{"id":"https://openalex.org/W4408095585","doi":"https://doi.org/10.3389/fdgth.2025.1546467","title":"Use of artificial intelligence for reverse referral between a hospital emergency department and a primary urgent care center","display_name":"Use of artificial intelligence for reverse referral between a hospital emergency department and a primary urgent care center","publication_year":2025,"publication_date":"2025-03-03","ids":{"openalex":"https://openalex.org/W4408095585","doi":"https://doi.org/10.3389/fdgth.2025.1546467","pmid":"https://pubmed.ncbi.nlm.nih.gov/40099035"},"language":"en","primary_location":{"id":"doi:10.3389/fdgth.2025.1546467","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fdgth.2025.1546467","pdf_url":"https://www.frontiersin.org/journals/digital-health/articles/10.3389/fdgth.2025.1546467/pdf","source":{"id":"https://openalex.org/S4210170686","display_name":"Frontiers in Digital Health","issn_l":"2673-253X","issn":["2673-253X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Digital Health","raw_type":"journal-article"},"type":"article","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.frontiersin.org/journals/digital-health/articles/10.3389/fdgth.2025.1546467/pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5116480835","display_name":"Yolanda Taules","orcid":null},"institutions":[{"id":"https://openalex.org/I4210133944","display_name":"Biomedical Research Institute of Lleida","ror":"https://ror.org/03mfyme49","country_code":"ES","type":"facility","lineage":["https://openalex.org/I4210133944","https://openalex.org/I4387153040"]},{"id":"https://openalex.org/I2802050926","display_name":"Hospital Universitari Arnau de Vilanova","ror":"https://ror.org/01p3tpn79","country_code":"ES","type":"healthcare","lineage":["https://openalex.org/I157913058","https://openalex.org/I2802050926","https://openalex.org/I4210153292"]}],"countries":["ES"],"is_corresponding":false,"raw_author_name":"Yolanda Taules","raw_affiliation_strings":["ERLaB, Grupo de Investigaci\u00f3n en Urgencias, IRBLLEIDA, Lleida, Spain","Emergency Department, University Hospital Arnau de Vilanova, Lleida, Spain"],"affiliations":[{"raw_affiliation_string":"ERLaB, Grupo de Investigaci\u00f3n en Urgencias, IRBLLEIDA, Lleida, Spain","institution_ids":["https://openalex.org/I4210133944"]},{"raw_affiliation_string":"Emergency Department, University Hospital Arnau de Vilanova, Lleida, Spain","institution_ids":["https://openalex.org/I2802050926"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5060100054","display_name":"S\u00edlvia Gros","orcid":null},"institutions":[{"id":"https://openalex.org/I4210133944","display_name":"Biomedical Research Institute of Lleida","ror":"https://ror.org/03mfyme49","country_code":"ES","type":"facility","lineage":["https://openalex.org/I4210133944","https://openalex.org/I4387153040"]},{"id":"https://openalex.org/I2802050926","display_name":"Hospital Universitari Arnau de Vilanova","ror":"https://ror.org/01p3tpn79","country_code":"ES","type":"healthcare","lineage":["https://openalex.org/I157913058","https://openalex.org/I2802050926","https://openalex.org/I4210153292"]}],"countries":["ES"],"is_corresponding":false,"raw_author_name":"Silvia Gros","raw_affiliation_strings":["ERLaB, Grupo de Investigaci\u00f3n en Urgencias, IRBLLEIDA, Lleida, Spain","Emergency Department, University Hospital Arnau de Vilanova, Lleida, Spain"],"affiliations":[{"raw_affiliation_string":"ERLaB, Grupo de Investigaci\u00f3n en Urgencias, IRBLLEIDA, Lleida, Spain","institution_ids":["https://openalex.org/I4210133944"]},{"raw_affiliation_string":"Emergency Department, University Hospital Arnau de Vilanova, Lleida, Spain","institution_ids":["https://openalex.org/I2802050926"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5048082958","display_name":"Maria Viladrosa","orcid":"https://orcid.org/0000-0001-9434-6464"},"institutions":[{"id":"https://openalex.org/I2802050926","display_name":"Hospital Universitari Arnau de