A novel strategy to classify chronic patients at risk: a hybrid machine learning approach
Autor
Silva-Aravena, Fabián
Núñez Delafuente, Hugo
Astudillo, César A.
Fecha
2022Resumen
Various care processes have been affected by COVID-19. One of the most dramatic has been
the care of chronic patients under medical supervision. According to the World Health Organization
(WHO), a chronic patient has one or more long-term illnesses, and must be permanently monitored
by the health team.. In fact, and according to the Chilean Ministry of Health (MINSAL), 7 out of
10 chronic patients have suspended their medical check-ups, generating critical situations, such as a
more significant number of visits to emergency units, expired prescriptions, and a higher incidence
in hospitalization rates. For this problem, health services in Chile have had to reschedule their scarce
medical resources to provide care in all health processes. One element that has been considered is
caring through telemedicine and patient prioritization. In the latter case, the aim was to provide timely
care to those critical patients with high severity and who require immediate clinical attention. For this
reason, in this work, we present the following methodological contributions: first, an unsupervised
algorithm that analyzes information from anonymous patients to classify them according to priority
levels; and second, rules that allow health teams to understand which variable(s) determine the
classification of patients. The results of the proposed methodology allow classifying new patients
with 99.96% certainty using a three-level decision tree and five classification rules.
Fuente
Mathematics, 10(17), 3053Link de Acceso
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doi.org/10.3390/math10173053Colecciones
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