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机器学习预测患者等待时间和预约延误。

Machine Learning for Predicting Patient Wait Times and Appointment Delays.

机构信息

Department of Radiology, Massachusetts General Hospital, Boston, Massachusetts.

Department of Radiology, Massachusetts General Hospital, Boston, Massachusetts.

出版信息

J Am Coll Radiol. 2018 Sep;15(9):1310-1316. doi: 10.1016/j.jacr.2017.08.021. Epub 2017 Oct 24.

Abstract

Being able to accurately predict waiting times and scheduled appointment delays can increase patient satisfaction and enable staff members to more accurately assess and respond to patient flow. In this work, the authors studied the applicability of machine learning models to predict waiting times at a walk-in radiology facility (radiography) and delay times at scheduled radiology facilities (CT, MRI, and ultrasound). In the proposed models, a variety of predictors derived from data available in the radiology information system were used to predict waiting or delay times. Several machine-learning algorithms, such as neural network, random forest, support vector machine, elastic net, multivariate adaptive regression splines, k-th nearest neighbor, gradient boosting machine, bagging, classification and regression tree, and linear regression, were evaluated to find the most accurate method. The elastic net model performed best among the 10 proposed models for predicting waiting times or delay times across all four modalities. The most important predictors were also identified.

摘要

能够准确预测等候时间和预约延误时间可以提高患者满意度,并使工作人员能够更准确地评估和应对患者流量。在这项工作中,作者研究了机器学习模型在预测门诊放射科设施(放射摄影)等候时间和预约放射科设施(CT、MRI 和超声)延误时间方面的适用性。在所提出的模型中,使用从放射信息系统中可用的数据中得出的各种预测器来预测等候或延误时间。评估了多种机器学习算法,如神经网络、随机森林、支持向量机、弹性网、多元自适应回归样条、k-最近邻、梯度提升机、装袋、分类回归树和线性回归,以找到最准确的方法。弹性网模型在预测所有四种模式的等候时间或延误时间的 10 个提出的模型中表现最佳。还确定了最重要的预测因子。

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