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Population Health Informatics, a Path to Health Equity for Medicaid Patients Enrolled in the Patient Centered Medical Home (PCMH).
紀錄類型:
書目-電子資源 : Monograph/item
正題名/作者:
Population Health Informatics, a Path to Health Equity for Medicaid Patients Enrolled in the Patient Centered Medical Home (PCMH)./
作者:
Hall, Carmen.
面頁冊數:
1 online resource (112 pages)
附註:
Source: Dissertations Abstracts International, Volume: 83-07, Section: B.
Contained By:
Dissertations Abstracts International83-07B.
標題:
Health sciences. -
電子資源:
http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=28961851click for full text (PQDT)
ISBN:
9798762183963
Population Health Informatics, a Path to Health Equity for Medicaid Patients Enrolled in the Patient Centered Medical Home (PCMH).
Hall, Carmen.
Population Health Informatics, a Path to Health Equity for Medicaid Patients Enrolled in the Patient Centered Medical Home (PCMH).
- 1 online resource (112 pages)
Source: Dissertations Abstracts International, Volume: 83-07, Section: B.
Thesis (Ph.D.)--Rutgers The State University of New Jersey, Rutgers School of Health Professions, 2022.
Includes bibliographical references
Background: The Medicaid population is burdened with social and environmental factors that impede care and result in poor health outcomes. Currently, the collection of social determinants of health (SDH) in electronic databases in the United States is fragmented and inadequate resulting in health gaps leading to substandard care. The integration of SDH with medical information will help achieve health equity for the Medicaid population and determine how SDH affect adherence to physician recommendations. Methods: Supervised and unsupervised ML algorithms were used to mine data and develop prediction models to determine if social determinants of health were risk factors for appointment compliance for Medicaid patients enrolled in the Patient-Centered Medical Home model from July 1, 2017 - June 30, 2019. This retrospective study analyzed records for 911 patients, ages 18-65 years and 12,118 encounters.Results: k-nearest neighbors had the best performance (AUC=0.743). Support vector machines (AUC = 0.656), logistic regression (0.644) and random forest had the lowest performance (0.599). Tobacco-related disorders, nutritional anemia, age, and gender predicted preventative health appointments.Conclusion: SMOTE oversampling technique can be used to balance a minority class to improve risk predictions significantly compromising performance scores (AUC, precision, recall, F1 score).
Electronic reproduction.
Ann Arbor, Mich. :
ProQuest,
2023
Mode of access: World Wide Web
ISBN: 9798762183963Subjects--Topical Terms:
3168359
Health sciences.
Subjects--Index Terms:
Health equityIndex Terms--Genre/Form:
542853
Electronic books.
Population Health Informatics, a Path to Health Equity for Medicaid Patients Enrolled in the Patient Centered Medical Home (PCMH).
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Population Health Informatics, a Path to Health Equity for Medicaid Patients Enrolled in the Patient Centered Medical Home (PCMH).
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Source: Dissertations Abstracts International, Volume: 83-07, Section: B.
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Advisor: Hajagos, Janos.
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Includes bibliographical references
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Background: The Medicaid population is burdened with social and environmental factors that impede care and result in poor health outcomes. Currently, the collection of social determinants of health (SDH) in electronic databases in the United States is fragmented and inadequate resulting in health gaps leading to substandard care. The integration of SDH with medical information will help achieve health equity for the Medicaid population and determine how SDH affect adherence to physician recommendations. Methods: Supervised and unsupervised ML algorithms were used to mine data and develop prediction models to determine if social determinants of health were risk factors for appointment compliance for Medicaid patients enrolled in the Patient-Centered Medical Home model from July 1, 2017 - June 30, 2019. This retrospective study analyzed records for 911 patients, ages 18-65 years and 12,118 encounters.Results: k-nearest neighbors had the best performance (AUC=0.743). Support vector machines (AUC = 0.656), logistic regression (0.644) and random forest had the lowest performance (0.599). Tobacco-related disorders, nutritional anemia, age, and gender predicted preventative health appointments.Conclusion: SMOTE oversampling technique can be used to balance a minority class to improve risk predictions significantly compromising performance scores (AUC, precision, recall, F1 score).
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