Customer relationship management analysis of outpatients in a Chinese infectious disease hospital using drug-proportion recency-frequency-monetary model.

Background: Identifying the patient types with different economic values can be useful for hospital development.Objective: This work uses the theory of customer relationship management (CRM) to analyze the outpatients in the hospital for infectious diseases in Shanghai, China.Methods: A total of 2,2...

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Publicado en:International Journal of Medical Informatics Vol. 147
Autores principales: Li, Min, Wang, Qunwei, Shen, Yinzhong, Zhu, TongYu
Formato: research tables/charts Journal Article
Publicado: Elsevier B.V. Mar2021
Acceso en línea:Ver este registro en EBSCOhost
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      jtl: International Journal of Medical Informatics
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      dt: Mar2021
      vid: 147
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      pub: Elsevier B.V.
      place: New York, New York
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        148168371
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        148168371
        10.1016/j.ijmedinf.2020.104373
        NLM33418439
        148168371
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        atl: Customer relationship management analysis of outpatients in a Chinese infectious disease hospital using drug-proportion recency-frequency-monetary model.
      aug:
        au:
          Li, Min
          Wang, Qunwei
          Shen, Yinzhong
          Zhu, TongYu
        affil: Nanjing University of Aeronautics and Astronautics, College of Economics and Management, Nanjing, Jiangsu, 211106, China
      sug:
        subj:
          Communicable Diseases Drug Therapy
          Drugs
          Human
          Hospitals
          Outpatients
          China
          Comparative Studies
          Multicenter Studies
          Evaluation Research
          Validation Studies
          Scales
      ab: Background: Identifying the patient types with different economic values can be useful for hospital development.Objective: This work uses the theory of customer relationship management (CRM) to analyze the outpatients in the hospital for infectious diseases in Shanghai, China.Methods: A total of 2,271,020 data elements of outpatients in the research unit between August 2009 and December 2019 were extracted, analyzed and cleaned to obtain 171,107 valid data elements (1 element per person). The main diseases were viral hepatitis B (VHB) and acquired immunodeficiency syndrome (AIDS), and the average percentage of drug expenditure was 80.39 %. We innovatively expanded the classic RFM (R: recency, F: frequency, M: monetary) model in CRM to the dRFM (d: percentage of drug expenditure) model. We selected the best clustering algorithm from the K-means, Kohonen and two-step clustering methods to find the optimal model to distinguish the types of patients with different economic values and the best decision-making algorithm from the C5.0, CART classification regression tree, CHAID and QUEST algorithms to verify the model.Results: After performing two rounds of K-means clustering analysis on three models: RFM, RFM + dRFM and dRFM, and 97,855 data elements were retained. The RFM + dRFM model was the optimal model, clustering the patients into 3 types: potential patients (24.2 %) to be retained, with a high drug expenditure and the last visit in more than 19.06 months, high-value patients (24.5 %) to be attracted, with the last visit in about 6.66 months; basal patients (51.3 %) to be kept, with the last visit in about 3.7 months. The model was then verified using the C5.0 decision tree algorithm with an accuracy rate of 99.97 %.Conclusion: This objective CRM analysis of the patients in the hospital for infectious diseases using the dRFM model accurately identified different types of patients, providing an objective and effective basis for hospital management.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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