{"id":"W4392630831","doi":"10.1097/mlr.0000000000001982","title":"Ambulatory Care Fragmentation and Total Health Care Costs","year":2024,"lang":"en","type":"article","venue":"Medical Care","topic":"Healthcare Policy and Management","field":"Economics, Econometrics and Finance","cited_by":5,"is_retracted":false,"has_abstract":true,"ca_institutions":"","funders":"National Institute of Neurological Disorders and Stroke; Health Canada; National Institutes of Health; National Heart, Lung, and Blood Institute; Virginia Foundation for Healthy Youth; Amgen","keywords":"Ambulatory; Medicine; Ambulatory care; Reimbursement; Fragmentation (computing); Health care; Comorbidity; Demography; Emergency medicine; Gerontology; Surgery; Psychiatry","routes":{"ca_aff":false,"ca_fund":true,"ca_venue":false,"about_ca":false,"invisible_to_affiliation_only":true},"retraction":null,"screen":null,"direct_labels":[],"prediction":{"model_version":"metacan-v3-hybrid-931329e0061c","candidate_categories":[],"consensus_categories":[],"category_scores_codex":[0.001410758,0.0002714925,0.0003677599,0.00158173,0.0003370665,0.0008376489,0.0006035365,0.000354361,0.00277858],"category_scores_gemma":[0.009464769,0.0001908352,0.0006750881,0.0024758,0.0003279937,0.0005209712,0.0008325458,0.0006608337,0.0001789454],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.001189591,"about_ca_system_score_gemma":0.0008693016,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.02041945,"about_ca_topic_score_gemma":0.01895219,"domain_scores_codex":[0.9984643,0.0004503382,0.0002731265,0.0002155463,0.0003477847,0.0002488069],"domain_scores_gemma":[0.9823806,0.002286728,0.01227255,0.0004657537,0.001150677,0.001443612],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"observational","study_design_gemma":"observational","study_design_scores_codex":[0.00004397286,0.00001856042,0.997296,0.00002672823,0.0001752761,0.00001657451,0.00002396495,0.0001499613,0.00001191773,0.00005541584,0.0002776299,0.001904002],"study_design_scores_gemma":[0.000003632445,0.00002223214,0.9993334,0.00002255373,0.00002387703,0.00006851052,0.00003078308,0.0002284972,0.000005906221,0.00008231289,0.0001762016,0.000002191344],"study_design_candidate":"observational","study_design_consensus":"observational","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.990194,0.002587853,0.000379587,0.0006214522,0.00001689472,0.0000220605,0.004736433,0.00001481975,0.001426925],"genre_scores_gemma":[0.9966483,0.000509352,0.0002655134,0.00007247859,0.00004423434,0.00001767988,0.002317271,0.000003131267,0.0001221786],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.02041945,"threshold_uncertainty_score":0.04060119,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.02082143812640463,"score_gpt":0.301932854160718,"score_spread":0.2811114160343134,"validation_status":"score_only:v0-immature-baseline","note":"Baseline scores from an immature model (maturity gate not passed). Scores rank; they never assert a category."}}