{"id":"https://openalex.org/W3138578893","doi":"https://doi.org/10.1186/s12911-021-01455-4","title":"Primary care practices\u2019 ability to predict future risk of expenditures and hospitalization using risk stratification and segmentation","display_name":"Primary care practices\u2019 ability to predict future risk of expenditures and hospitalization using risk stratification and segmentation","publication_year":2021,"publication_date":"2021-03-18","ids":{"openalex":"https://openalex.org/W3138578893","doi":"https://doi.org/10.1186/s12911-021-01455-4","mag":"3138578893","pmid":"https://pubmed.ncbi.nlm.nih.gov/33736636"},"language":"en","primary_location":{"id":"doi:10.1186/s12911-021-01455-4","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12911-021-01455-4","pdf_url":"https://bmcmedinformdecismak.biomedcentral.com/counter/pdf/10.1186/s12911-021-01455-4","source":{"id":"https://openalex.org/S107516304","display_name":"BMC Medical Informatics and Decision Making","issn_l":"1472-6947","issn":["1472-6947"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","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":"BMC Medical Informatics and Decision Making","raw_type":"journal-article"},"type":"article","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://bmcmedinformdecismak.biomedcentral.com/counter/pdf/10.1186/s12911-021-01455-4","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5009855380","display_name":"David A Dorr","orcid":"https://orcid.org/0000-0003-2318-7261"},"institutions":[{"id":"https://openalex.org/I165690674","display_name":"Oregon Health & Science University","ror":"https://ror.org/009avj582","country_code":"US","type":"education","lineage":["https://openalex.org/I165690674"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"David A. Dorr","raw_affiliation_strings":["Department of Medical Informatics and Clinical Epidemiology, Oregon Health and Science University, 3030 SW Moody Ave, Portland, OR, 97201, USA. dorrd@ohsu.edu","Department of Medical Informatics and Clinical Epidemiology, Oregon Health and Science University, Portland, USA"],"raw_orcid":"https://orcid.org/0000-0003-2318-7261","affiliations":[{"raw_affiliation_string":"Department of Medical Informatics and Clinical Epidemiology, Oregon Health and Science University, 3030 SW Moody Ave, Portland, OR, 97201, USA. dorrd@ohsu.edu","institution_ids":["https://openalex.org/I165690674"]},{"raw_affiliation_string":"Department of Medical Informatics and Clinical Epidemiology, Oregon Health and Science University, Portland, USA","institution_ids":["https://openalex.org/I165690674"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5001790590","display_name":"Rachel Ross","orcid":"https://orcid.org/0000-0001-5364-9960"},"institutions":[{"id":"https://openalex.org/I165690674","display_name":"Oregon Health & Science University","ror":"https://ror.org/009avj582","country_code":"US","type":"education","lineage":["https://openalex.org/I165690674"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Rachel L. Ross","raw_affiliation_strings":["Department of Medical Informatics and Clinical Epidemiology, Oregon Health and Science University, 3030 SW Moody Ave, Portland, OR, 97201, USA","Department of Medical Informatics and Clinical Epidemiology, Oregon Health and Science University, Portland, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medical Informatics and Clinical Epidemiology, Oregon Health and Science University, 3030 SW Moody Ave, Portland, OR, 97201, USA","institution_ids":["https://openalex.org/I165690674"]},{"raw_affiliation_string":"Department of Medical Informatics and Clinical Epidemiology, Oregon Health and Science University, Portland, USA","institution_ids":["https://openalex.org/I165690674"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5000351094","display_name":"Deborah J. Cohen","orcid":"https://orcid.org/0000-0003-1689-4574"},"institutions":[{"id":"https://openalex.org/I165690674","display_name":"Oregon Health & Science University","ror":"https://ror.org/009avj582","country_code":"US","type":"education","lineage":["https://openalex.org/I165690674"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Deborah Cohen","raw_affiliation_strings":["Department of Medical Informatics and Clinical Epidemiology, Oregon Health and Science University, 3030 SW Moody Ave, Portland, OR, 97201, USA","Department of Medical Informatics and Clinical Epidemiology, Oregon Health and Science University, Portland, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medical Informatics and Clinical Epidemiology, Oregon Health and Science University, 3030 SW Moody Ave, Portland, OR, 