• Title/Summary/Keyword: Health decision model

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Length-of-Stay Prediction Model of Appendicitis using Artificial Neural Networks and Decision Tree (신경망과 의사결정 나무를 이용한 충수돌기염 환자의 재원일수 예측모형 개발)

  • Chung, Suk-Hoon;Han, Woo-Sok;Suh, Yong-Moo;Rhee, Hyun-SiIl
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.10 no.6
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    • pp.1424-1432
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    • 2009
  • For the efficient management of hospital sickbeds, it is important to predict the length of stay (LoS) of appendicitis patients. This study analyzed the patient data to find factors that show high positive correlation with LoS, build LoS prediction models using neural network and decision tree models, and compare their performance. In order to increase the prediction accuracy, we applied the ensemble techniques such as bagging and boosting. Experimental results show that decision tree model which was built with less number of variables shows prediction accuracy almost equal to that of neural network model, and that bagging is better than boosting. In conclusion, since the decision tree model which provides better explanation than neural network model can well predict the LoS of appendicitis patients and can also be used to select the input variables, it is recommended that hospitals make use of the decision tree techniques more actively.

A Comparative Study of Predictive Factors for Hypertension using Logistic Regression Analysis and Decision Tree Analysis

  • SoHyun Kim;SungHyoun Cho
    • Physical Therapy Rehabilitation Science
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    • v.12 no.2
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    • pp.80-91
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    • 2023
  • Objective: The purpose of this study is to identify factors that affect the incidence of hypertension using logistic regression and decision tree analysis, and to build and compare predictive models. Design: Secondary data analysis study Methods: We analyzed 9,859 subjects from the Korean health panel annual 2019 data provided by the Korea Institute for Health and Social Affairs and National Health Insurance Service. Frequency analysis, chi-square test, binary logistic regression, and decision tree analysis were performed on the data. Results: In logistic regression analysis, those who were 60 years of age or older (Odds ratio, OR=68.801, p<0.001), those who were divorced/widowhood/separated (OR=1.377, p<0.001), those who graduated from middle school or younger (OR=1, reference), those who did not walk at all (OR=1, reference), those who were obese (OR=5.109, p<0.001), and those who had poor subjective health status (OR=2.163, p<0.001) were more likely to develop hypertension. In the decision tree, those over 60 years of age, overweight or obese, and those who graduated from middle school or younger had the highest probability of developing hypertension at 83.3%. Logistic regression analysis showed a specificity of 85.3% and sensitivity of 47.9%; while decision tree analysis showed a specificity of 81.9% and sensitivity of 52.9%. In classification accuracy, logistic regression and decision tree analysis showed 73.6% and 72.6% prediction, respectively. Conclusions: Both logistic regression and decision tree analysis were adequate to explain the predictive model. It is thought that both analysis methods can be used as useful data for constructing a predictive model for hypertension.

Comparison of the Prediction Model of Adolescents' Suicide Attempt Using Logistic Regression and Decision Tree: Secondary Data Analysis of the 2019 Youth Health Risk Behavior Web-Based Survey (로지스틱 회귀모형과 의사결정 나무모형을 활용한 청소년 자살 시도 예측모형 비교: 2019 청소년 건강행태 온라인조사를 이용한 2차 자료분석)

  • Lee, Yoonju;Kim, Heejin;Lee, Yesul;Jeong, Hyesun
    • Journal of Korean Academy of Nursing
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    • v.51 no.1
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    • pp.40-53
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    • 2021
  • Purpose: The purpose of this study was to develop and compare the prediction model for suicide attempts by Korean adolescents using logistic regression and decision tree analysis. Methods: This study utilized secondary data drawn from the 2019 Youth Health Risk Behavior web-based survey. A total of 20 items were selected as the explanatory variables (5 of sociodemographic characteristics, 10 of health-related behaviors, and 5 of psychosocial characteristics). For data analysis, descriptive statistics and logistic regression with complex samples and decision tree analysis were performed using IBM SPSS ver. 25.0 and Stata ver. 16.0. Results: A total of 1,731 participants (3.0%) out of 57,303 responded that they had attempted suicide. The most significant predictors of suicide attempts as determined using the logistic regression model were experience of sadness and hopelessness, substance abuse, and violent victimization. Girls who have experience of sadness and hopelessness, and experience of substance abuse have been identified as the most vulnerable group in suicide attempts in the decision tree model. Conclusion: Experiences of sadness and hopelessness, experiences of substance abuse, and experiences of violent victimization are the common major predictors of suicide attempts in both logistic regression and decision tree models, and the predict rates of both models were similar. We suggest to provide programs considering combination of high-risk predictors for adolescents to prevent suicide attempt.

