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This is also reflected in cluster 1’s increased message volume and messaging behavior, most likely highlighting their role in clinical decision-making. However, such a centralized communication structure may also increase physicians’ workload and cognitive burden arising from an increased messaging volume [57].
Similarly, there was one cluster (cluster 4) of nurses and medical assistants who had fewer connections and were not as central within the network.
JMIR Med Inform 2025;13:e66544
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