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Book part
Publication date: 30 September 2020

Shivinder Nijjer, Kumar Saurabh and Sahil Raj

The healthcare sector in India is witnessing phenomenal growth, such that by the year 2022, it will be a market worth trillions of INR. Increase in income levels…

Abstract

The healthcare sector in India is witnessing phenomenal growth, such that by the year 2022, it will be a market worth trillions of INR. Increase in income levels, awareness regarding personal health, the occurrence of lifestyle diseases, better insurance policies, low-cost healthcare services, and the emergence of newer technologies like telemedicine are driving this sector to new heights. Abundant quantities of healthcare data are being accumulated each day, which is difficult to analyze using traditional statistical and analytical tools, calling for the application of Big Data Analytics in the healthcare sector. Through provision of evidence-based decision-making and actions across healthcare networks, Big Data Analytics equips the sector with the ability to analyze a wide variety of data. Big Data Analytics includes both predictive and descriptive analytics. At present, about half of the healthcare organizations have adopted an analytical approach to decision-making, while a quarter of these firms are experienced in its application. This implies the lack of understanding prevalent in healthcare sector toward the value and the managerial, economic, and strategic impact of Big Data Analytics. In this context, this chapter on “Predictive Analytics in Healthcare” discusses sources, areas of application, possible future areas, advantages and limitations of the application of predictive Big Data Analytics in healthcare.

Details

Big Data Analytics and Intelligence: A Perspective for Health Care
Type: Book
ISBN: 978-1-83909-099-8

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Book part
Publication date: 30 September 2020

Abstract

Details

Big Data Analytics and Intelligence: A Perspective for Health Care
Type: Book
ISBN: 978-1-83909-099-8

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Article
Publication date: 1 March 2006

Michael A. Cucciare and William O'Donohue

Risk‐adjustment is designed to predict healthcare costs to align capitated payments with an individual's expected healthcare costs. This can have the consequence of…

Abstract

Purpose

Risk‐adjustment is designed to predict healthcare costs to align capitated payments with an individual's expected healthcare costs. This can have the consequence of reducing overpayments and incentives to under treat or reject high cost individuals. This paper seeks to review recent studies presenting risk‐adjustment models.

Design/methodology/approach

This paper presents a brief discussion of two commonly reported statistics used for evaluating the accuracy of risk adjustment models and concludes with recommendations for increasing the predictive accuracy and usefulness of risk‐adjustment models in the context of predicting future healthcare costs.

Findings

Over the last decade, many advances in risk‐adjustment methodology have been made. There has been a focus on the part of researchers to transition away from including only demographic data in their risk‐adjustment models to incorporating patient data that are more predictive of healthcare costs. This transition has resulted in more accurate risk‐adjustment models and models that can better identify high cost patients with chronic medical conditions.

Originality/value

The paper shows that the transition has resulted in more accurate risk‐adjustment models and models that can better identify high cost patients with chronic medical conditions.

Details

Journal of Health Organization and Management, vol. 20 no. 2
Type: Research Article
ISSN: 1477-7266

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Article
Publication date: 8 May 2017

Yichuan Wang and Terry Anthony Byrd

Drawing on the resource-based theory and dynamic capability view, this paper aims to examine the mechanisms by which business analytics (BA) capabilities (i.e. the…

Abstract

Purpose

Drawing on the resource-based theory and dynamic capability view, this paper aims to examine the mechanisms by which business analytics (BA) capabilities (i.e. the effective use of data aggregation, analytics and data interpretation tools) in healthcare units indirectly influence decision-making effectiveness through the mediating role of knowledge absorptive capacity.

Design/methodology/approach

Using a survey method, this study collected data from the hospitals in Taiwan. Of the 155 responses received, three were incomplete, giving a 35.84 per cent response rate with 152 valid data points. Structural equation modeling was used to test the hypotheses.

Findings

This study conceptualizes, operationalizes and measures the BA capability as a multi-dimensional construct that is formed by capturing the functionalities of BA systems in health care, leading to the conclusion that healthcare units are likely to obtain valuable knowledge through using the data analysis and interpretation tools effectively. The effective use of data analysis and interpretation tools in healthcare units indirectly influence decision-making effectiveness, an impact that is mediated by absorptive capacity.