Vilanova","ror":"https://ror.org/01p3tpn79","country_code":"ES","type":"healthcare","lineage":["https://openalex.org/I157913058","https://openalex.org/I2802050926","https://openalex.org/I4210153292"]},{"id":"https://openalex.org/I4210133944","display_name":"Biomedical Research Institute of Lleida","ror":"https://ror.org/03mfyme49","country_code":"ES","type":"facility","lineage":["https://openalex.org/I4210133944","https://openalex.org/I4387153040"]}],"countries":["ES"],"is_corresponding":false,"raw_author_name":"Maria Viladrosa","raw_affiliation_strings":["ERLaB, Grupo de Investigaci\u00f3n en Urgencias, IRBLLEIDA, Lleida, Spain","Emergency Department, University Hospital Arnau de Vilanova, Lleida, Spain"],"affiliations":[{"raw_affiliation_string":"ERLaB, Grupo de Investigaci\u00f3n en Urgencias, IRBLLEIDA, Lleida, Spain","institution_ids":["https://openalex.org/I4210133944"]},{"raw_affiliation_string":"Emergency Department, University Hospital Arnau de Vilanova, Lleida, Spain","institution_ids":["https://openalex.org/I2802050926"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5116480836","display_name":"Nat\u00e0lia Llorens","orcid":null},"institutions":[{"id":"https://openalex.org/I138847295","display_name":"Universitat Oberta de Catalunya","ror":"https://ror.org/01f5wp925","country_code":"ES","type":"education","lineage":["https://openalex.org/I138847295"]}],"countries":["ES"],"is_corresponding":false,"raw_author_name":"Nat\u00e0lia Llorens","raw_affiliation_strings":["Primary Care Emergency Center, Catalan Health Instiute (ICS), Lleida, Spain, 4eHealth Center, Universitat Oberta de Catalunya (UOC), Barcelona, Spain"],"affiliations":[{"raw_affiliation_string":"Primary Care Emergency Center, Catalan Health Instiute (ICS), Lleida, Spain, 4eHealth Center, Universitat Oberta de Catalunya (UOC), Barcelona, Spain","institution_ids":["https://openalex.org/I138847295"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5074973675","display_name":"Stephanie Solis","orcid":null},"institutions":[{"id":"https://openalex.org/I138847295","display_name":"Universitat Oberta de Catalunya","ror":"https://ror.org/01f5wp925","country_code":"ES","type":"education","lineage":["https://openalex.org/I138847295"]}],"countries":["ES"],"is_corresponding":false,"raw_author_name":"S\u00edlvia Solis","raw_affiliation_strings":["Primary Care Emergency Center, Catalan Health Instiute (ICS), Lleida, Spain, 4eHealth Center, Universitat Oberta de Catalunya (UOC), Barcelona, Spain"],"affiliations":[{"raw_affiliation_string":"Primary Care Emergency Center, Catalan Health Instiute (ICS), Lleida, Spain, 4eHealth Center, Universitat Oberta de Catalunya (UOC), Barcelona, Spain","institution_ids":["https://openalex.org/I138847295"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5023521751","display_name":"Oriol Yuguero","orcid":"https://orcid.org/0000-0002-3433-8005"},"institutions":[{"id":"https://openalex.org/I4210133944","display_name":"Biomedical Research Institute of Lleida","ror":"https://ror.org/03mfyme49","country_code":"ES","type":"facility","lineage":["https://openalex.org/I4210133944","https://openalex.org/I4387153040"]},{"id":"https://openalex.org/I138847295","display_name":"Universitat Oberta de Catalunya","ror":"https://ror.org/01f5wp925","country_code":"ES","type":"education","lineage":["https://openalex.org/I138847295"]},{"id":"https://openalex.org/I2802050926","display_name":"Hospital Universitari Arnau de Vilanova","ror":"https://ror.org/01p3tpn79","country_code":"ES","type":"healthcare","lineage":["https://openalex.org/I157913058","https://openalex.org/I2802050926","https://openalex.org/I4210153292"]}],"countries":["ES"],"is_corresponding":true,"raw_author_name":"Oriol Yuguero","raw_affiliation_strings":["ERLaB, Grupo de Investigaci\u00f3n en Urgencias, IRBLLEIDA, Lleida, Spain","Emergency Department, University Hospital Arnau de Vilanova, Lleida, Spain","eHealth Center, Universitat Oberta de Catalunya, Barcelona, Spain"],"affiliations":[{"raw_affiliation_string":"ERLaB, Grupo de Investigaci\u00f3n en Urgencias, IRBLLEIDA, Lleida, Spain","institution_ids":["https://openalex.org/I4210133944"]},{"raw_affiliation_string":"Emergency