{"id":"https://openalex.org/W4387580464","doi":"https://doi.org/10.1038/s41746-023-00925-5","title":"Clinically informed machine learning elucidates the shape of hospice racial disparities within hospitals","display_name":"Clinically informed machine learning elucidates the shape of hospice racial disparities within hospitals","publication_year":2023,"publication_date":"2023-10-12","ids":{"openalex":"https://openalex.org/W4387580464","doi":"https://doi.org/10.1038/s41746-023-00925-5","pmid":"https://pubmed.ncbi.nlm.nih.gov/37828119"},"language":"en","primary_location":{"id":"doi:10.1038/s41746-023-00925-5","is_oa":true,"landing_page_url":"https://doi.org/10.1038/s41746-023-00925-5","pdf_url":"https://www.nature.com/articles/s41746-023-00925-5.pdf","source":{"id":"https://openalex.org/S4210195431","display_name":"npj Digital Medicine","issn_l":"2398-6352","issn":["2398-6352"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310319908","host_organization_name":"Nature Portfolio","host_organization_lineage":["https://openalex.org/P4310319908","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Nature Portfolio","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":"npj Digital Medicine","raw_type":"journal-article"},"type":"article","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.nature.com/articles/s41746-023-00925-5.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5087912116","display_name":"Inas S. Khayal","orcid":"https://orcid.org/0000-0001-8354-6006"},"institutions":[{"id":"https://openalex.org/I107672454","display_name":"Dartmouth College","ror":"https://ror.org/049s0rh22","country_code":"US","type":"education","lineage":["https://openalex.org/I107672454"]},{"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"]},{"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"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Inas S. Khayal","raw_affiliation_strings":["Biomedical Data Science, Geisel School of Medicine at Dartmouth, Lebanon, NH, 03756, USA. inas.khayal@dartmouth.edu","Cancer Population Sciences Program, Norris Cotton Cancer Center, Lebanon, NH, 03756, USA. inas.khayal@dartmouth.edu","Department of Computer Science, Dartmouth College, Hanover, NH, 03755, USA. inas.khayal@dartmouth.edu","The Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine at Dartmouth, Lebanon, NH, 03756, USA. inas.khayal@dartmouth.edu","The Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine at Dartmouth, Lebanon, NH, 03756, USA"],"raw_orcid":"https://orcid.org/0000-0001-8354-6006","affiliations":[{"raw_affiliation_string":"Biomedical Data Science, Geisel School of Medicine at Dartmouth, Lebanon, NH, 03756, USA. inas.khayal@dartmouth.edu","institution_ids":["https://openalex.org/I107672454","https://openalex.org/I4210120259"]},{"raw_affiliation_string":"Cancer Population Sciences Program, Norris Cotton Cancer Center, Lebanon, NH, 03756, USA. inas.khayal@dartmouth.edu","institution_ids":["https://openalex.org/I107672454"]},{"raw_affiliation_string":"Department of Computer Science, Dartmouth College, Hanover, NH, 03755, USA. inas.khayal@dartmouth.edu","institution_ids":["https://openalex.org/I107672454"]},{"raw_affiliation_string":"The Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine at Dartmouth, Lebanon, NH, 03756, USA. inas.khayal@dartmouth.edu","institution_ids":["https://openalex.org/I126688049"]},{"raw_affiliation_string":"The Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine at Dartmouth, Lebanon, NH, 03756, USA","institution_ids":["https://openalex.org/I126688049"]}]},{"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/I107672454","display_name":"Dartmouth College","ror":"https://ror.org/049s0rh22","country_code":"US","type":"education","lineage":["https://openalex.org/I107672454"]},{"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"]},{"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"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"A. James O\u2019Malley","raw_affiliation_strings":["Biomedical