Physician Characteristics Associated With Advance Care Planning After a Machine Learning-Based Nudge

Prognostic machine learning models can help identify patients in need of advance care planning (ACP) conversations. However, additional work is needed to understand which factors guide physicians' comfort with and prioritization of ACP conversations, even after such nudges. In this exploratory secondary analysis of a cluster randomized trial, we examine the relationship between characteristics of internal medicine physicians (eg, training background and practice patterns) and likelihood of ACP conversation following notification by a mortality risk prediction machine learning model.

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Publication Details

Journal
American Journal of Hospice and Palliative Medicine®
Published
2025-11-21
DOI
https://doi.org/10.1177/10499091251401462
Primary Topic
Artificial Intelligence in Healthcare and Education
Type
article
Field-Weighted Citation Impact
0.00
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article

Physician Characteristics Associated With Advance Care Planning After a Machine Learning-Based Nudge

Suresh Balu, Yvonne Acker, Michael Gao, Jessica Ma et al.
American Journal of Hospice and Palliative Medicine®
Artificial Intelligence in Healthcare and Education
article

Physician Characteristics Associated With Advance Care Planning After a Machine Learning-Based Nudge

Suresh Balu, Yvonne Acker, Michael Gao, Jessica Ma, David Casarett, Thomas W. LeBlanc, Mark Sendak, Mihir Patel, Jonathan Walter, Noppon Setji
article en

Abstract

Prognostic machine learning models can help identify patients in need of advance care planning (ACP) conversations. However, additional work is needed to understand which factors guide physicians' comfort with and prioritization of ACP conversations, even after such nudges. In this exploratory secondary analysis of a cluster randomized trial, we examine the relationship between characteristics of internal medicine physicians (eg, training background and practice patterns) and likelihood of ACP conversation following notification by a mortality risk prediction machine learning model.

American Journal of Hospice and Palliative Medicine®
Duke University (US), Geriatric Research Education and Clinical Center (US), Durham VA Health Care System (US), Duke Institute for Health Innovation (US), Duke University Health System (US)
Openalex Percentile: Top 71%
Artificial Intelligence in Healthcare and Education
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