Originality/value

This study adds values to the literature by conceptualizing BA capabilities in healthcare and demonstrating how knowledge absorption matters when implementing BA to the decision-making process. The mediating role of absorptive capacity not only provides a mechanism by which BA can contribute to decision-making practices but also offers a new solution to the puzzle of the IT productivity paradox in healthcare settings.

Details

Journal of Knowledge Management, vol. 21 no. 3
Type: Research Article
ISSN: 1367-3270

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Book part
Publication date: 30 September 2020

K. Kalaiselvi and A. Thirumurthi Raja

Big Data is one of the most promising area where it can be applied to make a change is health care. Healthcare analytics have the potential to reduce the treatment costs…

Abstract

Big Data is one of the most promising area where it can be applied to make a change is health care. Healthcare analytics have the potential to reduce the treatment costs, forecast outbreaks of epidemics, avoid preventable diseases, and improve the quality of life. In general, the lifetime of human is increasing along world population, which poses new experiments to today’s treatment delivery methods. Health professionals are skillful of gathering enormous volumes of data and look for best approaches to use these numbers. Big data analytics has helped the healthcare area by providing personalized medicine and prescriptive analytics, medical risk interference and predictive analytics, computerized external and internal reporting of patient data, homogeneous medical terms and patient registries, and fragmented point solutions. The data generated level within healthcare systems is significant. This includes electronic health record data, imaging data, patient-generated data, etc. While widespread information in health care is now mostly electronic and fits under the big data as most is unstructured and difficult to use. The use of big data in health care has raised substantial ethical challenges ranging from risks for specific rights, privacy and autonomy, to transparency and trust.

Details

Big Data Analytics and Intelligence: A Perspective for Health Care
Type: Book
ISBN: 978-1-83909-099-8

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Article
Publication date: 19 November 2018

Claudia Affonso Silva Araujo, Peter Wanke and Marina Martins Siqueira

The purpose of this paper is to estimate the performance of Brazilian hospitals’ services and to examine contextual variables in the socioeconomic, demographic and…

Abstract

Purpose

The purpose of this paper is to estimate the performance of Brazilian hospitals’ services and to examine contextual variables in the socioeconomic, demographic and institutional domains as predictors of the performance levels attained.

Design/methodology/approach

The paper applied a two-stage approach of the technique for order preference by similarity to the ideal solution (TOPSIS) in public hospitals in 92 Rio de Janeiro municipalities, covering the 2008–2013 period. First, TOPSIS is used to estimate the relative performance of hospitals in each municipality. Next, TOPSIS results are combined with neural networks in an effort to originate a performance model with predictive ability. Data refer to hospitals’ outpatient and inpatient services, based on frequent indicators adopted by the healthcare literature.

Findings

Despite a slight performance increase over the period, substantial room for improvement is observed. The most important performance predictors were related to the demographic and socioeconomic status (area in square feet and GDP per capita) and to the juridical nature and type of ownership of the healthcare facilities (number of federal and private hospitals).

Practical implications

The results provide managerial insights regarding the performance of public hospitals and opportunities for better resource allocation in the healthcare sector. The paper also considers the impact of external socioeconomic, demographic and institutional factors on hospitals’ performance, indicating the importance of integrative public health policies.

Originality/value

This study displays an innovative context for applying the two-stage TOPSIS technique, with similar efforts not having been identified in the healthcare literature.

Details

International Journal of Productivity and Performance Management, vol. 67 no. 9
Type: Research Article
ISSN: 1741-0401

Keywords

Content available
Article
Publication date: 3 November 2020

Raul V. Rodriguez, Sanjivni Sinha and Sakshi Tripathi

The purpose of the paper is to highlight the role of Artificial Intelligence (AI) in the healthcare industry through the Ayushman Bharat health protection scheme by…

Abstract

Purpose

The purpose of the paper is to highlight the role of Artificial Intelligence (AI) in the healthcare industry through the Ayushman Bharat health protection scheme by analyzing various technologies being integrated to improve the customer service and experiences in India. The key focus lies on the understanding of the influence of AI in the healthcare system services, the clinical treatment, and the facilities to progress with accurate and precise health screening in India.

