A Methodological Approach to Extracting Patterns of Service Utilization from a Cross-Continuum High Dimensional Healthcare Dataset to Support Care Delivery Optimization for Patients with Complex Problems

Autor:	Jonas Bambi, Yudi Santoso, Hanieh Sadri, Ken Moselle, Abraham Rudnick, Stan Robertson, Ernie Chang, Alex Kuo, Joseph Howie, Gracia Yunruo Dong, Kehinde Olobatuyi, Mahdi Hajiabadi, Ashlin Richardson
Jazyk:	angličtina
Rok vydání:	2024
Předmět:	clinical pathways clinical practice guidelines decision support graph community detection Louvain algorithm health information management Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Computer applications to medicine. Medical informatics R858-859.7
Zdroj:	BioMedInformatics, Vol 4, Iss 2, Pp 946-965 (2024)
Druh dokumentu:	article
ISSN:	2673-7426
DOI:	10.3390/biomedinformatics4020053
Popis:	Background: Optimizing care for patients with complex problems entails the integration of clinically appropriate problem-specific clinical protocols, and the optimization of service-system-encompassing clinical pathways. However, alignment of service system operations with Clinical Practice Guidelines (CPGs) is far more challenging than the time-bounded alignment of procedures with protocols. This is due to the challenge of identifying longitudinal patterns of service utilization in the cross-continuum data to assess adherence to the CPGs. Method: This paper proposes a new methodology for identifying patients’ patterns of service utilization (PSUs) within sparse high-dimensional cross-continuum health datasets using graph community detection. Result: The result has shown that by using iterative graph community detections, and graph metrics combined with input from clinical and operational subject matter experts, it is possible to extract meaningful functionally integrated PSUs. Conclusions: This introduces the possibility of influencing the reorganization of some services to provide better care for patients with complex problems. Additionally, this introduces a novel analytical framework relying on patients’ service pathways as a foundation to generate the basic entities required to evaluate conformance of interventions to cohort-specific clinical practice guidelines, which will be further explored in our future research.
Databáze:	Directory of Open Access Journals
Externí odkaz:	https://doaj.org/article/5700be91e24c494e9076ab09c16888ec Zobrazit plný text záznamu View record in DOAJ Plný text ve formátu PDF Plný text ve formátu HTML
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