97201, USA","institution_ids":["https://openalex.org/I165690674"]},{"raw_affiliation_string":"Department of Medical Informatics and Clinical Epidemiology, Oregon Health and Science University, Portland, USA","institution_ids":["https://openalex.org/I165690674"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5002279941","display_name":"Devan Kansagara","orcid":"https://orcid.org/0000-0002-6868-0976"},"institutions":[{"id":"https://openalex.org/I165690674","display_name":"Oregon Health & Science University","ror":"https://ror.org/009avj582","country_code":"US","type":"education","lineage":["https://openalex.org/I165690674"]},{"id":"https://openalex.org/I4210144745","display_name":"VA Portland Health Care System","ror":"https://ror.org/054484h93","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1322918889","https://openalex.org/I2799886695","https://openalex.org/I4210144745"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Devan Kansagara","raw_affiliation_strings":["Department of Medical Informatics and Clinical Epidemiology, Oregon Health and Science University, 3030 SW Moody Ave, Portland, OR, 97201, USA","VA Portland Health Care System, Portland, OR, USA","VA Portland Health Care System, Portland, USA","Department of Medical Informatics and Clinical Epidemiology, Oregon Health and Science University, Portland, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medical Informatics and Clinical Epidemiology, Oregon Health and Science University, 3030 SW Moody Ave, Portland, OR, 97201, USA","institution_ids":["https://openalex.org/I165690674"]},{"raw_affiliation_string":"VA Portland Health Care System, Portland, OR, USA","institution_ids":["https://openalex.org/I4210144745"]},{"raw_affiliation_string":"VA Portland Health Care System, Portland, USA","institution_ids":["https://openalex.org/I4210144745"]},{"raw_affiliation_string":"Department of Medical Informatics and Clinical Epidemiology, Oregon Health and Science University, Portland, USA","institution_ids":["https://openalex.org/I165690674"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5070555996","display_name":"Katrina Ramsey","orcid":"https://orcid.org/0000-0002-3958-0087"},"institutions":[{"id":"https://openalex.org/I165690674","display_name":"Oregon Health & Science University","ror":"https://ror.org/009avj582","country_code":"US","type":"education","lineage":["https://openalex.org/I165690674"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Katrina Ramsey","raw_affiliation_strings":["Department of Medical Informatics and Clinical Epidemiology, Oregon Health and Science University, 3030 SW Moody Ave, Portland, OR, 97201, USA","Department of Medical Informatics and Clinical Epidemiology, Oregon Health and Science University, Portland, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medical Informatics and Clinical Epidemiology, Oregon Health and Science University, 3030 SW Moody Ave, Portland, OR, 97201, USA","institution_ids":["https://openalex.org/I165690674"]},{"raw_affiliation_string":"Department of Medical Informatics and Clinical Epidemiology, Oregon Health and Science University, Portland, USA","institution_ids":["https://openalex.org/I165690674"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5056787123","display_name":"Bhavaya Sachdeva","orcid":null},"institutions":[{"id":"https://openalex.org/I165690674","display_name":"Oregon Health & Science University","ror":"https://ror.org/009avj582","country_code":"US","type":"education","lineage":["https://openalex.org/I165690674"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Bhavaya Sachdeva","raw_affiliation_strings":["Department of Medical Informatics and Clinical Epidemiology, Oregon Health and Science University, 3030 SW Moody Ave, Portland, OR, 97201, USA","Department of Medical Informatics and Clinical Epidemiology, Oregon Health and Science University, Portland, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medical Informatics and Clinical Epidemiology, Oregon Health and Science University, 3030 SW Moody Ave, Portland, OR, 97201, USA","institution_ids":["https://openalex.org/I165690674"]},{"raw_affiliation_string":"Department of Medical Informatics and Clinical Epidemiology, Oregon Health and Science University, Portland, USA","institution_ids":["https://openalex.org/I165690674"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5021283117","display_name":"Jonathan P. Weiner","orcid":"https://orcid.org/0000-0002-8299-3995"},"institutions":[{"id":"https://openalex.org/I145311948","display_name":"Johns Hopkins University","ror":"https://ror.org/00za53h95","country_code":"US","type":"education","lineage":["https://openalex.org/I145311948"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jonathan