Hospital crowdedness evaluation and in-hospital resource allocation based on image recognition technology.

Journal: Scientific reports
PMID:

Abstract

How to allocate the existing medical resources reasonably, alleviate hospital congestion and improve the patient experience are problems faced by all hospitals. At present, the combination of artificial intelligence and the medical field is mainly in the field of disease diagnosis, but lacks successful application in medical management. We distinguish each area of the emergency department by the division of medical links. In the spatial dimension, in this study, the waitlist number in real-time is got by processing videos using image recognition via a convolutional neural network. The congestion rate based on psychology and architecture is defined for measuring crowdedness. In the time dimension, diagnosis time and time-consuming after diagnosis are calculated from visit records. Factors related to congestion are analyzed. A total of 4717 visit records from the emergency department and 1130 videos from five areas are collected in the study. Of these, the waiting list of the pediatric waiting area is the largest, including 10,436 (person-time) people, and its average congestion rate is 2.75, which is the highest in all areas. The utilization rate of pharmacy is low, with an average of only 3.8 people using it at the one time. Its average congestion rate is only 0.16, and there is obvious space waste. It has been found that the length of diagnosis time and the length of time after diagnosis are related to age, the number of diagnoses and disease type. The most common disease type comes from respiratory problems, accounting for 54.3%. This emergency department has congestion and waste of medical resources. People can use artificial intelligence to investigate the congestion in hospitals effectively. Using artificial intelligence methods and traditional statistics methods can lead to better research on healthcare resource allocation issues in hospitals.

Authors

  • Lijia Deng
    School of Computing and Mathematical Sciences, The University of Leicester, University Road, Leicester, LE1 7RH, UK.
  • Fan Cheng
    Department of Surgery, Renmin Hospital of Wuhan University, Wuhan, China.
  • Xiang Gao
    Department of Gastroenterology, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, P. R. China.
  • Wenya Yu
    School of Public Health, School of Medicine, Shanghai Jiao Tong University, Shanghai, People's Republic of China.
  • Jianwei Shi
    Department of General Practice, Yangpu Hospital, Tongji University School of Medicine, Shanghai, China.
  • Liang Zhou
    Department of Otorhinolaryngology, Eye & ENT Hospital, Fudan University, Shanghai, 200031, China. liang.zhou@fdeent.org.
  • Lulu Zhang
    Institute of Basic Research in Clinical Medicine, China Academy of Chinese Medical Sciences, Beijing, 100700, People's Republic of China.
  • Meina Li
    Department of Health Service, College of Health Service, Naval Medical University of the Chinese People's Liberation Army, Shanghai, People's Republic of China.
  • Zhaoxin Wang
    The First Affiliated Hospital of Hainan Medical University, Haikou, China.
  • Yu-Dong Zhang
    University of Leicester, Leicester, United Kingdom.
  • Yipeng Lv
    School of Public Health, School of Medicine, Shanghai Jiao Tong University, Shanghai, People's Republic of China. epengl@163.com.