Ding Xiyu, Barnett Michael L, Mehrotra Ateev, Miller Timothy A
Boston Children's Hospital, Boston, MA.
Harvard T.H. Chan School of Public Health, Boston, MA.
Proc Conf Assoc Comput Linguist Meet. 2020 Jul;2020:1-6. doi: 10.18653/v1/2020.nlpmc-1.1.
Electronic consult (eConsult) systems allow specialists more flexibility to respond to referrals more efficiently, thereby increasing access in under-resourced healthcare settings like safety net systems. Understanding the usage patterns of eConsult system is an important part of improving specialist efficiency. In this work, we develop and apply classifiers to a dataset of eConsult questions from primary care providers to specialists, classifying the messages for how they were triaged by the specialist office, and the underlying type of clinical question posed by the primary care provider. We show that pre-trained transformer models are strong baselines, with improving performance from domain-specific training and shared representations.
电子会诊(eConsult)系统使专科医生能够更灵活、更高效地回应转诊请求,从而增加了在资源不足的医疗环境(如安全网系统)中的就诊机会。了解电子会诊系统的使用模式是提高专科医生效率的重要组成部分。在这项工作中,我们开发了分类器并将其应用于从初级保健提供者向专科医生提出的电子会诊问题数据集,根据专科医生办公室的分诊方式以及初级保健提供者提出的临床问题的潜在类型对信息进行分类。我们表明,预训练的变压器模型是强大的基线,通过特定领域的训练和共享表示,性能得到了提升。