P. Weiner","raw_affiliation_strings":["Johns Hopkins University, Baltimore, MD, USA","Johns Hopkins University, Baltimore, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Johns Hopkins University, Baltimore, MD, USA","institution_ids":["https://openalex.org/I145311948"]},{"raw_affiliation_string":"Johns Hopkins University, Baltimore, USA","institution_ids":["https://openalex.org/I145311948"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":7,"corresponding_author_ids":["https://openalex.org/A5009855380"],"corresponding_institution_ids":["https://openalex.org/I165690674"],"apc_list":{"value":1570,"currency":"GBP","value_usd":1925},"apc_paid":{"value":1570,"currency":"GBP","value_usd":1925},"fwci":0.9161,"has_fulltext":true,"cited_by_count":9,"citation_normalized_percentile":{"value":0.73783174,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":90,"max":98},"biblio":{"volume":"21","issue":"1","first_page":"104","last_page":"104"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12246","display_name":"Chronic Disease Management Strategies","score":0.6402999758720398,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"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/T12246","display_name":"Chronic Disease Management Strategies","score":0.6402999758720398,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"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/T11590","display_name":"Primary Care and Health Outcomes","score":0.21629999577999115,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"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/T10391","display_name":"Healthcare Policy and Management","score":0.026900000870227814,"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/medicine","display_name":"Medicine","score":0.7607327699661255},{"id":"https://openalex.org/keywords/risk-assessment","display_name":"Risk assessment","score":0.6092542409896851},{"id":"https://openalex.org/keywords/health-care","display_name":"Health care","score":0.5354699492454529},{"id":"https://openalex.org/keywords/risk-stratification","display_name":"Risk stratification","score":0.5135421752929688},{"id":"https://openalex.org/keywords/health-informatics","display_name":"Health informatics","score":0.45507538318634033},{"id":"https://openalex.org/keywords/risk-management-tools","display_name":"Risk management tools","score":0.4368392825126648},{"id":"https://openalex.org/keywords/population","display_name":"Population","score":0.4330947697162628},{"id":"https://openalex.org/keywords/primary-care","display_name":"Primary care","score":0.4266829490661621},{"id":"https://openalex.org/keywords/emergency-medicine","display_name":"Emergency medicine","score":0.4251961410045624},{"id":"https://openalex.org/keywords/medline","display_name":"MEDLINE","score":0.42030981183052063},{"id":"https://openalex.org/keywords/risk-management","display_name":"Risk management","score":0.4116526246070862},{"id":"https://openalex.org/keywords/public-health","display_name":"Public health","score":0.36214005947113037},{"id":"https://openalex.org/keywords/intensive-care-medicine","display_name":"Intensive care medicine","score":0.3522154986858368},{"id":"https://openalex.org/keywords/family-medicine","display_name":"Family medicine","score":0.2905992865562439},{"id":"https://openalex.org/keywords/environmental-health","display_name":"Environmental health","score":0.23271861672401428},{"id":"https://openalex.org/keywords/nursing","display_name":"Nursing","score":0.15581977367401123},{"id":"https://openalex.org/keywords/internal-medicine","display_name":"Internal medicine","score":0.13751351833343506}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7607327699661255},{"id":"https://openalex.org/C12174686","wikidata":"https://www.wikidata.org/wiki/Q1058438","display_name":"Risk assessment","level":2,"score":0.6092542409896851},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.5354699492454529},{"id":"https://openalex.org/C3020404979","wikidata":"https://www.wikidata.org/wiki/Q1058438","display_name":"Risk stratification","level":2,"score":0.5135421752929688},{"id":"https://openalex.org/C145642194","wikidata":"https://www.wikidata.org/wiki/Q870895","display_name":"Health informatics","level":3,"score":0.45507538318634033},{"id":"https://openalex.org/C150241267","wikidata":"https://www.wikidata.org/wiki/Q7336285","display_name":"Risk management tools","level":3,"score":0.4368392825126648},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.4330947697162628},{"id":"https://openalex.org/C2984752397","wikidata":"https://www.wikidata.org/wiki/Q3259956","display_name":"Primary