_page_url":"https://doaj.org/article/66bab59a13374b47afb920015db84d57","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Applied Network Science, Vol 11, Iss 1, Pp 1-15 (2025)","raw_type":"article"},{"id":"pmh:oai:pubmedcentral.nih.gov:12775101","is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12775101/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Appl Netw Sci","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.1007/s41109-025-00762-3","is_oa":true,"landing_page_url":"https://doi.org/10.1007/s41109-025-00762-3","pdf_url":null,"source":{"id":"https://openalex.org/S3035517252","display_name":"Applied Network Science","issn_l":"2364-8228","issn":["2364-8228"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310319965","host_organization_name":"Springer Nature","host_organization_lineage":["https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Applied Network Science","raw_type":"journal-article"},"sustainable_development_goals":[],"awards":[{"id":"https://openalex.org/G6824873427","display_name":null,"funder_award_id":"R37CA263936","funder_id":"https://openalex.org/F4320337351","funder_display_name":"National Cancer Institute"}],"funders":[{"id":"https://openalex.org/F4320337351","display_name":"National Cancer Institute","ror":"https://ror.org/040gcmg81"}],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":48,"referenced_works":["https://openalex.org/W1658278395","https://openalex.org/W1967974133","https://openalex.org/W1995248493","https://openalex.org/W2002779084","https://openalex.org/W2069050017","https://openalex.org/W2097148630","https://openalex.org/W2105576961","https://openalex.org/W2112090702","https://openalex.org/W2128002573","https://openalex.org/W2149055390","https://openalex.org/W2166409946","https://openalex.org/W2468147557","https://openalex.org/W2521527506","https://openalex.org/W2552630143","https://openalex.org/W2596838921","https://openalex.org/W2760753255","https://openalex.org/W2783239163","https://openalex.org/W2803733393","https://openalex.org/W2883451169","https://openalex.org/W2888715613","https://openalex.org/W2894013570","https://openalex.org/W2902237796","https://openalex.org/W2932120043","https://openalex.org/W2946032909","https://openalex.org/W2963167360","https://openalex.org/W2972151751","https://openalex.org/W3001762024","https://openalex.org/W3004593055","https://openalex.org/W3035580495","https://openalex.org/W3036204375","https://openalex.org/W3184326082","https://openalex.org/W4210549916","https://openalex.org/W4223948348","https://openalex.org/W4292263531","https://openalex.org/W4293798214","https://openalex.org/W4311452603","https://openalex.org/W4311577966","https://openalex.org/W4312115245","https://openalex.org/W4383748182","https://openalex.org/W4385579989","https://openalex.org/W4388198442","https://openalex.org/W4390619218","https://openalex.org/W4392023795","https://openalex.org/W4403053570","https://openalex.org/W4404372058","https://openalex.org/W4406923634","https://openalex.org/W4409078923","https://openalex.org/W4410293898"],"related_works":[],"abstract_inverted_index":{"Cancer":[0],"care":[1,9,42,59],"relies":[2],"on":[3,39,108],"effective":[4],"coordination":[5],"within":[6],"a":[7,91,126,153],"multidisciplinary":[8],"team.":[10],"Changes":[11],"to":[12,15,32,54,74,104,117],"teams":[13],"due":[14],"departures":[16,38,147],"remain":[17],"understudied":[18],"despite":[19],"rising":[20],"oncologist":[21,37,146],"turnover":[22],"in":[23,58,82,94,179],"the":[24,34,40,97],"United":[25],"States.":[26],"In":[27],"this":[28],"study,":[29],"we":[30],"aimed":[31],"investigate":[33,118],"impact":[35],"of":[36,141,166],"remaining":[41],"team":[43],"members.":[44],"We":[45,70,86],"used":[46,116],"Medicare":[47,98],"claims":[48],"associated":[49],"with":[50],"beneficiaries":[51],"aged":[52],"66-99":[53],"identify":[55],"physicians":[56],"involved":[57],"for":[60],"common":[61],"cancer":[62],"types":[63],"(i.e.,":[64],"breast,":[65],"lung,":[66],"and":[67,79,101,139],"colorectal":[68],"cancer).":[69],"restricted":[71],"our":[72],"analysis":[73],"medical":[75],"oncologists,":[76,78],"radiation":[77],"surgeons":[80],"specializing":[81],"oncology":[83],"(collectively,":[84],"\"oncologists\").":[85],"identified":[87],"oncologists":[88,106,135,151,177],"who":[89],"left":[90],"practice":[92],"location":[93],"2017-2019":[95],"using":[96],"Carrier":[99],"file":[100],"linked":[102],"them":[103],"retained":[105,120,133,149],"based":[107],"shared":[109],"patients.":[110],"Multivariable":[111],"hierarchical":[112],"linear":[113],"regression":[114],"was":[115],"how":[119],"oncologists'":[121],"patient-sharing":[122,143],"patterns":[123],"changed":[124],"after":[125],"colleague's":[127],"departure.":[128],"Our":[129],"results":[130],"support":[131],"that":[132,162],"rural-practicing":[134],"experienced":[136,152],"an":[137,159],"expansion":[138],"restructuring":[140,156],"their":[142],"ties":[144],"following":[145],"while":[148],"urban-practicing":[150],"consolidation.":[154],"Network":[155],"may":[157,170],"demonstrate":[158],"adaptive":[160],"response":[161],"ensures":[163],"patient":[164],"continuity":[165],"care,":[167],"but":[168],"it":[169],"also":[171],"reflect":[172],"unique":[173],"challenges":[174],"faced":[175],"by":[176],"practicing":[178],"rural":[180],"versus":[181],"urban":[182],"settings.":[183],"Supplementary":[184],"Information:":[185],"The":[186],"online":[187],"version":[188],"contains":[189],"supplementary":[190],"material":[191],"available":[192],"at":[193],"10.1007/s41109-025-00762-3.":[194]},"counts_by_year":[],"updated_date":"2026-05-06T08:25:59.206177","created_date":"2025-12-02T00:00:00"}
