Journal of Information Systems Engineering and Management

Using Different Models of Machine Learning to Predict Attendance at Medical Appointments
Luiz Henrique Salazar 1, Anita Fernandes 1 2 * , Rudimar Dazzi 2, Nuno Garcia 3 4, Valderi R. Q. Leithardt 2 4 5
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1 University of the Itajai Valley, Specialization Course in Big Data, BRAZIL
2 Master in Applied Computing, University of the Itajaí Valley, Santa Catarina, BRAZIL
3 Telecommunications Institute, IT Branch, Covilha, PORTUGAL
4 Department of Informatics, University of Beira do Interior, Covilha, PORTUGAL
5 COPELABS, Lusophone University of Humanities and Technologies, Lisboa, PORTUGAL
* Corresponding Author
Research Article

Journal of Information Systems Engineering and Management, 2020 - Volume 5 Issue 4, Article No: em0122
https://doi.org/10.29333/jisem/8430

Published Online: 30 Jul 2020

Views: 2986 | Downloads: 2504

How to cite this article
APA 6th edition
In-text citation: (Salazar et al., 2020)
Reference: Salazar, L. H., Fernandes, A., Dazzi, R., Garcia, N., & Leithardt, V. R. Q. (2020). Using Different Models of Machine Learning to Predict Attendance at Medical Appointments. Journal of Information Systems Engineering and Management, 5(4), em0122. https://doi.org/10.29333/jisem/8430
Vancouver
In-text citation: (1), (2), (3), etc.
Reference: Salazar LH, Fernandes A, Dazzi R, Garcia N, Leithardt VRQ. Using Different Models of Machine Learning to Predict Attendance at Medical Appointments. J INFORM SYSTEMS ENG. 2020;5(4):em0122. https://doi.org/10.29333/jisem/8430
AMA 10th edition
In-text citation: (1), (2), (3), etc.
Reference: Salazar LH, Fernandes A, Dazzi R, Garcia N, Leithardt VRQ. Using Different Models of Machine Learning to Predict Attendance at Medical Appointments. J INFORM SYSTEMS ENG. 2020;5(4), em0122. https://doi.org/10.29333/jisem/8430
Chicago
In-text citation: (Salazar et al., 2020)
Reference: Salazar, Luiz Henrique, Anita Fernandes, Rudimar Dazzi, Nuno Garcia, and Valderi R. Q. Leithardt. "Using Different Models of Machine Learning to Predict Attendance at Medical Appointments". Journal of Information Systems Engineering and Management 2020 5 no. 4 (2020): em0122. https://doi.org/10.29333/jisem/8430
Harvard
In-text citation: (Salazar et al., 2020)
Reference: Salazar, L. H., Fernandes, A., Dazzi, R., Garcia, N., and Leithardt, V. R. Q. (2020). Using Different Models of Machine Learning to Predict Attendance at Medical Appointments. Journal of Information Systems Engineering and Management, 5(4), em0122. https://doi.org/10.29333/jisem/8430
MLA
In-text citation: (Salazar et al., 2020)
Reference: Salazar, Luiz Henrique et al. "Using Different Models of Machine Learning to Predict Attendance at Medical Appointments". Journal of Information Systems Engineering and Management, vol. 5, no. 4, 2020, em0122. https://doi.org/10.29333/jisem/8430
ABSTRACT
Outpatient absenteeism is a recurring problem worldwide and in Brazil, it is a chronic problem. The number of appointments and exams scheduled and not performed, due to the non-attendance of patients, reaches significantly high rates and can be seen in all regions in the country and in different types of care and medical specialties. This practice generates waste of resources, disorganizes the offer of services, and limits the guarantee of care at different levels of assistance. In addition, it causes a series of dissatisfactions from users of the health system who really need and have not yet been able to access consultations and exams. This imbalance causes the misuse of the offer, an increase in the queue and waiting time, as well as a financial loss since it is paid for by a professional who is idle due to the absence of patients. It is necessary to understand the profile of these missing patients and to try to discover the reasons that lead this person to be absent, in order to predict a future absence for consultation. Thus, this work presents the study of different machine learning models in order to help predict whether or not the patient will attend the scheduled appointment. As a result, an end-to-end machine learning process was developed, considering exploratory data analysis, pre-processing, creation of machine learning models, analysis of results, and deployment of the most appropriate model in a web application. As a result, it was found that the Decision Tree algorithm represents an interesting choice as a final model for use in future observations.