care","level":2,"score":0.4266829490661621},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.4251961410045624},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.42030981183052063},{"id":"https://openalex.org/C32896092","wikidata":"https://www.wikidata.org/wiki/Q189447","display_name":"Risk management","level":2,"score":0.4116526246070862},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.36214005947113037},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.3522154986858368},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.2905992865562439},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.23271861672401428},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.15581977367401123},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.13751351833343506},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.0},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.0},{"id":"https://openalex.org/C187736073","wikidata":"https://www.wikidata.org/wiki/Q2920921","display_name":"Management","level":1,"score":0.0},{"id":"https://openalex.org/C38652104","wikidata":"https://www.wikidata.org/wiki/Q3510521","display_name":"Computer security","level":1,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D005102","descriptor_name":"Health Expenditures","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D005102","descriptor_name":"Health Expenditures","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D005102","descriptor_name":"Health Expenditures","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006760","descriptor_name":"Hospitalization","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006760","descriptor_name":"Hospitalization","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006760","descriptor_name":"Hospitalization","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011320","descriptor_name":"Primary Health Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011320","descriptor_name":"Primary Health Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011320","descriptor_name":"Primary Health Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D018166","descriptor_name":"Health Care Reform","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D018166","descriptor_name":"Health Care Reform","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D018166","descriptor_name":"Health Care Reform","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D018570","descriptor_name":"Risk Assessment","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D018570","descriptor_name":"Risk Assessment","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D018570","descriptor_name":"Risk Assessment","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":4,"locations":[{"id":"doi:10.1186/s12911-021-01455-4","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12911-021-01455-4","pdf_url":"https://bmcmedinformdecismak.biomedcentral.com/counter/pdf/10.1186/s12911-021-01455-4","source":{"id":"https://openalex.org/S107516304","display_name":"BMC Medical Informatics and Decision Making","issn_l":"1472-6947","issn":["1472-6947"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","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":"BMC Medical Informatics and Decision Making","raw_type":"journal-article"},{"id":"pmid:33736636","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/33736636","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":"BMC medical informatics and decision making","raw_type":null},{"id":"pmh:oai:doaj.org/article:fa06de3a0ae14b89860e65d3fe1c6b42","is_oa":true,"landing_page_url":"https://doaj.org/article/fa06de3a0ae14b89860e65d3fe1c6b42","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":"BMC Medical Informatics and Decision Making, Vol 21, Iss 1, Pp 1-8 (2021)","raw_type":"article"},{"id":"pmh:oai:pubmedcentral.nih.gov:7977271","is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/7977271","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":"BMC Med Inform Decis Mak","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.1186/s12911-021-01455-4","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12911-021-01455-4","pdf_url":"https://bmcmedinformdecismak.biomedcentral.com/counter/pdf/10.1186/s12911-021-01455-4","source":{"id":"https://openalex.org/S107516304","display_name":"BMC Medical Informatics and Decision Making","issn_l":"1472-6947","issn":["1472-6947"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","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":"BMC Medical Informatics and Decision Making","raw_type":"journal-article"},"sustainable_development_goals":[],"awards":[{"id":"https://openalex.org/G1116137530","display_name":null,"funder_award_id":"20140607","funder_id":"https://openalex.org/F4320306176","funder_display_name":"Commonwealth