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초진환자 재방문 예측모형 개발

Development of a revisit prediction model for the outpatient in a hospital

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Objectives: This study is for developing the prediction model of outpatient's revisit in target hospital. Using this model, hospital managers can make efficient customer relationship. Methods: This is based on the medical record data of patients in target hospital (with 967 beds). They are divided into two groups, which are used each for different purpose. One(raw data) is used to make the prediction model of revisit and the other(test data) is used to evaluate the model. For raw data were used the 4,273 outpatient cases, where patients visited the first time between august and september in 2000, and visited till december in 2003. For the test data were used 9,392 outpatient cases, where patients visited the first time between august and september in 2003, and visited till december in 2006. That is, each data was selected from the outpatient's medical records for three-years. Results: The decision tree model is better than the logistic regression model as prediction model of outpatient's revisit in target hospital. The decision tree model is evaluated more excellent in ROC curve and classification accuracy in test data. For predicting the outpatient's revisit, it is more useful to have 4 variables - non-insured expenses, special medical service, cooperation service with oriental medicine and visit via ER. We can predict the revisit of outpatients over 39.5% rate by these variables. Conclusions: By using decision tree model, target hospital can make more accurate prediction of outpatient's revisit and make good customer relation management. So, target hospital can use some CRM program including 4 variables. To make more useful model for other hospitals in Korea, each hospital managers need to understand more their hospital environment and patient's characteristics.

Abstract

Objectives: This study is for developing the prediction model of outpatient's revisit in target hospital. Using this model, hospital managers can make efficient customer relationship. Methods: This is based on the medical record data of patients in target hospital (with 967 beds). They are divided into two groups, which are used each for different purpose. One(raw data) is used to make the prediction model of revisit and the other(test data) is used to evaluate the model. For raw data were used the 4,273 outpatient cases, where patients visited the first time between august and september in 2000, and visited till december in 2003. For the test data were used 9,392 outpatient cases, where patients visited the first time between august and september in 2003, and visited till december in 2006. That is, each data was selected from the outpatient's medical records for three-years. Results: The decision tree model is better than the logistic regression model as prediction model of outpatient's revisit in target hospital. The decision tree model is evaluated more excellent in ROC curve and classification accuracy in test data. For predicting the outpatient's revisit, it is more useful to have 4 variables - non-insured expenses, special medical service, cooperation service with oriental medicine and visit via ER. We can predict the revisit of outpatients over 39.5% rate by these variables. Conclusions: By using decision tree model, target hospital can make more accurate prediction of outpatient's revisit and make good customer relation management. So, target hospital can use some CRM program including 4 variables. To make more useful model for other hospitals in Korea, each hospital managers need to understand more their hospital environment and patient's characteristics.

참고문헌 (14)

  1. A study of the development of hospital-based health promotio, "Cho WH", Yonsei University, 69~75 (2001)
  2. Coile RC, "Competing in a “Consumer Choice” Market", J Healthcare Management, 46(2), pp.297~300 (2001)
  3. Scott G, "Customer Satisfaction: Six Strategies for Continuous Improvement", Journal of Healthcare Management, 46(2), pp.83~85 (2001)
  4. Tiwana, A, "The Essential Guide to Knowledge Management", pp.23~30 (2001), Prentice Hall PTR
  5. Kim KH, "A study on characteristics of prematurely discharged patients and establishing a model for predicting prematurely discharged patients", pp.2001
  6. Lee WJ, "Choice of health care and traditional medicine", Korea Journal of Health Policy & Administration, 8(1), pp.183~202 (1998)
  7. Lee GJ, "A Neural Network for Prediction and Sensitivity of Outpatients` Satisfaction", Korean Journal of Hospital Management, 8(1), pp.81~94 (2003)
  8. Cho WH, "The impact of visit frequency on the relationship between service quality and outpatient satisfaction: A south korean study", Health Services Research, 39(1), pp.13~33 (2004)
  9. 이경우, "의료서비스의 인식차이와 만족이 재방문에 미치는 영향에 관한 연구", 병원경영학회지, 8(3), pp.143~160 (2003), 한국병원경영학회
  10. 이견직, "데이터 마이닝을 활용한 병원 재방문도 영향요인 분석: 외래환자의 만족도를 중심으로", 보건행정학회지, 13(3), pp.21~34 (2003), 한국보건행정학회
  11. Kwon C, "Market segmentation of outpatient services on the based of consumption values in hospitals", Korean Journal of Hospital Management, 2(1), pp.97~113 (1997)
  12. Ryu SH, "Segmenting outpatients by the analysis of usage and revenue indicators", Korean Journal of Hospital Management, 7(4), pp.97~113 (2002)
  13. Lee SI, "Measurement of ambulatory patients' satisfaction and its influencing factors in a tertiary hospital", Korean Journal of Preventive Medicine, 27(2), pp.366~374 (1994)
  14. Chung SH, "Characteristics of non-emergent patients at emergency departments", Korean Journal of Health Policy & Administration, 16(4), pp.128~146 (2006)

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