与医院无预警预约缺勤相关的危险因素:logistic二元回归方法

Miguel Maia, A. Borges, Mariana Cavalho
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摘要

保健机构面临的主要问题之一是病人在预约医疗时未事先通知就缺勤。患者在没有事先通知的情况下不来就诊,可能导致保健中心的收入损失,并增加排队等候的人数。因此,有必要预测患者的缺席,以提高卫生机构的管理绩效。本文通过简要的文献综述,了解哪些因素与患者缺勤有关,以及哪些预测方法通常用于发现健康数据集中的模式。由于逻辑二元回归模型已被证明在这方面是有效的,因此将其应用于一个真实的医院数据集,该数据集包含2018年至2020年期间98511名患者的信息,对应的645.576次预约。结果表明,患者年龄、患者性别、患者婚姻状况、既往预约次数、预约月份、降水水平、前置时间和既往未到预约次数对预约出诊率有显著影响。
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Risk Factors Associated with Hospital Unwarned Appointment Absenteeism: A logistic binary regression approach
One of the main problems faced by health institutions is the unwarned absenteeism of patients in medical appointments. Patients’ no-shows, without prior notice, can result in loss of revenue for health centres and increasing waiting lines. Hence, there is a need to predict the non-attendance of patients to improve health institutions’ management performance. In this paper, a brief literature review was carried out to understand which factors can be related to patients’ absenteeism, and which forecasting methods are often applied to discover patterns in health datasets. As the logistic binary regression model has been proved to be effective on that matter, it was applied to a real hospital data set comprising information on 98.511 patients, with a corresponding 645.576 appointments, in a period between 2018 and 2020. Results indicate a significant effect on the chance of appointment attendance of patient age, patient gender, patient Marital Status, number of previous appointments, appointment month, precipitation levels, Lead time, and the number of previous no-show appointments.
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