BACKGROUND: General Practitioners (GPs) play a key role in the healthcare trajectory of patients. If the patient experiences problems that are typically non-life-threatening, such as the symptoms of post-intensive-care syndrome, the GP will be the first healthcare professional they consult. The primary aim of this study is to gain insight in the frequency of GP consultations during the year before hospital admission and the year after discharge for ICU survivors and a matched control group from the general population. The secondary aim of this study is to gain insight into differences between subgroups of the ICU population with respect to the frequency of GP consultations.METHODS: We conducted a retrospective cohort study, combining a national health insurance claims database and a national quality registry for ICUs. Clinical data of patients admitted to an ICU in 2013 were enriched with claims data from the years 2012, 2013 and 2014. Poisson regression was used to assess the differences in frequency of GP consultations between the ICU population and the control group.RESULTS: ICU patients have more consultations with GPs during the year before and after admission than individuals in the control group. In the last four weeks before admission, ICU patients have 3.58 (CI 3.37; 3.80) times more GP consultations than the control group, and during the first four weeks after discharge they have 4.98 (CI 4.74; 5.23) times more GP consultations. In the year after hospital discharge ICU survivors have an increased GP consultation rate compared to the year before their hospital admission.CONCLUSIONS: Close to hospital admission and shortly after hospital discharge, the frequency of GP consultations substantially increases in the population of ICU survivors. Even a year after hospital discharge, ICU survivors have increased GP consultation rates. Therefore, GPs should be well informed about the problems ICU patients suffer after discharge, in order to provide suitable follow-up care.
Abstract Despite the numerous business benefits of data science, the number of data science models in production is limited. Data science model deployment presents many challenges and many organisations have little model deployment knowledge. This research studied five model deployments in a Dutch government organisation. The study revealed that as a result of model deployment a data science subprocess is added into the target business process, the model itself can be adapted, model maintenance is incorporated in the model development process and a feedback loop is established between the target business process and the model development process. These model deployment effects and the related deployment challenges are different in strategic and operational target business processes. Based on these findings, guidelines are formulated which can form a basis for future principles how to successfully deploy data science models. Organisations can use these guidelines as suggestions to solve their own model deployment challenges.
Lives of Data maps the historical and emergent dynamics of big data, computing, and society in India. Data infrastructures are now more global than ever before. In much of the world, new sociotechnical possibilities of big data and artificial intelligence are unfolding under the long shadows cast by infra/structural inequalities, colonialism, modernization, and national sovereignty. This book offers critical vantage points for looking at big data and its shadows, as they play out in uneven encounters of machinic and cultural relationalities of data in India’s socio-politically disparate and diverse contexts.Lives of Data emerged from research projects and workshops at the Sarai programme, Centre for the Study of Developing Societies. It brings together fifteen interdisciplinary scholars and practitioners to set up a collaborative research agenda on computational cultures. The essays offer wide-ranging analyses of media and techno-scientific trajectories of data analytics, disruptive formations of digital economy, and the grounded practices of data-driven governance in India. Encompassing history, anthropology, science and technology studies (STS), media studies, civic technology, data science, digital humanities, and journalism, the essays open up possibilities for a truly situated global and sociotechnically specific understanding of the many lives of data.
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