A Hospital Recommendation System Based on Patient Satisfaction Survey

• Main Authors: Mohammad Reza Khoie, Tannaz Sattari Tabrizi, Elham Sahebkar khorasani, Shahram Rahimi, Nina Marhamati
• Format: Article
• Language: English
• Published: MDPI AG 2017-09-01
• Series: Applied Sciences
• Subjects: health data analytics; survey analysis; HCAHPS; hospital consumer assessment of healthcare providers and systems; unsupervised learning
• Online Access: https://www.mdpi.com/2076-3417/7/10/966

Surveys are used by hospitals to evaluate patient satisfaction and to improve general hospital operations. Collected satisfaction data is usually represented to the hospital administration by using statistical charts and graphs. Although such visualization is helpful, typically no deeper data analysis is performed to identify important factors which contribute to patient satisfaction. This work presents an unsupervised data-driven methodology for analyzing patient satisfaction survey data. The goal of the proposed exploratory data analysis is to identify patient communities with similar satisfaction levels and the major factors, which contribute to their satisfaction. This type of data analysis will help hospitals to pinpoint the prevalence of certain satisfaction factors in specific patient communities or clusters of individuals and to implement more proactive measures to improve patient experience and care. To this end, two layers of data analysis is performed. In the first layer, patients are clustered based on their responses to the survey questions. Each cluster is then labeled according to its salient features. In the second layer, the clusters of first layer are divided into sub-clusters based on patient demographic data. Associations are derived between the salient features of each cluster and its sub-clusters. Such associations are ranked and validated by using standard statistical tests. The associations derived by this methodology are turned into comments and recommendations for healthcare providers and patients. Having applied this method on patient and survey data of a hospital resulted in 19 recommendations where 10 of them were statistically significant with chi-square test’s p-value less than 0.5 and an odds ratio z-test’s p-value of more than 2 or less than −2. These associations not only are statistically significant but seems rational too.