Looking Beyond Mortality Prediction: Primary Care Physician Views of Patients' Palliative Care Needs Predicted by a Machine Learning Tool.

Journal: Applied clinical informatics
PMID:

Abstract

OBJECTIVES:  To assess primary care physicians' (PCPs) perception of the need for serious illness conversations (SIC) or other palliative care interventions in patients flagged by a machine learning tool for high 1-year mortality risk.

Authors

  • Lisa Rotenstein
    Division of General Internal Medicine and Primary Care, Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts, United States.
  • Liqin Wang
    Brigham and Women's Hospital, Boston, MA, USA.
  • Sophia N Zupanc
    Department of Psychosocial Oncology and Palliative Care, Dana-Farber Cancer Institute, Boston, Massachusetts.
  • Akhila Penumarthy
    Department of Psychosocial Oncology and Palliative Care, Dana-Farber Cancer Institute, Boston, Massachusetts, United States.
  • John Laurentiev
    Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts.
  • Jan Lamey
    Brigham and Women's Physician Organization, Brigham and Women's Hospital, Boston, Massachusetts, United States.
  • Subrina Farah
    Department of Radiology, Brigham and Women's Hospital, Boston, MA.
  • Stuart Lipsitz
    Department of Cardiology, Boston Children's Hospital, Boston, Massachusetts, USA; Division of General Internal Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA.
  • Nina Jain
    Division of General Internal Medicine and Primary Care, Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts, United States.
  • David W Bates
    Health Policy and Management, Harvard T.H. Chan School of Public Health, Boston, Massachusetts.
  • Li Zhou
    School of Education, China West Normal University, Nanchong, Sichuan, China.
  • Joshua R Lakin
    Harvard Medical School, Boston, Massachusetts.