Design/methodology/approach

A systematic study on the emerging technologies of AI and the applications in the healthcare sector is presented in the form of a viewpoint.

Findings

AI certainly enhances experiential services; however, it cannot surpass the human touch which is an essential determinant of experiential healthcare services. AI acts as an effective complementary dimension to the future of healthcare.

Originality/value

This viewpoint discusses the applications and role of AI with the help of relevant examples. It highlights the different technologies being applied and how they will be used in the future focusing upon the Ayushman Bharat health protection scheme in India.

Details

Public Administration and Policy, vol. 23 no. 3
Type: Research Article
ISSN: 1727-2645

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The Emerald Handbook of Blockchain for Business
Type: Book
ISBN: 978-1-83982-198-1

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Article
Publication date: 7 December 2020

Roberto Salazar-Reyna, Fernando Gonzalez-Aleu, Edgar M.A. Granda-Gutierrez, Jenny Diaz-Ramirez, Jose Arturo Garza-Reyes and Anil Kumar

The objective of this paper is to assess and synthesize the published literature related to the application of data analytics, big data, data mining and machine learning…

Abstract

Purpose

The objective of this paper is to assess and synthesize the published literature related to the application of data analytics, big data, data mining and machine learning to healthcare engineering systems.

Design/methodology/approach

A systematic literature review (SLR) was conducted to obtain the most relevant papers related to the research study from three different platforms: EBSCOhost, ProQuest and Scopus. The literature was assessed and synthesized, conducting analysis associated with the publications, authors and content.

Findings

From the SLR, 576 publications were identified and analyzed. The research area seems to show the characteristics of a growing field with new research areas evolving and applications being explored. In addition, the main authors and collaboration groups publishing in this research area were identified throughout a social network analysis. This could lead new and current authors to identify researchers with common interests on the field.

Research limitations/implications

The use of the SLR methodology does not guarantee that all relevant publications related to the research are covered and analyzed. However, the authors' previous knowledge and the nature of the publications were used to select different platforms.

Originality/value

To the best of the authors' knowledge, this paper represents the most comprehensive literature-based study on the fields of data analytics, big data, data mining and machine learning applied to healthcare engineering systems.

Details

Management Decision, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 0025-1747

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Article
Publication date: 29 November 2018

Frederic Ponsignon, Andi Smart and Laura Phillips

The purpose of this paper is to provide novel theoretical insight into service delivery system (SDS) design. To do so, this paper adopts a customer journey perspective…

Abstract

Purpose

The purpose of this paper is to provide novel theoretical insight into service delivery system (SDS) design. To do so, this paper adopts a customer journey perspective, using it as a frame to explore dimensions of experience quality that inform design requirements.

Design/methodology/approach

This study utilises UK Patient Opinion data to analyse the stories of 200 cancer patients. Using a critical incident technique, 1,207 attributes of experience quality are generated and classified into 17 quality dimensions across five stages of the customer (patient) journey.

Findings

Analysis reveals both similarity and difference in dimensions of experience quality across the patient journey: seven dimensions are common to all five journey stages, from receiving diagnosis to end of life care; ten dimensions were found to vary, present in one or several of the stages but not in all.

Research limitations/implications

Limitations include a lack of representativity of the story sample and the impossibility to verify the factual occurrence of the stories.

Practical implications

Adopting a patient journey perspective can improve the practitioner understanding of the design requirements of SDS in healthcare. The results of the study can be applied by managers to configure SDS that achieve a higher quality of patient care throughout the patient journey.

Originality/value

This paper extends existing literature on SDS design by adopting a customer journey perspective, revealing heterogeneity in experience quality across the customer journey currently unaccounted for in SDS design frameworks. Specifically, the findings challenge homogeneity in extant SDS design frameworks, evidencing the need for multiple, stage-specific SDS design requirements.

Details

International Journal of Quality & Reliability Management, vol. 35 no. 10
Type: Research Article
ISSN: 0265-671X

Keywords

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