Lin Wei-Chun, Goldstein Isaac H, Hribar Michelle R, Sanders David S, Chiang Michael F
Departments of Medical Informatics and Clinical Epidemiology and.
Ophthalmology, OHSU.
AMIA Annu Symp Proc. 2020 Mar 4;2019:1121-1128. eCollection 2019.
Patient perceptions of wait time during outpatient office visits can affect patient satisfaction. Providing accurate information about wait times could improve patients' satisfaction by reducing uncertainty. However, these are rarely known about efficient ways to predict wait time in the clinic. Supervised machine learning algorithms is a powerful tool for predictive modeling with large and complicated data sets. In this study, we tested machine learning models to predict wait times based on secondary EHR data in pediatric ophthalmology outpatient clinic. We compared several machine-learning algorithms, including random forest, elastic net, gradient boosting machine, support vector machine, and multiple linear regressions to find the most accurate model for prediction. The importance of the predictors was also identified via machine learning models. In the future, these models have the potential to combine with real-time EHR data to provide real time accurate estimates of patient wait time outpatient clinics.
患者对门诊就诊等待时间的认知会影响患者满意度。提供有关等待时间的准确信息可以通过减少不确定性来提高患者满意度。然而,对于在诊所中预测等待时间的有效方法却知之甚少。监督式机器学习算法是用于对大型复杂数据集进行预测建模的强大工具。在本研究中,我们测试了机器学习模型,以基于儿科眼科门诊的电子健康记录(EHR)二级数据预测等待时间。我们比较了几种机器学习算法,包括随机森林、弹性网络、梯度提升机、支持向量机和多元线性回归,以找到最准确的预测模型。还通过机器学习模型确定了预测因子的重要性。未来,这些模型有可能与实时EHR数据相结合,以提供门诊患者等待时间的实时准确估计。