Data Science, Geisel School of Medicine at Dartmouth, Lebanon, NH, 03756, USA","Department of Computer Science, Dartmouth College, Hanover, NH, 03755, USA","Department of Mathematics, Dartmouth College, Hanover, NH, 03755, USA","The Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine at Dartmouth, Lebanon, NH, 03756, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Biomedical Data Science, Geisel School of Medicine at Dartmouth, Lebanon, NH, 03756, USA","institution_ids":["https://openalex.org/I107672454","https://openalex.org/I4210120259"]},{"raw_affiliation_string":"Department of Computer Science, Dartmouth College, Hanover, NH, 03755, USA","institution_ids":["https://openalex.org/I107672454"]},{"raw_affiliation_string":"Department of Mathematics, Dartmouth College, Hanover, NH, 03755, USA","institution_ids":["https://openalex.org/I107672454"]},{"raw_affiliation_string":"The Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine at Dartmouth, Lebanon, NH, 03756, USA","institution_ids":["https://openalex.org/I126688049"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5086224239","display_name":"Amber E. Barnato","orcid":"https://orcid.org/0000-0003-1080-6270"},"institutions":[{"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"]},{"id":"https://openalex.org/I1289422878","display_name":"Dartmouth\u2013Hitchcock Medical Center","ror":"https://ror.org/00d1dhh09","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I107672454","https://openalex.org/I1289422878","https://openalex.org/I4390039337"]},{"id":"https://openalex.org/I4210117038","display_name":"USC Norris Comprehensive Cancer Center","ror":"https://ror.org/01nmyfr60","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2800154431","https://openalex.org/I4210117038"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Amber E. Barnato","raw_affiliation_strings":["Cancer Population Sciences Program, Norris Cotton Cancer Center, Lebanon, NH, 03756, USA","Department of Medicine, Dartmouth-Hitchcock Medical Center, Lebanon, NH, 03756, USA","The Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine at Dartmouth, Lebanon, NH, 03756, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Cancer Population Sciences Program, Norris Cotton Cancer Center, Lebanon, NH, 03756, USA","institution_ids":["https://openalex.org/I4210117038"]},{"raw_affiliation_string":"Department of Medicine, Dartmouth-Hitchcock Medical Center, Lebanon, NH, 03756, USA","institution_ids":["https://openalex.org/I1289422878"]},{"raw_affiliation_string":"The Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine at Dartmouth, Lebanon, NH, 03756, USA","institution_ids":["https://openalex.org/I126688049"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5087912116"],"corresponding_institution_ids":["https://openalex.org/I107672454","https://openalex.org/I126688049","https://openalex.org/I4210120259"],"apc_list":{"value":3060,"currency":"USD","value_usd":3060},"apc_paid":{"value":3060,"currency":"USD","value_usd":3060},"fwci":3.4988,"has_fulltext":true,"cited_by_count":13,"citation_normalized_percentile":{"value":0.92845607,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":90,"max":99},"biblio":{"volume":"6","issue":"1","first_page":"190","last_page":"190"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10177","display_name":"Palliative Care and End-of-Life Issues","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10177","display_name":"Palliative Care and End-of-Life Issues","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10556","display_name":"Global Cancer Incidence and Screening","score":0.9973999857902527,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10552","display_name":"Colorectal Cancer Screening and Detection","score":0.98580002784729,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/health-equity","display_name":"Health equity","score":0.629765510559082},{"id":"https://openalex.org/keywords/equity","display_name":"Equity (law)","score":0.5634945631027222},{"id":"https://openalex.org/keywords/medicine","display_name":"Medicine","score":0.5308927893638611},{"id":"https://openalex.org/keywords/health-care","display_name":"Health care","score":0.5151249766349792},{"id":"https://openalex.org/keywords/quality","display_name":"Quality (philosophy)","score":0.47233882546424866},{"id":"https://openalex.org/keywords/cluster","display_name":"Cluster (spacecraft)","score":0.4404081404209137},{"id":"https://openalex.org/keywords/healthcare-system","display_name":"Healthcare system","score":0.4132445156574249},{"id":"https://openalex.org/keywords/family-medicine","display_name":"Family medicine","score":0.41108986735343933},{"id":"https://openalex.org/keywords/demography","display_name":"Demography","score":0.3438650667667389},{"id":"https://openalex.org/keywords/gerontology","display_name":"Gerontology","score":0.3266984224319458},{"id":"https://openalex.org/keywords/nursing","display_name":"Nursing","score":0.23695725202560425},{"id":"https://openalex.org/keywords/computer-science","display_name":"Computer science","score":0.15419968962669373},{"id":"https://openalex.org/keywords/political-science","display_name":"Political science","score":0.09477999806404114},{"id":"https://openalex.org/keywords/public-health","display_name":"Public health","score":0.0910000205039978}],"concepts":[{"id":"https://openalex.org/C2250968","wikidata":"https://www.wikidata.org/wiki/Q1512929","display_name":"Health equity","level":3,"score":0.629765510559082},{"id":"https://openalex.org/C199728807","wikidata":"https://www.wikidata.org/wiki/Q2578557","display_name":"Equity (law)","level":2,"score":0.5634945631027222},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5308927893638611},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.5151249766349792},{"id":"https://openalex.org/C2779530757","wikidata":"https://www.wikidata.org/wiki/Q1207505","display_name":"Quality (philosophy)","level":2,"score":0.47233882546424866},{"id":"https://openalex.org/C164866538","wikidata":"https://www.wikidata.org/wiki/Q367351","display_name":"Cluster (spacecraft)","level":2,"score":0.4404081404209137},{"id":"https://openalex.org/C2988170871","wikidata":"https://www.wikidata.org/wiki/Q11000047","display_name":"Healthcare system","level":3,"score":0.4132445156574249},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.41108986735343933},{"id":"https://openalex.org/C149923435","wikidata":"https://www.wikidata.org/wiki/Q37732","display_name":"Demography","level":1,"score":0.3438650667667389},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.3266984224319458},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.23695725202560425},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.15419968962669373},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.09477999806404114},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.0910000205039978},{"id":"https://openalex.org/C138885662","wikidata":"https://www.wikidata.org/wiki/Q5891","display_name":"Philosophy","level":0,"score":0.0},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0},{"id":"https://openalex.org/C111472728","wikidata":"https://www.wikidata.org/wiki/Q9471","display_name":"Epistemology","level":1,"score":0.0},{"id":"https://openalex.org/C199360897","wikidata":"https://www.wikidata.org/wiki/Q9143","display_name":"Programming language","level":1,"score":0.0},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.0}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.1038/s41746-023-00925-5","is_oa":true,"landing_page_url":"https://doi.org/10.1038/s41746-023-00925-5","pdf_url":"https://www.nature.com/articles/s41746-023-00925-5.pdf","source":{"id":"https://openalex.org/S4210195431","display_name":"npj Digital Medicine","issn_l":"2398-6352","issn":["2398-6352"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310319908","host_organization_name":"Nature Portfolio","host_organization_lineage":["https://openalex.org/P4310319908","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Nature