使用数据包络分析-判别分析和人工神经网络的创新病人聚类方法:医疗系统案例研究

IF 6.2 2区 经济学 Q1 ECONOMICS Socio-economic Planning Sciences Pub Date : 2024-09-02 DOI:10.1016/j.seps.2024.102054
Saeed Yousefi , Reza Farzipoor Saen , Hadi Shabanpour , Kian Ghods
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引用次数: 0

摘要

医疗管理人员从 COVID-19 爆发中学到的一个重要经验是,需要为未来的大流行病进行更有效的病人分类和医疗资源分配。他们认为,如果在疫情爆发前就建立起更有效的病人分类系统来评估和分配治疗设施,那么住院死亡率就会大大降低。本研究提出了一种可扩展的病人聚类方法,利用人工神经网络(ANN)的自组织图(SOM)对病人进行聚类,以分配适当的治疗。使用数据包络分析-判别分析(DEA-DA)对患者的成员资格进行预测。本研究的目标是开发一个灵活的框架,供医疗系统根据医疗记录中的特定测试标准对患者进行聚类,并将他们分配到拥有适当治疗资源的合适医疗中心。这种方法旨在提高医疗系统的效率,确保重症患者在设备齐全的中心接受治疗,而症状较轻的患者则被引导到其他合适的机构。正如案例研究结果所证实的那样,该方法具有可扩展性,适用于任何类型的广泛疾病,旨在提高康复率和降低死亡率。
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An innovative patient clustering method using data envelopment Analysis–Discriminant analysis and artificial neural networks: A case study in healthcare systems

A major lesson healthcare managers learned from the COVID-19 outbreak is the need for more effective patient classification and medical resource allocation for future pandemics. In their view, hospitalization mortality could be greatly reduced if more effective systems for patient classification were in place before the outbreak to evaluate and assign treatment facilities. This study presents a scalable patient clustering approach using a Self-Organizing Map (SOM) of the Artificial Neural Network (ANN) to cluster patients for appropriate treatment allocation. The patients’ membership is forecasted using Data Envelopment Analysis–Discriminant Analysis (DEA-DA). The objectives of this research are to develop a flexible framework that healthcare systems can adopt to cluster patients based on specific testing criteria from medical records and to assign them to suitable medical centers with appropriate treatment resources. This method aims to enhance healthcare system efficiency by ensuring patients with severe illnesses receive care at well-equipped centers, while those with milder symptoms are directed to other suitable facilities. The approach is scalable and adaptable to any type of widespread illness and aims to increase recovery rates and decrease mortality rates, as confirmed by the case study results.

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来源期刊
Socio-economic Planning Sciences
Socio-economic Planning Sciences OPERATIONS RESEARCH & MANAGEMENT SCIENCE-
CiteScore
9.40
自引率
13.10%
发文量
294
审稿时长
58 days
期刊介绍: Studies directed toward the more effective utilization of existing resources, e.g. mathematical programming models of health care delivery systems with relevance to more effective program design; systems analysis of fire outbreaks and its relevance to the location of fire stations; statistical analysis of the efficiency of a developing country economy or industry. Studies relating to the interaction of various segments of society and technology, e.g. the effects of government health policies on the utilization and design of hospital facilities; the relationship between housing density and the demands on public transportation or other service facilities: patterns and implications of urban development and air or water pollution. Studies devoted to the anticipations of and response to future needs for social, health and other human services, e.g. the relationship between industrial growth and the development of educational resources in affected areas; investigation of future demands for material and child health resources in a developing country; design of effective recycling in an urban setting.
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