KEYWORDS
REFERENCES
  • Abbott, D. (2014) Applied Predictive Analytics: principles, and techniques for the professional data analyst. John Wiley & Sons, 2014. ISBN: 978-1-118-72796-6.
  • AlRowaili, M. O., Ahmed, A. E. and Areabi, H.A. (2016) Factors associated with no-shows and rescheduling MRI appointments, BMC Health Services Research, 16, 679. https://doi.org/10.1186/s12913-016-1927-z
  • Bittar, O. J. N. V., Magalhães, A.,Martines, C. M., Felizola, N.B. G. and Falcão, L. H. B. (2016). Absenteísmo em atendimento ambulatorial de especialidades no estado de São Paulo. BEPA, 13(152), 19-32. Available at: http://attosaude.com.br/assets/conteudo/uploads/absenteismo-ambulatorial--art-original57eec18c360fb.pdf (Accessed: 9 October 2019).
  • Canelada, H. F., Levorato, C. D., Corte, R. I. A. S. and Diniz, E. E. S. (2014). Redução do Absenteísmo Através da Gestão da Agenda e do Trabalho em Rede. Blucher Medical Proceedings, 1(2), 145. https://doi.org/10.5151/medpro-cihhs-10458
  • Cavalcanti, R. P., Cavalcanti, J. C. M., Serrano, R. M. S. M. and Santana, P. R. S. (2013). Absenteísmo de consultas especializadas nos sistema de saúde público: relação entre causas e o processo de trabalho de equipes de saúde da família, João Pessoa – PB, Brasil. Rev. Tempus - Actas de Saúde Coletiva. https://doi.org/10.18569/tempus.v7i2.1344
  • Covington, D. (2019). Analytics: Data Science, Data Analysis and Predictive Analytics for Business, LuLu Press. ISBN: 978-0-359-82852-4.
  • Cox, V. (2017). Translating Statistics to Make Decisions: a guide for the non statistician. Apress. 1st edition. https://doi.org/10.1007/978-1-4842-2256-0
  • Deng, X., Liu, Q., Deng, Y. and Mahadevan, S. (2016) An improved method to construct basic probability assignment based on the confusion matrix for classification problem. Information Sciences, 340, 250-261. https://doi.org/10.1016/j.ins.2016.01.033
  • Dogruyol, K. and Sekeroglu, B. (2020). Absenteeism Prediction: A Comparative Study Using Machine Learning Models. In: R. Aliev, J. Kacprzyk, W. Pedrycz, M. Jamshidi, M. Babanli and F. Sadikoglu (eds), 10th International Conference on Theory and Application of Soft Computing, Computing with Words and Perceptions - ICSCCW-2019. ICSCCW 2019. Advances in Intelligent Systems and Computing, vol 1095. Springer, Cham, 2020. https://doi.org/10.1007/978-3-030-35249-3_94
  • Elvira, C., Ochoa, A., Gonzalvez, J. C. and Mochón, F. (2017). Machine Learning Based no show prediction in outpatients visits. International Journal of Interactive Multimedia and Artificial Intelligence, 4(7), 29-34. https://doi.org/10.9781/ijimai.2017.03.004
  • Fenner, M. (2019) Machine Learning with Python for Everyone. Addison-Wesley Professional. ISBN: 978-0-134-84562-3.
  • Filipova, O. Learning Vue.js 2. (2016) Packt Publishing, December, 14, 2016. ISBN: 978-1-78646-994-6.
