用机器学习精准识别牙科医生类型,助力资源公平分配。
Comparative performance of ensemble models in predicting dental provider types: insights from fee-for-service data
- 用10种算法对比分析24,300条牙科服务数据,识别不同供给模式的医生
- 神经网络和随机森林表现最佳,准确率达94.1%,AUC达0.975
- 适用于医疗政策制定者与健康资源规划人员
牙科提供者分类对优化医疗资源配置和政策制定至关重要。有效区分标准服务提供者与安全网诊所(SNC)提供者,可提升对弱势群体的服务覆盖。本研究基于2018年数据集,评估机器学习模型在牙科提供者分类中的表现。分析了包含24,300个实例、20个特征的数据集,涵盖按费用支付(FFS)、地理管理护理及预付健康计划的受益人与服务数量。根据服务系统与患者年龄组(0-20岁和21岁以上)进行分类。尽管存在38.1%的缺失数据,仍测试了k近邻(kNN)、决策树、支持向量机(SVM)、随机梯度下降(SGD)、随机森林、神经网络及梯度提升等算法。采用10折交叉验证,以AUC、分类准确率(CA)、F1分数、精确率和召回率评估模型性能。神经网络取得最高AUC(0.975)与CA(94.1%),其次为随机森林(AUC:0.948,CA:93.0%)。这些模型有效处理数据不平衡与复杂特征交互,优于逻辑回归和SVM等传统分类器。深度学习与集成学习方法显著提升牙科人力分类效果,其融入医疗分析可改善提供者识别与资源分配,惠及弱势人群。
原文摘要 · Abstract (English)
Dental provider classification plays a crucial role in optimizing healthcare resource allocation and policy planning. Effective categorization of providers, such as standard rendering providers and safety net clinic (SNC) providers, enhances service delivery to underserved populations. This study aimed to evaluate the performance of machine learning models in classifying dental providers using a 2018 dataset. A dataset of 24,300 instances with 20 features was analyzed, including beneficiary and service counts across fee-for-service (FFS), Geographic Managed Care, and Pre-Paid Health Plans. Providers were categorized by delivery system and patient age groups (0-20 and 21+). Despite 38.1% missing data, multiple machine learning algorithms were tested, including k-Nearest Neighbors (kNN), Decision Trees, Support Vector Machines (SVM), Stochastic Gradient Descent (SGD), Random Forest, Neural Networks, and Gradient Boosting. A 10-fold cross-validation approach was applied, and models were evaluated using AUC, classification accuracy (CA), F1-score, precision, and recall. Neural Networks achieved the highest AUC (0.975) and CA (94.1%), followed by Random Forest (AUC: 0.948, CA: 93.0%). These models effectively handled imbalanced data and complex feature interactions, outperforming traditional classifiers like Logistic Regression and SVM. Advanced machine learning techniques, particularly ensemble and deep learning models, significantly enhance dental workforce classification. Their integration into healthcare analytics can improve provider identification and resource distribution, benefiting underserved populations.
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