Department, University Hospital Arnau de Vilanova, Lleida, Spain","institution_ids":["https://openalex.org/I2802050926"]},{"raw_affiliation_string":"eHealth Center, Universitat Oberta de Catalunya, Barcelona, Spain","institution_ids":["https://openalex.org/I138847295"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":6,"corresponding_author_ids":["https://openalex.org/A5023521751"],"corresponding_institution_ids":["https://openalex.org/I138847295","https://openalex.org/I2802050926","https://openalex.org/I4210133944"],"apc_list":{"value":1900,"currency":"USD","value_usd":1900},"apc_paid":{"value":1900,"currency":"USD","value_usd":1900},"fwci":7.0812,"has_fulltext":false,"cited_by_count":3,"citation_normalized_percentile":{"value":0.96050538,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":91,"max":99},"biblio":{"volume":"7","issue":null,"first_page":"1546467","last_page":"1546467"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11095","display_name":"Emergency and Acute Care Studies","score":0.9994000196456909,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"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/T11095","display_name":"Emergency and Acute Care Studies","score":0.9994000196456909,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"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/T11467","display_name":"Trauma and Emergency Care Studies","score":0.9819999933242798,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"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/T11296","display_name":"COVID-19 and healthcare impacts","score":0.9681000113487244,"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/referral","display_name":"Referral","score":0.7967116832733154},{"id":"https://openalex.org/keywords/emergency-department","display_name":"Emergency department","score":0.7540425062179565},{"id":"https://openalex.org/keywords/medicine","display_name":"Medicine","score":0.736281156539917},{"id":"https://openalex.org/keywords/medical-emergency","display_name":"Medical emergency","score":0.5949243307113647},{"id":"https://openalex.org/keywords/test","display_name":"Test (biology)","score":0.47562554478645325},{"id":"https://openalex.org/keywords/population","display_name":"Population","score":0.44079646468162537},{"id":"https://openalex.org/keywords/health-care","display_name":"Health care","score":0.4191064238548279},{"id":"https://openalex.org/keywords/primary-care","display_name":"Primary care","score":0.4140860140323639},{"id":"https://openalex.org/keywords/emergency-medicine","display_name":"Emergency medicine","score":0.40540024638175964},{"id":"https://openalex.org/keywords/family-medicine","display_name":"Family medicine","score":0.36466044187545776},{"id":"https://openalex.org/keywords/nursing","display_name":"Nursing","score":0.15089285373687744}],"concepts":[{"id":"https://openalex.org/C2776135927","wikidata":"https://www.wikidata.org/wiki/Q5242559","display_name":"Referral","level":2,"score":0.7967116832733154},{"id":"https://openalex.org/C2780724011","wikidata":"https://www.wikidata.org/wiki/Q1295316","display_name":"Emergency department","level":2,"score":0.7540425062179565},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.736281156539917},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.5949243307113647},{"id":"https://openalex.org/C2777267654","wikidata":"https://www.wikidata.org/wiki/Q3519023","display_name":"Test (biology)","level":2,"score":0.47562554478645325},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.44079646468162537},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.4191064238548279},{"id":"https://openalex.org/C2984752397","wikidata":"https://www.wikidata.org/wiki/Q3259956","display_name":"Primary