  • Goodfellow, I., Bengio Y. and Courville, A. (2016). Deep Learning. [S.l.]: MIT Press. ISBN: 978-0262035613.
  • Grinberg, M. (2014). Flask Web Development: Developing Web Applications with Python. O’Reilly Media; 1 edition, April 28. ISBN: 978-1449372620.
  • Grupo Hospitalar Conceição (GHC) e Fundação Oswaldo Cruz (FIOCRUZ), 2013. Available at https://www.arca.fiocruz.br/bitstream/icict/34822/2/mirian_silva_icict_espec_2013.pdf (Accessed: 9 July 2020).
  • Hastie, T., Tibshirani, R. and Friedman, J. (2017). The elements of statistical learning: data mining, inference, and prediction. Springer, 9th edition. https://doi.org/10.1007/978-0-387-84858-7
  • Hoe, J. W. M. (2007). Service delivery and service quality in radiology, J Am Coll Radiol., 4(9), 643-651. https://doi.org/10.1016/j.jacr.2007.04.013
  • James, G., Witten, D., Hastie, T. and Tibshirani, R. (2017). An introduction to statistical learning: with applications in R. New York: Springer; 7th edition. https://doi.org/10.1007/978-1-4614-7138-7
  • Kuhn, M. and Johnson, K. (2018). Applied predictive modeling. Springer, 2nd edition. https://doi.org/10.1007/978-1-4614-6849-3
  • Lenzi, H., Ben, A. J. and Stein, A. T. (2019). Development and validation of a patient no show predictive model at a primary care setting in southern Brazil, PLoS ONE, 14(4), e0214869. https://doi.org/10.1371/journal.pone.0214869
  • Lu, L., Li, J. and Gisler, P. (2011). Improving financial performance by modeling and analysis of radiology procedure scheduling at a large community hospital. Journal of Medical Systems, 35(3), 299-307. https://doi.org/10.1007/s10916-009-9366-6
  • McCandless, D. (2014). Knowledge Is Beautiful. Harper Design, 1th edition. ISBN: 978-0-062-18822-9.
  • Mohammadi, I., Wu, H., Turkcan, A., Toscos, T. and Doebbeling, B. N. (2018). Data analytics and modeling for appointment no show in community health cares. J Prim Care Community Health, 9, 2150132718811692. https://doi.org/10.1177/2150132718811692
  • Monken, S. F. and Moreno, R. C. B. (2015). Utilização dos Alertas de Controle como Ferramenta para a Fidelização da Clientela de Pediatria em um Ambulatório Público. Revista de Administração Hospitalar Inovação em Saúde, 12(3), 94-105. https://doi.org/10.21450/rahis.v12i3.2696
  • Montgomery, D. C., Peck, E. A. and Vining, G. (2012). Introduction to Linear Regression Analysis. John Wiley Sons, 5th edition. ISBN: 978-0-470-54281-1.
  • Nelson, A., Herron, D., Rees, G. and Nachev, P. (2019). Predicting scheduled hospital attendance with artificial intelligence. Digit. Med., 2, 26. https://doi.org/10.1038/s41746-019-0103-3
  • Priyanka, D. and Nayak, J. (2020). Empirical Analysis of Absenteeism at Workplace Using Machine Learning. In: J. Nayak, V. Balas, M. Favorskaya, B. Choudhury, S. Rao and B. Naik (eds), Applications of Robotics in Industry Using Advanced Mechanisms. ARIAM 2019. Learning and Analytics in Intelligent Systems, vol 5. Springer, Cham. https://doi.org/10.1007/978-3-030-30271-9
  • Raschka, S. and Mirjalili, V. (2017). Python Machine Learning: machine learning and deep learning with Python, Scikit-learn and Tensorflow, Packt Publishing; 2nd edition. ISBN: 978-1-78712-593-3.
