用230万病历数据预测住院时长,帮医院提升效率
A Hybrid Data-Driven Approach For Analyzing And Predicting Inpatient Length Of Stay In Health Centre
- 融合机器学习与仿真,构建住院时长预测框架
- 模型准确预测入院后住院时长,实证缩短患者停留时间
- 适合医院管理、医疗数据分析人员参考
住院时长(LoS)是衡量医院管理效能的关键指标。本研究基于230万条去标识化患者记录,结合决策树、逻辑回归、随机森林、Adaboost和LightGBM等机器学习模型,利用Python工具(Spark、AWS集群、降维技术)分析人口统计、诊断、治疗、服务、费用等数据,通过监督学习预测患者入院后的住院时长。该混合方法识别出影响住院时长的关键因素,为优化患者流程和资源配置提供稳健框架。研究聚焦患者流动,验证了该方法在真实医疗环境中的有效性,实现住院时长下降。结果表明,混合数据驱动模型在变革医院管理实践方面具有巨大潜力,可支持灵活的决策、培训与流程优化,对医疗行政与整体患者满意度有深远影响。
原文摘要 · Abstract (English)
Patient length of stay (LoS) is a critical metric for evaluating the efficacy of hospital management. The primary objectives encompass to improve efficiency and reduce costs while enhancing patient outcomes and hospital capacity within the patient journey. By seamlessly merging data-driven techniques with simulation methodologies, the study proposes an all-encompassing framework for the optimization of patient flow. Using a comprehensive dataset of 2.3 million de-identified patient records, we analyzed demographics, diagnoses, treatments, services, costs, and charges with machine learning models (Decision Tree, Logistic Regression, Random Forest, Adaboost, LightGBM) and Python tools (Spark, AWS clusters, dimensionality reduction). Our model predicts patient length of stay (LoS) upon admission using supervised learning algorithms. This hybrid approach enables the identification of key factors influencing LoS, offering a robust framework for hospitals to streamline patient flow and resource utilization. The research focuses on patient flow, corroborating the efficacy of the approach, illustrating decreased patient length of stay within a real healthcare environment. The findings underscore the potential of hybrid data-driven models in transforming hospital management practices. This innovative methodology provides generally flexible decision-making, training, and patient flow enhancement; such a system could have huge implications for healthcare administration and overall satisfaction with healthcare.
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