An Investigation of Factors Affecting Management Efficiency in Korean General Hospitals Using DEA Model (DEA모형을 이용한 종합병원의 효율성 측정과 영향요인)

  • Ahn, In-Whan;Yang, Dong-Hyun
    • Korea Journal of Hospital Management
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    • v.10 no.1
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    • pp.71-92
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    • 2005
  • The purpose of this study is to analyze the efficiency in management of general hospitals and investigate the major factors on efficiency. Specifically, the management of each general hospital is evaluated by using Data Envelopment Analysis(DEA) technique which is a nonparametric statistical method for measurement of efficiency. Then, the influencing factors are investigated through analyses of Decision-Tree Model and Tobit Regression. The target hospitals were general hospitals in which bed sizes are between 200 and 500 among a total of 276 general hospitals. The main data of financial indicators were collected from 48 hospitals, and it was analyzed by using two statistical models. For Model I, three input and two output variables were used for efficiency evaluation. In particular, three input variables were the number of medical doctors, the number of paramedical personnel, and the bed size. And, two output variables were the numbers of inpatients and outpatients per year, adjusted by bed-size. The results of DEA analysis showed that only seven out of 48 hospitals(15%) turned out to be efficient. The decision-tree analysis also showed that there were six significant influencing factors for Model I. Six factors for Model I were Bed Occupancy Rate, Cost per Adjusted Inpatient, New Visit Ratio of Outpatients, Retired Ratio, Net Profit to Gross Revenues, Net Profit to Total Assets. In addition, the management efficiency of hospital is proved to increase as profit and patient-induced indicators increase and cost-related indicators decrease, by the Tobit regression model of independent variables derived from the decision-tree analysis. This study may be contributable to the development of analytic methodology regarding the efficiency of hospital management in that it suggests the synthetic measures by utilizing DEA model instead of suggesting simple ratio-analyzing results.

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Development of Prediction Model for Prevalence of Metabolic Syndrome Using Data Mining: Korea National Health and Nutrition Examination Study (국민건강영양조사를 활용한 대사증후군 유병 예측모형 개발을 위한 융복합 연구: 데이터마이닝을 활용하여)

  • Kim, Han-Kyoul;Choi, Keun-Ho;Lim, Sung-Won;Rhee, Hyun-Sill
    • Journal of Digital Convergence
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    • v.14 no.2
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    • pp.325-332
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    • 2016
  • The purpose of this study is to investigate the attributes influencing the prevalence of metabolic syndrome and develop the prediction model for metabolic syndrome over 40-aged people from Korea Health and Nutrition Examination Study 2012. The researcher chose the attributes for prediction model through literature review. Also, we used the decision tree, logistic regression, artificial neural network of data mining algorithm through Weka 3.6. As results, social economic status factors of input attributes were ranked higher than health-related factors. Additionally, prediction model using decision tree algorithm showed finally the highest accuracy. This study suggests that, first of all, prevention and management of metabolic syndrome will be approached by aspect of social economic status and health-related factors. Also, decision tree algorithms known from other research are useful in the field of public health due to their usefulness of interpretation.

Clinical Decision Making Patterns of Pediatric Nurses (아동간호사의 임상적 의사결정 유형에 관한 연구)

  • Hwang, In-Ju
    • Korean Parent-Child Health Journal
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    • v.15 no.1
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    • pp.20-32
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    • 2012
  • Purpose: The purpose of this study was to identify clinical decision making pattern of pediatric nurses and analyze how it shows the differences in types of decision making pattern by nurses characters. Methods: A self-administered questionnaire was used to pediatric nurses of 4 general hospitals in Seoul from February 2004 to April 2004. The data of 251 nurses was analyzed by varimax rotation factor analysis, t-test, and ANOVA. Results: 6 decision making patterns were identified: Individual Patient-oriented, Pattern-oriented Intuitive, Typical Nursing Knowledge-oriented, Nursing Model-oriented, Medical Knowledge-oriented, and Patient-Family-Nurse Collaborative. Individual Patient-oriented, Pattern-oriented Intuitive, Typical Nursing Knowledge-oriented, and Nursing Model-oriented decision making pattern got meaningful differences in age, marital status, total number of years in nursing practice, and number of years in pediatric nursing practice. Conclusion: We expect the result of this study can be applied for promotion of understanding the decision making of nurses that occurs in pediatric nursing practice and also can be used as foundation data for development and expansion of pediatric nursing practice.