Portfolio","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":"npj Digital Medicine","raw_type":"journal-article"},{"id":"pmid:37828119","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/37828119","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":"NPJ digital medicine","raw_type":null},{"id":"pmh:oai:pubmedcentral.nih.gov:10570342","is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/10570342","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC10570342/pdf/41746_2023_Article_925.pdf","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":"NPJ Digit Med","raw_type":"Text"},{"id":"pmh:oai:doaj.org/article:5a3339b35f4042b2bb3ef03c13da8710","is_oa":true,"landing_page_url":"https://doaj.org/article/5a3339b35f4042b2bb3ef03c13da8710","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":"npj Digital Medicine, Vol 6, Iss 1, Pp 1-9 (2023)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1038/s41746-023-00925-5","is_oa":true,"landing_page_url":"https://doi.org/10.1038/s41746-023-00925-5","pdf_url":"https://www.nature.com/articles/s41746-023-00925-5.pdf","source":{"id":"https://openalex.org/S4210195431","display_name":"npj Digital Medicine","issn_l":"2398-6352","issn":["2398-6352"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310319908","host_organization_name":"Nature Portfolio","host_organization_lineage":["https://openalex.org/P4310319908","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Nature Portfolio","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":"npj Digital Medicine","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.6600000262260437,"id":"https://metadata.un.org/sdg/1","display_name":"No poverty"}],"awards":[{"id":"https://openalex.org/G3853912554","display_name":null,"funder_award_id":"P30CA023108","funder_id":"https://openalex.org/F4320337351","funder_display_name":"National Cancer Institute"},{"id":"https://openalex.org/G4898530913","display_name":null,"funder_award_id":"P30CA023108","funder_id":"https://openalex.org/F4320332817","funder_display_name":"Norris Cotton Cancer Center"},{"id":"https://openalex.org/G6362915941","display_name":null,"funder_award_id":"P30 CA023108","funder_id":"https://openalex.org/F4320337351","funder_display_name":"National Cancer Institute"}],"funders":[{"id":"https://openalex.org/F4320310400","display_name":"Dartmouth College","ror":"https://ror.org/049s0rh22"},{"id":"https://openalex.org/F4320332817","display_name":"Norris Cotton Cancer Center","ror":"https://ror.org/00d1dhh09"},{"id":"https://openalex.org/F4320337351","display_name":"National Cancer Institute","ror":"https://ror.org/040gcmg81"}],"has_content":{"pdf":true,"grobid_xml":false},"content_urls":{"pdf":"https://content.openalex.org/works/W4387580464.pdf"},"referenced_works_count":55,"referenced_works":["https://openalex.org/W1484298347","https://openalex.org/W1583301223","https://openalex.org/W1974442604","https://openalex.org/W1980600844","https://openalex.org/W1983423894","https://openalex.org/W1984949566","https://openalex.org/W1990448708","https://openalex.org/W1996881001","https://openalex.org/W1999988587","https://openalex.org/W2014055951","https://openalex.org/W2014352947","https://openalex.org/W2016381774","https://openalex.org/W2021506096","https://openalex.org/W2043696784","https://openalex.org/W2054257136","https://openalex.org/W2057155504","https://openalex.org/W2067920563","https://openalex.org/W2078629735","https://openalex.org/W2098928119","https://openalex.org/W2099882111","https://openalex.org/W2104662184","https://openalex.org/W2106850631","https://openalex.org/W2112648219","https://openalex.org/W2113721982","https://openalex.org/W2113982990","https://openalex.org/W2115127702","https://openalex.org/W2130270177","https://openalex.org/W2131727935","https://openalex.org/W2142510440","https://openalex.org/W2142965190","https://openalex.org/W2144164586","https://openalex.org/W2144383422","https://openalex.org/W2160474236","https://openalex.org/W2727650337","https://openalex.org/W2766118