Determining patient outcomes from patient letters: A comparison of text analysis approaches

Morgan, Jennifer ORCID: https://orcid.org/0000-0002-7025-0350, Harper, Paul ORCID: https://orcid.org/0000-0001-7894-4907, Knight, Vincent ORCID: https://orcid.org/0000-0002-4245-0638, Artemiou, Andreas ORCID: https://orcid.org/0000-0002-7501-4090, Carney, Alexander and Nelson, Andrew ORCID: https://orcid.org/0000-0002-5171-413X 2019. Determining patient outcomes from patient letters: A comparison of text analysis approaches. Journal of the Operational Research Society 70 (9) , pp. 1425-1439. 10.1080/01605682.2018.1506559

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Abstract

This paper presents a case study comparing text analysis approaches used to classify the current status of a patient to inform scheduling. It aims to help one of the UKs largest healthcare providers systematically capture patient outcome information following a clinic attendance, ensuring records are closed when a patient is discharged and follow-up appointments can be scheduled to occur within the time-scale required for safe, effective care. Analysing patient letters allows systematic extraction of discharge or follow-up information to automatically update a patient record. This clarifies the demand placed on the system, and whether current capacity is a barrier to timely access. Three approaches for systematic information capture are compared: phrase identification (using lexicons), word frequency analysis and supervised text mining. Approaches are evaluated according to their precision and stakeholder acceptability. Methodological lessons are presented to encourage project objectives to be considered alongside text classification methods for decision support tools.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Data Innovation Research Institute (DIURI) Mathematics Psychology
Publisher:	Palgrave Macmillan / Taylor & Francis
ISSN:	0160-5682
Date of First Compliant Deposit:	11 July 2018
Date of Acceptance:	11 June 2018
Last Modified:	17 Nov 2024 20:30
URI:	https://orca.cardiff.ac.uk/id/eprint/113118

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