Opinion versus practice regarding the use of rehabilitation services in home care: an investigation using machine learning algorithms.

Journal: BMC medical informatics and decision making
Published Date:

Abstract

BACKGROUND: Resources for home care rehabilitation are limited, and many home care clients who could benefit do not receive rehabilitation therapy. The interRAI Contact Assessment (CA) is a new screening instrument comprised of a subset of interRAI Home Care (HC) items, designed to be used as a preliminary assessment to identify which potential home care clients should be referred for a full assessment, or for services such as rehabilitation. We investigated which client characteristics are most relevant in predicting rehabilitation use in the full interRAI HC assessment.

Authors

  • Lu Cheng
    Department of Statistics and Actuarial Science, University of Waterloo, 200 University Avenue West, Mathematics Building No. 3, Waterloo, ON, N2L 3G1, Canada.
  • Mu Zhu
    Department of Statistics and Actuarial Science, University of Waterloo, 200 University Avenue West, Mathematics Building No. 3, Waterloo, ON, N2L 3G1, Canada.
  • Jeffrey W Poss
    School of Public Health and Health Systems, University of Waterloo, 200 University Avenue West, Waterloo, ON, N2L 3G1, Canada.
  • John P Hirdes
    School of Public Health and Health Systems, University of Waterloo, 200 University Avenue West, Waterloo, ON, N2L 3G1, Canada.
  • Christine Glenny
    School of Public Health and Health Systems, University of Waterloo, 200 University Avenue West, Waterloo, ON, N2L 3G1, Canada.
  • Paul Stolee
    School of Public Health and Health Systems, University of Waterloo, 200 University Avenue West, Waterloo, ON, N2L 3G1, Canada. stolee@uwaterloo.ca.