  • Recht, M., Macari, M., Lawson, K., Mulholland, T., Chen, D., Kim, D. and Babb, J. (2013) Impacting key performance indicators in an academic MR imaging department through process improvement, Journal of the American College of Radiology, 10(3), 202-206. https://doi.org/10.1016/j.jacr.2012.08.008
  • Reid, M. W., Cohen, S., Wang, H., Kaung, A., Patel, A., Tashjian, V., Williams Jr., O. L., Martinez, B. and Spiegel, B. M. R. (2015). Preventing Patient Absenteeism: validation of a predictive overbooking model. Am J Manag Care, 21(12), 902-910. Available at: https://www.ajmc.com/journals/issue/2015/2015-vol21-n12/preventing-patient-absenteeism-validation-of-a-predictive-overbooking-model?p=4 (Accessed: 23 June 2020).
  • Salazar, L. H., Fernandes, A. M. R., Dazzi, R. L. S., Garcia, N. M. and Leithardt, V. (2020). Prediction of Attendance At Medical Appointments Based On Machine Learning. In 2020 15th Iberian Conference on Information Systems and Technologies (CISTI), IEEE Xplore, ISBN: 978-989-54659-0-3. https://doi.org/10.23919/CISTI49556.2020.9140973
  • Santibáñez, P., Chow, V. S. and French, J. (2009). Reducing patient wait times and improving resource utilization at British Columbia Cancer Agency’s ambulatory care unit through simulation. Health Care Management Science, 12(4), 392-407. https://doi.org/10.1007/s10729-009-9103-1
  • Santos, H. G., Nascimento,C. F., Izbicki, R., Duarte, Y. A. O. and Chiavigatto Filho, A. D. P. (2019). Machine learning for predictive analysis in health: an example of an application to predict death in the elderly in São Paulo, Brazil - Machine learning para análises preditivas em saúde: exemplo de aplicação para predizer óbito em idosos de São Paulo, Brasil. Cad. Saúde Pública, 35(7), e00050818. https://doi.org/10.1590/0102-311x00050818
  • Shalev-Shwartz, S. and Ben-David, S. (2014). Understanding Machine Learning: From Theory to Algorithms, Cambridge University Press. ISBN-13: 978-1-107-05713-5.
  • Silva, C. C., Andrade, D. C., Aplonário, J. H. D., Zamboni, C., Durigan, J. R. and Mercadante, M. T. (2017). Absenteísmo ambulatorial no pós operatório dos pacientes ortopédicos de um hospital de ensino de São Paulo. Arq Med Hosp Fac Cienc Med Santa Casa São Paulo, 62(2), 77-80. Available at: https://pdfs.semanticscholar.org/bf75/cf68698956220c3a44b988f0607f5501f5ea.pdf (Accessed: 27 April 2020).
  • Silva, M. T. F. S. (2013). Avaliação da Redução do Absenteísmo as Consultas Marcadas em um Serviço de Referência em Diabetes. Projeto de pesquisa apresentado como requisito parcial para a obtenção do título de Especialista em Informação Científica e Tecnológica em Saúde, realizado pelo. Available at: http://docs.bvsalud.org/biblioref/coleciona-sus/2013/31530/31530-752.pdf (Accessed: 28 March 2020).
  • Silveira, G. S., Ferreira, P. R., Silveira, D. S., and, Siqueira, F. C. V. (2018). Prevalence of absenteeism in medical appointments at a basic health unit in southern Brazil – Prevalência de absenteísmo em consultas médicas em unidade básica de saúde do sul do Brasil. Rev. Bras. Med. Fam. Comunidade, 13(40), 1-7. https://doi.org/10.5712/rbmfc13(40)1836
  • Wahid, Z., Satter, A. K. M. Z., Imran, A. A. and Bhuiyan, T. (2019). Predicting Absenteeism at Work Using Tree-Based Learners”, ICMLSC 2019: Proceedings of the 3rd International Conf. on Machine Learning and Soft Computing. https://doi.org/10.1145/3310986.3310994
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