313 鉴定社区保健工作者计划的新型血浆蛋白

IF 2.1 Q3 MEDICINE, RESEARCH & EXPERIMENTAL
Roselyne Tchoua, Kate Karam, Kelly McCabe
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引用次数: 0

摘要

目的/目标:本研究是一项实证研究,它证明了社区健康工作者(CHWs)与健康社会决定因素相结合对一项重要健康结果的积极影响,尤其是在减少西奈健康系统 30 天非计划医院急诊室再入院率方面。方法/研究对象:利用西奈城市健康研究所(SUHI)的数据,我们比较了有和没有健康社会决定因素(SDoH)相关数据的患者再入院预测。我们详细介绍了与社区卫生专家合作进行的数据清理和数据预处理。我们使用随机森林这一基本且普遍的分类器进行特征描述,以便将模型结果转化为对 CHW 计划的见解和建议。结果/预期结果:我们的研究表明,如果患者只是与社区保健员进行简单的交谈,无论交谈内容如何,我们都能将分类器的预测准确率提高 5%。我们利用这一结果提出了改善患者护理的建议,并讨论了局限性和未来的工作。重要的是,我们的工作直接指出了患者与医护人员之间的人际关系是再入院率的一个重要特征。讨论/意义:我们的工作表明,分类器的预测能力随着 CHW 日志和 SDoH 调查数据的增加而增强,这突出了收集这些信息的益处。这是早期识别此类患者的第一步,这样 CHW 就能关注并向最受益于该计划的患者提供资源。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
313 Identification of novel plasma protein of Community Health Worker Program
OBJECTIVES/GOALS: Thiswork is an evidential study that demonstrates the positive impactof integrating Community Health Workers (CHWs) and SocialDeterminants of Health on an important health outcome, notably in decreasing the 30-day unplanned hospital ED readmissions at Sinai Health Systems. METHODS/STUDY POPULATION: Using datafrom the Sinai Urban Health Institute (SUHI), we compare predictingthe readmissions of patients with and without data pertainingto Social Determinants of Health (SDoH). We thoroughly describe the data cleaning and data pre-processing, done in collaboration with experts in community health. We use a fundamental and ubiquitous classifier in Random Forest for its feature characterization capability in order to translate models results into insights and recommendations for the CHW program. RESULTS/ANTICIPATED RESULTS: We show that when patients are simply engaged byCHWs, regardless of the content of those conversations, we canincrease the predictive accuracy of our classifier by 5%. We usethis result to make recommendations for improving patient careand discuss limitations and future work. Importantly our workpoints directly to the human connection between patients andCHWs as an important feature in the readmission rate. DISCUSSION/SIGNIFICANCE: Our work shows that the predictive capabilities of the classifier increases with CHW logs and SDoH survey data, highlighting the benefit of collecting this information. This is the first step in early identification of such patients so that CHWs are focusing on and providing resources to patients who will most benefit from the program.
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来源期刊
Journal of Clinical and Translational Science
Journal of Clinical and Translational Science MEDICINE, RESEARCH & EXPERIMENTAL-
CiteScore
2.80
自引率
26.90%
发文量
437
审稿时长
18 weeks
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