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A Study on a car Insurance purchase Prediction Using Two-Class Logistic Regression and Two-Class Boosted Decision Tree

  • AN, Su Hyun;YEO, Seong Hee;KANG, Minsoo
    • Korean Journal of Artificial Intelligence
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    • v.9 no.1
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    • pp.9-14
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    • 2021
  • This paper predicted a model that indicates whether to buy a car based on primary health insurance customer data. Currently, automobiles are being used to land transportation and living, and the scope of use and equipment is expanding. This rapid increase in automobiles has caused automobile insurance to emerge as an essential business target for insurance companies. Therefore, if the car insurance sales are predicted and sold using the information of existing health insurance customers, it can generate continuous profits in the insurance company's operating performance. Therefore, this paper aims to analyze existing customer characteristics and implement a predictive model to activate advertisements for customers interested in such auto insurance. The goal of this study is to maximize the profits of insurance companies by devising communication strategies that can optimize business models and profits for customers. This study was conducted through the Microsoft Azure program, and an automobile insurance purchase prediction model was implemented using Health Insurance Cross-sell Prediction data. The program algorithm uses Two-Class Logistic Regression and Two-Class Boosted Decision Tree at the same time to compare two models and predict and compare the results. According to the results of this study, when the Threshold is 0.3, the AUC is 0.837, and the accuracy is 0.833, which has high accuracy. Therefore, the result was that customers with health insurance could induce a positive reaction to auto insurance purchases.

The Roles of Health Consciousness and Service Quality toward Customer Purchase Decision

  • TRAN, Tung Anh;PHAM, Ngan Thi;PHAM, Kien Van;NGUYEN, Linh Cam Tran
    • The Journal of Asian Finance, Economics and Business
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    • v.7 no.8
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    • pp.345-351
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    • 2020
  • The study investigates how marketing mix factors are mediated by health consciousness and service quality in creating fresh fruit buying decisions of customers in Vietnam. This study employs samples of customers in Vietnam via the survey questionnaire. The authors have used a total of 256 responses that acquired the valid criteria. The compound of data analysis comprises reliability test, validity test, exploratory factor analysis, group analysis and multiple regression analysis to structure the hypothesized model. Respectively, the structural equation model (SEM) is applied to conduct the multiple multivariate equations. By the assumption of causal-effect relationship between independent variables such as marketing mixed factors, and mediator as health consciousness and service quality, which potentially impact on purchase decision; the SEM method is deployed. The results reveal that consumers have paid no attention to the marketing mix factors, but they care much about service quality and health consciousness. Thus, health consciousness and service quality are effective mediators. These findings are new and contribute to the consumer behavior and retail marketing literature. The findings of this study can provide assistance to managers in the given field to understand more easily the consumer behavior about fresh fruits, then improve their own performance.

Development of a Decision Support System for Analysis and Solutions of Prolonged Standing in the Workplace

  • Halim, Isa;Arep, Hambali;Kamat, Seri Rahayu;Abdullah, Rohana;Omar, Abdul Rahman;Ismail, Ahmad Rasdan
    • Safety and Health at Work
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    • v.5 no.2
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    • pp.97-105
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    • 2014
  • Background: Prolonged standing has been hypothesized as a vital contributor to discomfort and muscle fatigue in the workplace. The objective of this study was to develop a decision support system that could provide systematic analysis and solutions to minimize the discomfort and muscle fatigue associated with prolonged standing. Methods: The integration of object-oriented programming and a Model Oriented Simultaneous Engineering System were used to design the architecture of the decision support system. Results: Validation of the decision support system was carried out in two manufacturing companies. The validation process showed that the decision support system produced reliable results. Conclusion: The decision support system is a reliable advisory tool for providing analysis and solutions to problems related to the discomfort and muscle fatigue associated with prolonged standing. Further testing of the decision support system is suggested before it is used commercially.

Development and Evaluation of Electronic Health Record Data-Driven Predictive Models for Pressure Ulcers (전자건강기록 데이터 기반 욕창 발생 예측모델의 개발 및 평가)

  • Park, Seul Ki;Park, Hyeoun-Ae;Hwang, Hee
    • Journal of Korean Academy of Nursing
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    • v.49 no.5
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    • pp.575-585
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    • 2019
  • Purpose: The purpose of this study was to develop predictive models for pressure ulcer incidence using electronic health record (EHR) data and to compare their predictive validity performance indicators with that of the Braden Scale used in the study hospital. Methods: A retrospective case-control study was conducted in a tertiary teaching hospital in Korea. Data of 202 pressure ulcer patients and 14,705 non-pressure ulcer patients admitted between January 2015 and May 2016 were extracted from the EHRs. Three predictive models for pressure ulcer incidence were developed using logistic regression, Cox proportional hazards regression, and decision tree modeling. The predictive validity performance indicators of the three models were compared with those of the Braden Scale. Results: The logistic regression model was most efficient with a high area under the receiver operating characteristics curve (AUC) estimate of 0.97, followed by the decision tree model (AUC 0.95), Cox proportional hazards regression model (AUC 0.95), and the Braden Scale (AUC 0.82). Decreased mobility was the most significant factor in the logistic regression and Cox proportional hazards models, and the endotracheal tube was the most important factor in the decision tree model. Conclusion: Predictive validity performance indicators of the Braden Scale were lower than those of the logistic regression, Cox proportional hazards regression, and decision tree models. The models developed in this study can be used to develop a clinical decision support system that automatically assesses risk for pressure ulcers to aid nurses.