Risk Stratification in Primary Care: Value-Based Contributions of Provider Adjudication.

ABSTRACT:

Background

In primary care risk stratification, automated algorithms do not consider the same factors as providers. The process of adjudication, in which providers review and adjust algorithm-derived risk scores, may improve the prediction of adverse outcomes.

Objective

We assessed the patient factors that influenced provider adjudication behavior and evaluated the performance of an adjudicated risk model against a commercial algorithm.

Design

(1) Structured interviews with primary care providers (PCP) and multivariable regression analysis and (2) receiver operating characteristic curves (ROC) with sensitivity analyses.

Participants

Primary care patients aged 18 years and older with an adjudicated risk score. APPROACH AND MAIN MEASURES: (1) Themes from structur

SUBMITTER: Ricci BC 

PROVIDER: S-EPMC8858376 | biostudies-literature | 2022 Feb

REPOSITORIES: biostudies-literature