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LBA:基于在线学习的患者与医疗专业人员匹配。

LBA: Online Learning-Based Assignment of Patients to Medical Professionals.

机构信息

Department of Computer Science, Bar-Ilan University, Ramat Gan 5290002, Israel.

Department of Information Science, Bar-Ilan University, Ramat Gan 5290002, Israel.

出版信息

Sensors (Basel). 2021 Apr 25;21(9):3021. doi: 10.3390/s21093021.

Abstract

Central to any medical domain is the challenging patient to medical professional assignment task, aimed at getting the right patient to the right medical professional at the right time. This task is highly complex and involves partially conflicting objectives such as minimizing patient wait-time while providing maximal level of care. To tackle this challenge, medical institutions apply common scheduling heuristics to guide their decisions. These generic heuristics often do not align with the expectations of each specific medical institution. In this article, we propose a novel learning-based online optimization approach we term Learning-Based Assignment (LBA), which provides decision makers with a tailored, data-centered decision support algorithm that facilitates dynamic, institution-specific multi-variate decisions, without altering existing medical workflows. We adapt our generic approach to two medical settings: (1) the assignment of patients to caregivers in an emergency department; and (2) the assignment of medical scans to radiologists. In an extensive empirical evaluation, using real-world data and medical experts' input from two distinctive medical domains, we show that our proposed approach provides a dynamic, robust and configurable data-driven solution which can significantly improve upon existing medical practices.

摘要

任何医学领域的核心都是将具有挑战性的患者与医疗专业人员进行分配的任务,旨在在正确的时间将正确的患者分配给正确的医疗专业人员。这项任务非常复杂,涉及到一些相互冲突的目标,例如最小化患者的等待时间,同时提供最高水平的护理。为了应对这一挑战,医疗机构应用常见的调度启发式方法来指导决策。这些通用启发式方法通常与每个特定医疗机构的期望不一致。在本文中,我们提出了一种新的基于学习的在线优化方法,我们称之为基于学习的分配(LBA),它为决策者提供了一个定制的、以数据为中心的决策支持算法,有助于进行动态的、特定于机构的多变量决策,而不会改变现有的医疗工作流程。我们将我们的通用方法应用于两个医疗环境:(1)在急诊室将患者分配给护理人员;(2)将医疗扫描分配给放射科医生。在广泛的实证评估中,我们使用来自两个不同医疗领域的真实数据和医学专家的输入,表明我们提出的方法提供了一种动态、稳健和可配置的数据驱动解决方案,可以显著改进现有的医疗实践。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d632/8123356/fffd46dd89b9/sensors-21-03021-g001.jpg

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