Department of Mathematics and Applications "R. Caccioppoli", University of Naples Federico II, 80126, Naples, Italy.
School of Engineering and Technology, China University of Geosciences (Beijing), Beijing, 100083, China.
Sci Rep. 2020 Sep 3;10(1):14623. doi: 10.1038/s41598-020-71613-7.
Nowadays, data-driven methodologies based on the clinical history of patients represent a promising research field in which personalized and intelligent healthcare systems can be opportunely designed and developed. In this perspective, Machine Learning (ML) algorithms can be efficiently adopted to deploy smart services to enhance the overall quality of healthcare systems. In this work, starting from an in-depth analysis of a data set composed of millions of medical booking records collected from the public healthcare organization in the region of Campania, Italy, we have developed a predictive model to extract useful knowledge on patients, medical staff, and related healthcare structures. In more detail, the main contribution is to suggest a Deep Learning (DL) methodology able to predict the access of a patient in one or more medical facilities of a fixed set in the immediate future, the subsequent 2 months. A structured Temporal Convolutional Neural Network (TCNN) is designed to extract temporal patterns from the administrative medical history of a patient. The experiment shows the goodness of the designed methodology. Finally, this work represents a novel application of a TCNN model to a multi-label classification problem not linked to text categorization or image recognition.
如今,基于患者临床病史的数据驱动方法是一个很有前途的研究领域,可以在此基础上设计和开发个性化和智能化的医疗保健系统。在这种情况下,可以有效地采用机器学习 (ML) 算法来部署智能服务,以提高医疗保健系统的整体质量。在这项工作中,我们从一个由意大利坎帕尼亚地区公共医疗保健机构收集的数百万条医疗预约记录组成的数据集进行深入分析,开发了一个预测模型,以提取有关患者、医务人员和相关医疗结构的有用知识。更详细地说,主要贡献是提出了一种深度学习 (DL) 方法,能够预测患者在未来不久的一个或多个固定医疗设施中的就诊情况,随后是未来 2 个月。设计了一个结构化的时间卷积神经网络 (TCNN) 来从患者的行政医疗记录中提取时间模式。实验表明了所设计方法的优越性。最后,这项工作代表了 TCNN 模型在与文本分类或图像识别无关的多标签分类问题中的新应用。