A data mining approach in home healthcare: outcomes and service use

BMC Health Services Research
Elizabeth A Madigan, Olivier Louis Curet

Abstract

The purpose of this research is to understand the performance of home healthcare practice in the US. The relationships between home healthcare patient factors and agency characteristics are not well understood. In particular, discharge destination and length of stay have not been studied using a data mining approach which may provide insights not obtained through traditional statistical analyses. The data were obtained from the 2000 National Home and Hospice Care Survey data for three specific conditions (chronic obstructive pulmonary disease, heart failure and hip replacement), representing nearly 580 patients from across the US. The data mining approach used was CART (Classification and Regression Trees). Our aim was twofold: 1) determining the drivers of home healthcare service outcomes (discharge destination and length of stay) and 2) examining the applicability of induction through data mining to home healthcare data. Patient age (85 and older) was a driving force in discharge destination and length of stay for all three conditions. There were also impacts from the type of agency, type of payment, and ethnicity. Patients over 85 years of age experience differential outcomes depending on the condition. There are also differ...Continue Reading

References

Jun 3, 1999·Annual Review of Public Health·P DiehrD Y Lin
Sep 12, 2002·Journal of the American Medical Informatics Association : JAMIA·Lutz FritscheHans-Hellmut Neumayer
Mar 28, 2003·Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality·Robert J RosatiPenny H Feldman
Aug 12, 2003·AACN Clinical Issues·Kathleen G Charters
Dec 4, 2003·Quality & Safety in Health Care·H S Kaplan, B Robin Fastman
Mar 17, 2004·American Journal of Physical Medicine & Rehabilitation·Lisa I Iezzoni
May 27, 2004·Home Health Care Services Quarterly·Penny H FeldmanMargaret E Putnam
May 28, 2004·Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality·Laura E Peterson
May 28, 2004·Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality·Julie Sochalski
May 28, 2004·Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality·Suzanne Bakken, George Hripcsak
May 28, 2004·Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality·Anita L Tucker
Jun 12, 2004·Lippincott's Case Management : Managing the Process of Patient Care·Mary FermazinLarry M Cooper

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Citations

Mar 28, 2009·Journal of Oral Science·Yoh TamakiNobuhiro Hanada
Apr 27, 2016·The Journal of Arthroplasty·Danielle Y PonzioJames J Purtill
Jan 27, 2009·International Journal of Medical Informatics·Wen-Yuan Jen
Dec 3, 2014·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Azra RamezankhaniDavood Khalili
Jun 6, 2013·Japan Journal of Nursing Science : JJNS·Hyun Soo Oh, Wha Sook Seo
May 4, 2017·Journal of Advanced Nursing·Claire Su-Yeon Park

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Software Mentioned

CART
CHAID
C4
C5
ID3
EAM

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