General Medicine, Department of Medicine, Columbia University, USA.
Neighborhood SHOPP, NY, USA.
Stud Health Technol Inform. 2022 Jun 29;295:507-510. doi: 10.3233/SHTI220776.
We applied machine learning algorithms to examine the relationship between demographics and outcomes of the social work services used by Hispanic family caregivers of persons with dementia recruited for a clinical trial in New York City. The social work service needs were largely concentrated on instrumental support to gain access to the healthcare system rather than other concrete services (e.g., housing or food programs) or to address psychological needs among the caregivers with relatively higher income. A finding from the machine learning approach was that among those who receive medical-related social work services, frequent users (≥10 times) with high family friend support(>4) were more likely than frequent users without such support to have their issues resolved (Accuracy: 81.9%, AUC: 0.82, F-measure: 0.86 by J48). Even though half of the participants received social work services multiple times, the needs of the caregivers remained unmet unless they sought social work services frequently (more than ten times).
我们应用机器学习算法来研究纽约市参加临床试验的痴呆患者的西班牙裔家庭护理人员使用的社会工作服务的人口统计学特征与其结果之间的关系。这些社会工作服务的需求主要集中在获得医疗保健系统的工具性支持上,而不是其他具体服务(例如住房或食品计划),也不是为了解决收入相对较高的护理人员的心理需求。机器学习方法的一个发现是,在接受与医疗相关的社会工作服务的人群中,经常使用(≥10 次)且家庭朋友支持度高(>4)的用户比没有这种支持的经常使用者更有可能解决问题(准确性:81.9%,AUC:0.82,F 值:0.86,通过 J48)。尽管一半的参与者多次接受社会工作服务,但除非他们经常(超过十次)寻求社会工作服务,否则护理人员的需求仍未得到满足。