Predictive modeling for identification of older adults with high utilization of health and social services.
Aim: Machine learning techniques have demonstrated success in predictive modeling across various clinical cases. However, few studies have considered predicting the use of multisectoral health and social services among older adults. This research aims to utilize machine learning models to detect hig...
| Publicado en: | Scandinavian Journal of Primary Health Care Vol. 42; no. 4; pp. 609 - 617 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
Dec2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=180765205&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 180765205 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 02813432 BDB jtl: Scandinavian Journal of Primary Health Care issn: 02813432 maglogo: Y pubinfo: dt: Dec2024 vid: 42 iid: 4 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 180765205 178225454 180765205 180765205 10.1080/02813432.2024.2372297 180765205 ppf: 609 ppct: 8 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Predictive modeling for identification of older adults with high utilization of health and social services. aug: au: Sourkatti, Heba Pajula, Juha Keski-Kuha, Teemu Koivisto, Juha Hilvo, Mika Lähteenmäki, Jaakko affil: VTT Technical Research Centre of Finland Ltd, Espoo, Finland sug: subj: Prediction Models Utilization Machine Learning Utilization Health Resource Utilization In Old Age Social Work Service Utilization Risk Assessment Human Funding Source Finland Male Female Aged Health Status Logistic Regression Algorithms Secondary Analysis Descriptive Statistics Mental Health Hospitalization Length of Stay Residence Characteristics Urban Areas Primary Health Care Aged: 65+ years Male Female ab: Aim: Machine learning techniques have demonstrated success in predictive modeling across various clinical cases. However, few studies have considered predicting the use of multisectoral health and social services among older adults. This research aims to utilize machine learning models to detect high-risk groups of excessive health and social services utilization at early stage, facilitating the implementation of preventive interventions. Methods: We used pseudonymized data covering a four-year period and including information on a total of 33,374 senior citizens from Southern Finland. The endpoint was defined based on the occurrence of unplanned healthcare visits and the total number of different services used. Input features included individual's basic demographics, health status and past usage of healthcare resources. Logistic regression and eXtreme Gradient Boosting (XGBoost) methods were used for binary classification, with the dataset split into 70% training and 30% testing sets. Results: Subgroup-based results mirrored trends observed in the full cohort, with age and certain health issues, e.g. mental health, emerging as positive predictors for high service utilization. Conversely, hospital stay and urban residence were associated with decreased risk. The models achieved a classification performance (AUC) of 0.61 for the full cohort and varying in the range of 0.55–0.62 for the subgroups. Conclusions: Predictive models offer potential for predicting future high service utilization in the older adult population. Achieving high classification performance remains challenging due to diverse contributing factors. We anticipate that classification performance could be increased by including features based on additional data categories such as socio-economic data. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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