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Widely used algorithm for follow-up care in hospitals is racially biased, study finds

Researchers have found that a common algorithm used by hospitals often classified white patients overall as being more ill than black patients — even when they were just as sick.

An algorithm commonly used by hospitals and other health systems to predict which patients are most likely to need follow-up care classified white patients overall as being more ill than black patients — even when they were just as sick, a new study finds.

Overall, only 18% of the patients identified by the algorithm as needing more care were black, compared to about 82% of white patients. If the algorithm were to reflect the true proportion of the sickest black and white patients, those figures should have been about 46% and 53%, respectively. The research was published Thursday in Science.

All told, health systems use the algorithm for some 100 million people across the country.

The study’s authors

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