{"id":"W4408796294","doi":"10.1001/jamainternmed.2024.8576","title":"Appropriate Deprescribing and Payment in Hospice Dementia Care","year":2025,"lang":"en","type":"article","venue":"JAMA Internal Medicine","topic":"Palliative Care and End-of-Life Issues","field":"Medicine","cited_by":1,"is_retracted":false,"has_abstract":false,"ca_institutions":"Sinai Health System; University of Toronto","funders":"","keywords":"Medicine; Deprescribing; Dementia; Polypharmacy; Hospice care; Payment; Gerontology; Family medicine; Intensive care medicine; Nursing; Palliative care; Internal medicine; Disease; World Wide Web","routes":{"ca_aff":true,"ca_fund":false,"ca_venue":false,"about_ca":false,"invisible_to_affiliation_only":false},"retraction":null,"screen":null,"direct_labels":[],"prediction":{"model_version":"codex-gemma-dda1882f352a","candidate_categories":[],"consensus_categories":[],"category_scores_codex":[0.0001713605,0.0001246106,0.0003682161,0.0002156034,0.00001620113,0.000006069773,0.00008552348,0.0000647221,0.00005795648],"category_scores_gemma":[0.00049525,0.00009096665,0.00003525291,0.0001713457,0.00009909498,0.00004986271,0.00007987906,0.0002146018,0.000002358714],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.00007666444,"about_ca_system_score_gemma":0.00003253384,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.001582444,"about_ca_topic_score_gemma":0.0001146389,"domain_scores_codex":[0.9990346,0.0000311587,0.0003542567,0.0002120655,0.0002061236,0.0001617607],"domain_scores_gemma":[0.9994529,0.0001155667,0.00007421838,0.0001599491,0.0001245683,0.00007273223],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"observational","study_design_gemma":"observational","study_design_scores_codex":[0.0003524839,0.00004505587,0.900807,0.000595732,0.0002004714,0.0001145672,0.006249938,0.000001969738,0.003917049,0.0004065211,0.001297935,0.08601124],"study_design_scores_gemma":[0.01799489,0.001474615,0.7610181,0.04542563,0.0007529371,0.0000312287,0.0260488,0.0004845072,0.0465907,0.0007489019,0.09912047,0.0003092355],"study_design_candidate":"observational","study_design_consensus":"observational","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9337205,0.03343097,0.001162859,0.00427634,0.0004123077,0.0002611933,0.000002864075,0.00002123842,0.02671173],"genre_scores_gemma":[0.9956398,0.001460215,0.000856413,0.00133169,0.0001667443,0.00001495845,0.00001018795,0.000008014022,0.0005119818],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.139789,"threshold_uncertainty_score":0.3709512,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.04741326499191199,"score_gpt":0.3808090980681916,"score_spread":0.3333958330762796,"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."}}