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Following the algorithm: How epidemiological risk-scores do accountability.

Katrin Amelang1, Susanne Bauer2

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Summary
This summary is machine-generated.

This study examines cardiovascular risk scores used in German medical counseling. It reveals how these algorithmic tools shape accountability in public health and patient care, influencing doctor-patient relationships and healthcare delivery.

Keywords:
accountabilityalgorithmscalculative devicescardiovascular prevention practicesdoctor–patient interactionrisk scores

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Area of Science:

  • Public Health
  • Epidemiology
  • Medical Sociology

Background:

  • Epidemiological risk scores are increasingly used in public health and preventive medicine.
  • These scores mediate accountability in healthcare decision-making.
  • Cardiovascular risk scores are common tools in medical counseling.

Purpose of the Study:

  • To explore the practices of accountability associated with a widely used cardiovascular risk score in Germany.
  • To analyze how risk scores function in doctor-patient relationships and shape healthcare provision.
  • To understand the translation of population-level data to individual patient care.

Main Methods:

  • Qualitative analysis of a cardiovascular risk score's lifecycle: development, application, and circulation.
  • Examination of its use in general practitioners' offices and validation infrastructures.
  • Focus on the interplay between epidemiological data, clinical practice, and algorithmic tools.

Main Results:

  • The cardiovascular risk score influences doctor-patient interactions and knowledge production in healthcare.
  • It facilitates the translation of population data to individual risk assessment and vice versa.
  • Accountability is enacted and distributed through the score's development and application.

Conclusions:

  • Algorithmic tools like risk scores are gaining authority in clinical encounters but are shaped by local healthcare specificities.
  • The study highlights shifts in accountability configurations with the rise of 'health by the algorithm'.
  • Risk scores are dynamic tools, continuously being developed and adapted within healthcare systems.