470","https://openalex.org/W2767399032","https://openalex.org/W2793703707","https://openalex.org/W2885948478","https://openalex.org/W2921742759","https://openalex.org/W2945526235","https://openalex.org/W3000427375","https://openalex.org/W3006087551","https://openalex.org/W3008126352","https://openalex.org/W3011873186","https://openalex.org/W3039955899","https://openalex.org/W3080514449","https://openalex.org/W3080806213","https://openalex.org/W3113022862","https://openalex.org/W3159767223","https://openalex.org/W3163993681","https://openalex.org/W3204628305","https://openalex.org/W4253296582","https://openalex.org/W4280504985","https://openalex.org/W4280515920","https://openalex.org/W6634947086"],"related_works":["https://openalex.org/W1159694101","https://openalex.org/W2163184657","https://openalex.org/W2797427871","https://openalex.org/W2018661294","https://openalex.org/W2323984853","https://openalex.org/W3024114128","https://openalex.org/W3214957520","https://openalex.org/W31505727","https://openalex.org/W2932738180","https://openalex.org/W4380151695"],"abstract_inverted_index":{"Racial":[0],"disparities":[1,31,68,225,243],"in":[2],"hospice":[3,101,175,191,241],"care":[4],"are":[5,21],"well":[6],"documented":[7],"for":[8,104,124],"patients":[9,108,159],"with":[10,80,109],"cancer,":[11],"but":[12],"the":[13,24,119,221,230,238,246],"existence,":[14],"direction,":[15],"and":[16,69,84,128,146,154,200],"extent":[17],"of":[18,107,126,179,198,224,232,240],"disparity":[19,134,142,211],"findings":[20],"contradictory":[22],"across":[23,144,160],"literature.":[25],"Current":[26],"methods":[27],"to":[28,34,49,58,87,131,150,250],"identify":[29,50,132],"racial":[30,133,141,210,242],"aggregate":[32],"data":[33,85,103,248],"produce":[35],"single-value":[36],"quality":[37,43,73,152,217,233,252],"measures":[38,153],"that":[39,65,113],"exclude":[40],"important":[41],"patient":[42,93],"elements":[44],"and,":[45],"consequently,":[46],"lack":[47],"information":[48,79],"actionable":[51,72],"equity":[52],"improvement":[53,74],"insights.":[54],"Our":[55],"goal":[56],"was":[57],"develop":[59,88],"an":[60],"explainable":[61],"machine":[62,137],"learning":[63],"approach":[64,236],"elucidates":[66,237],"healthcare":[67],"provides":[70],"more":[71,174,190],"information.":[75],"We":[76,117],"infused":[77],"clinical":[78],"engineering":[81],"systems":[82],"modeling":[83],"science":[86],"a":[89,105],"time-by-utilization":[90],"profile":[91],"per":[92],"group":[94,122],"at":[95],"each":[96],"hospital":[97,155],"using":[98],"US":[99],"Medicare":[100],"utilization":[102,176,192],"cohort":[106],"advanced":[110],"(poor-prognosis)":[111],"cancer":[112],"died":[114],"April-December":[115],"2016.":[116],"calculated":[118],"difference":[120],"between":[121],"profiles":[123],"people":[125,130,178,195,197],"color":[127,180],"white":[129,182,194],"signatures.":[135],"Using":[136],"learning,":[138],"we":[139,163],"clustered":[140],"signatures":[143],"hospitals":[145],"compared":[147],"these":[148],"clusters":[149,168,185],"classic":[151],"characteristics.":[156],"With":[157],"45,125":[158],"362":[161],"hospitals,":[162],"identified":[164],"7":[165],"clusters;":[166],"4":[167],"(n":[169,186,203],"=":[170,187,204],"190":[171],"hospitals)":[172],"showed":[173,189,206],"by":[177,193],"than":[181,196],"people,":[183],"2":[184],"106)":[188],"color,":[199],"1":[201],"cluster":[202],"66)":[205],"no":[207],"difference.":[208],"Within-hospital":[209],"behaviors":[212],"cannot":[213],"be":[214,227],"predicted":[215],"from":[216,245],"measures,":[218],"showing":[219],"how":[220],"true":[222],"shape":[223,239],"can":[226],"distorted":[228],"through":[229],"lens":[231],"measures.":[234,253],"This":[235],"algorithmically":[244],"same":[247],"used":[249],"calculate":[251]},"counts_by_year":[{"year":2026,"cited_by_count":4},{"year":2025,"cited_by_count":7},{"year":2024,"cited_by_count":1},{"year":2023,"cited_by_count":1}],"updated_date":"2026-06-24T13:16:06.693445","created_date":"2025-10-10T00:00:00"}