+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Learning to Personalize from Practice: A Real World Evidence Approach of Care Plan Personalization based on Differential Patient Behavioral Responses in Care Management Records

Learning to Personalize from Practice: A Real World Evidence Approach of Care Plan Personalization based on Differential Patient Behavioral Responses in Care Management Records

AMIA ... Annual Symposium Proceedings. AMIA Symposium 2018: 592-601

Recent studies documented the importance of individuality and heterogeneity in care planning. In practice, varying behavioral responses are revealed in patients' care management (CM) records. However, today's care programs are structured around population-level evidence. What if care managers can take advantage of the revealed behavioral response for personalization? The goal of this study is thus to quantify behavioral response from CM records for informing individual-level intervention decisions. We present a Behavioral Response Inference Framework (BRIeF) for understanding differential behavioral responses that are key to effective care planning. We analyze CM records from a healthcare network over a 14-month period and obtain a set of 2,416 intervention-goal attainment records. Promising results demonstrate that the individual-level care planning strategies that are learned from practice by BRIeF, outperform population-level strategies, yielding significantly more accurate intervention recommendations for goal attainment. To our knowledge, this is the first study of learning practice-based evidence from CM records for care planning, suggesting that increased patient behavioral understanding could potentially benefit augmented intelligence for care management decision support.

Please choose payment method:

(PDF emailed within 1 workday: $29.90)

Accession: 066540212

Download citation: RISBibTeXText

PMID: 30815100

Related references

Clinical case management assessment enables nurses to personalize a patient's care plan. Oncology Nursing Forum 24(6): 965, 1997

Real-world use of evidence-based treatments in community behavioral health care. Psychiatric Services 55(5): 485-487, 2004

How can real-world evidence be used in practice to demonstrate drug value and improve patient care?. Journal of Comparative Effectiveness Research 2017, 2017

Would evidence-based regulation improve the practice and management of patient care?. Journal of Medical Practice Management 28(1): 25-31, 2012

Evaluation of a diabetes management system based on practice guidelines, integrated care, and continuous quality management in a Federal State of Germany: a population-based approach to health care research. Diabetes Care 31(5): 863-868, 2008

Primary care clinicians' recognition and management of depression: a model of depression care in real-world primary care practice. Journal of General Internal Medicine 28(11): 1430-1439, 2014

Care bundles in critical care: a practical approach to evidence-based practice. Nursing in Critical Care 8(6): 249-255, 2004

A Real-World Approach to Insulin Therapy in Primary Care Practice. Clinical Diabetes 23(2): 78-86, 2005

Evidence-based practice for acute low back pain in primary care: patient outcomes and cost of care. Pain 124(1-2): 140-149, 2006

Evidence-based health care: a new approach to teaching the practice of health care. Evidence-Based Medicine Working Group. Journal of Dental Education 58(8): 648-653, 1994

Discrepancies between recent management practices in ALS and the AAN evidence-based practice parameters as revealed by the ALS patient care database. Neurology 54(7 Supp 3): A341-A342, 2000

Realizing a palliative approach in dementia care: strategies to facilitate aged care staff engagement in evidence-based practice. International Psychogeriatrics 21(Suppl. 1): S64-S68, 2010

Achieve best practice with an evidence-based approach. Create a collaborative environment that improves patient care through consistent outcomes measurement. Nursing Management 33(12): 24, 26-28, 30, 2002

Integrating behavioral and physical health care in the real world: early lessons from advancing care together. Journal of the American Board of Family Medicine 26(5): 588-602, 2013

Payers' Perspective: Incorporating Real-World Evidence in Patient Care. American Health and Drug Benefits 10(2): 88-90, 2017