Table 1.
Analysis | Rationale | Model |
---|---|---|
I.0 Prediction of utilization without psychosocial vital signs | Demographics, prior utilization, and multimorbidity predict future utilization. | ED / Hospitalizations predicted by all features except psychosocial vital signs. |
I.1 All psychosocial vital signs to predict utilization | Psychosocial factors are known to exacerbate chronic illnesses. | ED / Hospitalizations predicted by all psychosocial vital signs and other features ; compare to I.0 |
I.2 Diabetes morbidity and financial insecurity, housing insecurity | Patient costs for caring for diabetes have increased, and diabetes requires consistent places to store medication, leading to diabetes exacerbations | Predict ED / hospitalizations with housing insecurity and financial insecurity |
I.3 ASCVD and Chronic stress | Chronic stress increases the risk of ASCVD outcomes | Predict ED/hospitalizations in patients with chronic stress and ASCVD |
I.4 Depression and Social isolation | Social isolation and mood disorders generate more exacerbations together | Predict ED/hospitalizations in patients with social isolation and depression |
I.5 Substance Use and housing insecurity | The combination of substance use and housing insecurity worsens outcomes | Preduct ED/hospitalizations in patietnts with substance use and housing insecurity |
ASCVD = Atherosclerotic Cardiovascular Disease; ED=Emergency Department