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Using a Multi-Level Process Comparison for Process Change Analysis in Cancer Pathways †

The area of process change over time is a particular concern in healthcare, where patterns of care emerge and evolve in response to individual patient needs. We propose a structured approach to analyse process change over time that is suitable for the complex domain of healthcare. Our approach appli...

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Autores principales: Kurniati, Angelina Prima, McInerney, Ciarán, Zucker, Kieran, Hall, Geoff, Hogg, David, Johnson, Owen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7579033/
https://www.ncbi.nlm.nih.gov/pubmed/33019777
http://dx.doi.org/10.3390/ijerph17197210
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author Kurniati, Angelina Prima
McInerney, Ciarán
Zucker, Kieran
Hall, Geoff
Hogg, David
Johnson, Owen
author_facet Kurniati, Angelina Prima
McInerney, Ciarán
Zucker, Kieran
Hall, Geoff
Hogg, David
Johnson, Owen
author_sort Kurniati, Angelina Prima
collection PubMed
description The area of process change over time is a particular concern in healthcare, where patterns of care emerge and evolve in response to individual patient needs. We propose a structured approach to analyse process change over time that is suitable for the complex domain of healthcare. Our approach applies a qualitative process comparison at three levels of abstraction: a holistic perspective (process model), a middle-level perspective (trace), and a fine-grained detail (activity). Our aim was to detect change points, localise and characterise the change, and unravel/understand the process evolution. We illustrate the approach using a case study of cancer pathways in Leeds where we found evidence of change points identified at multiple levels. In this paper, we extend our study by analysing the miners used in process discovery and providing a deeper analysis of the activity of investigation in trace and activity levels. In the experiment, we show that this qualitative approach provides a useful understanding of process change over time. Examining change at three levels provides confirmatory evidence of process change where perspectives agree, while contradictory evidence can lead to focused discussions with domain experts. This approach should be of interest to others dealing with processes that undergo complex change over time.
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spelling pubmed-75790332020-10-29 Using a Multi-Level Process Comparison for Process Change Analysis in Cancer Pathways † Kurniati, Angelina Prima McInerney, Ciarán Zucker, Kieran Hall, Geoff Hogg, David Johnson, Owen Int J Environ Res Public Health Article The area of process change over time is a particular concern in healthcare, where patterns of care emerge and evolve in response to individual patient needs. We propose a structured approach to analyse process change over time that is suitable for the complex domain of healthcare. Our approach applies a qualitative process comparison at three levels of abstraction: a holistic perspective (process model), a middle-level perspective (trace), and a fine-grained detail (activity). Our aim was to detect change points, localise and characterise the change, and unravel/understand the process evolution. We illustrate the approach using a case study of cancer pathways in Leeds where we found evidence of change points identified at multiple levels. In this paper, we extend our study by analysing the miners used in process discovery and providing a deeper analysis of the activity of investigation in trace and activity levels. In the experiment, we show that this qualitative approach provides a useful understanding of process change over time. Examining change at three levels provides confirmatory evidence of process change where perspectives agree, while contradictory evidence can lead to focused discussions with domain experts. This approach should be of interest to others dealing with processes that undergo complex change over time. MDPI 2020-10-01 2020-10 /pmc/articles/PMC7579033/ /pubmed/33019777 http://dx.doi.org/10.3390/ijerph17197210 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Kurniati, Angelina Prima
McInerney, Ciarán
Zucker, Kieran
Hall, Geoff
Hogg, David
Johnson, Owen
Using a Multi-Level Process Comparison for Process Change Analysis in Cancer Pathways †
title Using a Multi-Level Process Comparison for Process Change Analysis in Cancer Pathways †
title_full Using a Multi-Level Process Comparison for Process Change Analysis in Cancer Pathways †
title_fullStr Using a Multi-Level Process Comparison for Process Change Analysis in Cancer Pathways †
title_full_unstemmed Using a Multi-Level Process Comparison for Process Change Analysis in Cancer Pathways †
title_short Using a Multi-Level Process Comparison for Process Change Analysis in Cancer Pathways †
title_sort using a multi-level process comparison for process change analysis in cancer pathways †
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7579033/
https://www.ncbi.nlm.nih.gov/pubmed/33019777
http://dx.doi.org/10.3390/ijerph17197210
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