Fund"}],"funders":[{"id":"https://openalex.org/F4320306176","display_name":"Commonwealth Fund","ror":"https://ror.org/049kzbj92"}],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W3138578893.pdf","grobid_xml":"https://content.openalex.org/works/W3138578893.grobid-xml"},"referenced_works_count":13,"referenced_works":["https://openalex.org/W562619540","https://openalex.org/W1504571346","https://openalex.org/W1976798003","https://openalex.org/W1990725108","https://openalex.org/W2037912234","https://openalex.org/W2093274439","https://openalex.org/W2322163559","https://openalex.org/W2412179078","https://openalex.org/W2413027554","https://openalex.org/W2461503925","https://openalex.org/W2740020869","https://openalex.org/W2765552636","https://openalex.org/W2958163583"],"related_works":["https://openalex.org/W2480445825","https://openalex.org/W1941743136","https://openalex.org/W3041075136","https://openalex.org/W2482062143","https://openalex.org/W1971579841","https://openalex.org/W2285205992","https://openalex.org/W2503841901","https://openalex.org/W2153011985","https://openalex.org/W2483482908","https://openalex.org/W3006961029"],"abstract_inverted_index":{"BACKGROUND:":[0],"Patients":[1],"with":[2,211,223],"complex":[3],"health":[4,20],"care":[5,21,90,104,127],"needs":[6],"may":[7],"suffer":[8],"adverse":[9,36,53],"outcomes":[10,37,225,277],"from":[11],"fragmented":[12],"and":[13,18,69,116,129,141,160,170,233,245],"delayed":[14],"care,":[15,30],"reducing":[16],"well-being":[17],"increasing":[19],"costs.":[22],"Health":[23],"reform":[24],"efforts,":[25],"especially":[26],"those":[27,43,122],"in":[28,45,151,250,274],"primary":[29,89,103],"attempt":[31],"to":[32,42,52,75,86,118,143,154,248],"mitigate":[33,119],"risk":[34,95,99,106,120,125,133,146,176,196,204,267],"of":[35,73,163,216,252],"by":[38,136,182],"better":[39,96],"targeting":[40],"resources":[41,74],"most":[44],"need.":[46],"However,":[47],"predicting":[48,275],"who":[49],"is":[50,78],"susceptible":[51],"outcomes,":[54],"such":[55],"as":[56],"unplanned":[57],"hospitalizations,":[58],"ED":[59,158],"visits,":[60,159],"or":[61,192],"other":[62],"potentially":[63],"avoidable":[64],"expenditures,":[65,157],"can":[66,92],"be":[67],"difficult,":[68],"providing":[70],"intensive":[71],"levels":[72],"all":[76],"patients":[77,202,222],"neither":[79],"wanted":[80],"nor":[81],"efficient.":[82],"Our":[83],"objective":[84],"was":[85,228],"understand":[87],"if":[88],"teams":[91],"predict":[93,155],"patient":[94,110,132],"than":[97,278],"standard":[98],"scores.":[100],"METHODS:":[101],"Six":[102],"practices":[105,138],"stratified":[107,181],"their":[108,152],"entire":[109],"population":[111],"over":[112],"a":[113,144],"2-year":[114],"period,":[115],"worked":[117],"for":[121,174],"at":[123],"high":[124,229],"through":[126],"management":[128],"coordination.":[130],"Individual":[131],"scores":[134,207,213,239],"created":[135],"the":[137,184,220],"were":[139,172,180,203,235],"collected":[140],"compared":[142,247],"common":[145,276],"score":[147],"(Hierarchical":[148],"Condition":[149],"Categories)":[150],"ability":[153],"future":[156],"hospitalizations.":[161],"Accuracy":[162],"predictions,":[164],"sensitivity,":[165,243],"positive":[166],"predictive":[167],"values":[168],"(PPV),":[169],"c-statistics":[171],"calculated":[173],"each":[175],"scoring":[177],"type.":[178],"Analyses":[179],"whether":[183],"practice":[185],"used":[186],"intuition":[187],"alone,":[188,191],"an":[189,194],"algorithm":[190],"adjudicated":[193],"algorithmic":[195],"score.":[197],"RESULTS:":[198],"In":[199],"all,":[200],"40,342":[201],"stratified.":[205],"Practice":[206],"had":[208,240,270],"38.6%":[209],"agreement":[210],"HCC":[212,249],"on":[214,258],"identification":[215],"high-risk":[217],"patients.":[218],"For":[219],"3,381":[221],"reliable":[224],"data,":[226],"accuracy":[227,273],"(0.71-0.88)":[230],"but":[231,280],"sensitivity":[232],"PPV":[234,246],"low":[236],"(0.16-0.40).":[237],"Practice-created":[238],"0.02-0.14":[241],"lower":[242],"specificity":[244],"prediction":[251],"outcomes.":[253],"Practices":[254,264],"using":[255,265],"adjudication":[256,281],"had,":[257],"average,":[259],".16":[260],"higher":[261],"sensitivity.":[262],"CONCLUSIONS:":[263],"simple":[266],"stratification":[268],"techniques":[269],"slightly":[271],"worse":[272],"HCC,":[279],"improved":[282],"prediction.":[283]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2025,"cited_by_count":2},{"year":2024,"cited_by_count":1},{"year":2023,"cited_by_count":3},{"year":2021,"cited_by_count":2}],"updated_date":"2026-05-06T08:25:59.206177","created_date":"2025-10-10T00:00:00"}