care","level":2,"score":0.4140860140323639},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.40540024638175964},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.36466044187545776},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.15089285373687744},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.0},{"id":"https://openalex.org/C151730666","wikidata":"https://www.wikidata.org/wiki/Q7205","display_name":"Paleontology","level":1,"score":0.0},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","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}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.3389/fdgth.2025.1546467","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fdgth.2025.1546467","pdf_url":"https://www.frontiersin.org/journals/digital-health/articles/10.3389/fdgth.2025.1546467/pdf","source":{"id":"https://openalex.org/S4210170686","display_name":"Frontiers in Digital Health","issn_l":"2673-253X","issn":["2673-253X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Digital Health","raw_type":"journal-article"},{"id":"pmid:40099035","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/40099035","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":"Frontiers in digital health","raw_type":null},{"id":"pmh:oai:doaj.org/article:913b72d23a8c41dbb7e41f20884ed736","is_oa":true,"landing_page_url":"https://doaj.org/article/913b72d23a8c41dbb7e41f20884ed736","pdf_url":null,"source":{"id":"https://openalex.org/S112646816","display_name":"SHILAP Revista de lepidopterolog\u00eda","issn_l":"0300-5267","issn":["0300-5267","2340-4078"],"is_oa":true,"is_in_doaj":true,"is_core":false,"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Frontiers in Digital Health, Vol 7 (2025)","raw_type":"article"},{"id":"pmh:oai:europepmc.org:10727195","is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/11911458","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"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":null,"raw_type":"Text"}],"best_oa_location":{"id":"doi:10.3389/fdgth.2025.1546467","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fdgth.2025.1546467","pdf_url":"https://www.frontiersin.org/journals/digital-health/articles/10.3389/fdgth.2025.1546467/pdf","source":{"id":"https://openalex.org/S4210170686","display_name":"Frontiers in Digital Health","issn_l":"2673-253X","issn":["2673-253X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Digital Health","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.6399999856948853,"id":"https://metadata.un.org/sdg/3"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":false},"content_urls":{"pdf":"https://content.openalex.org/works/W4408095585.pdf"},"referenced_works_count":10,"referenced_works":["https://openalex.org/W2156967906","https://openalex.org/W2586849214","https://openalex.org/W2624261794","https://openalex.org/W2888116894","https://openalex.org/W3124326142","https://openalex.org/W4210812846","https://openalex.org/W4211062092","https://openalex.org/W4283376945","https://openalex.org/W4390954091","https://openalex.org/W6861199182"],"related_works":["https://openalex.org/W4384345078","https://openalex.org/W2141668586","https://openalex.org/W2050305294","https://openalex.org/W2244194037","https://openalex.org/W4289223613","https://openalex.org/W2946391707","https://openalex.org/W2625702017","https://openalex.org/W322167246","https://openalex.org/W2255678829","https://openalex.org/W2164384113"],"abstract_inverted_index":{"427":[0],"patients":[1],"finally":[2],"participated":[3],"in":[4,29],"the":[5,15,35],"pilot":[6],"study.":[7],"Within":[8],"this":[9],"population,":[10],"49.5%":[11],"were":[12],"women,":[13],"and":[14,39,56],"mean":[16],"patient":[17,42],"age":[18],"was":[19],"37.5":[20],"years.":[21],"Mediktor":[22],"recommended":[23],"reverse":[24],"referral":[25],"to":[26,51],"urgent":[27,61],"care":[28,55,62],"43.6%.":[30],"Our":[31],"results":[32],"demonstrate":[33],"that":[34],"tool":[36],"is":[37,64],"safe":[38],"provides":[40],"accurate":[41],"screening,":[43],"correctly":[44],"distinguishing":[45],"between":[46],"those":[47,57],"who":[48],"should":[49],"continue":[50],"wait":[52],"for":[53,58],"HED":[54],"whom":[59],"an":[60],"center":[63],"adequate.":[65]},"counts_by_year":[{"year":2026,"cited_by_count":2},{"year":2025,"cited_by_count":1}],"updated_date":"2026-03-23T07:41:27.035349","created_date":"2025-10-10T00:00:00"}