{"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":"codex-gemma-dda1882f352a","candidate_categories":[],"consensus_categories":[],"category_scores_codex":[0.0001884067,0.0001126367,0.0002254673,0.0001443287,0.0001174618,0.00006398428,0.00008367636,0.000114548,0.0002902329],"category_scores_gemma":[0.00005769629,0.0001226233,0.00005527207,0.0001302037,0.00004414916,0.00008503655,0.00007494709,0.000213062,0.0001847208],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0006269724,"about_ca_system_score_gemma":0.0001520959,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.003774939,"about_ca_topic_score_gemma":0.00113296,"domain_scores_codex":[0.9988739,0.00002432246,0.0003540496,0.0003660176,0.0001063938,0.0002752896],"domain_scores_gemma":[0.9994321,0.00003001439,0.00004821544,0.0001569709,0.00002747609,0.0003052311],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"design_other","study_design_gemma":"not_applicable","study_design_scores_codex":[0.000009472874,0.00001700151,0.008630392,0.005334476,0.00005585251,0.0000885528,0.09863409,0.000008029143,2.798515e-7,0.2696289,0.01295724,0.6046357],"study_design_scores_gemma":[0.0006355654,0.0002929218,0.02444873,0.0003710816,0.00000915284,0.00001133779,0.04008334,0.0004055818,0.000008541956,0.0006530745,0.9327221,0.000358582],"study_design_candidate":"not_applicable","study_design_consensus":null,"genre_codex":"review","genre_gemma":"empirical","genre_scores_codex":[0.4180319,0.5000754,0.001074131,0.03506572,0.003556175,0.0009388906,0.0008900609,0.000319969,0.04004779],"genre_scores_gemma":[0.9947636,0.0007884388,0.00009317957,0.00368579,0.0003179101,0.00003799954,0.0001727784,0.00002018726,0.0001201091],"genre_candidate":"empirical","genre_consensus":null,"teacher_disagreement_score":0.9197649,"threshold_uncertainty_score":0.5706604,"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."}}