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Measuring the Response Performance of U.S. States against COVID-19 Using an Integrated DEA, CART, and Logistic Regression Approach

Measuring the U.S.’s COVID-19 response performance is an extremely important challenge for health care policymakers. This study integrates Data Envelopment Analysis (DEA) with four different machine learning (ML) techniques to assess the efficiency and evaluate the U.S.’s COVID-19 response performan...

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Autores principales: Xu, Yuan, Park, Yong Shin, Park, Ju Dong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7998215/
https://www.ncbi.nlm.nih.gov/pubmed/33802276
http://dx.doi.org/10.3390/healthcare9030268
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author Xu, Yuan
Park, Yong Shin
Park, Ju Dong
author_facet Xu, Yuan
Park, Yong Shin
Park, Ju Dong
author_sort Xu, Yuan
collection PubMed
description Measuring the U.S.’s COVID-19 response performance is an extremely important challenge for health care policymakers. This study integrates Data Envelopment Analysis (DEA) with four different machine learning (ML) techniques to assess the efficiency and evaluate the U.S.’s COVID-19 response performance. First, DEA is applied to measure the efficiency of fifty U.S. states considering four inputs: number of tested, public funding, number of health care employees, number of hospital beds. Then, number of recovered from COVID-19 as a desirable output and number of confirmed COVID-19 cases as a undesirable output are considered. In the second stage, Classification and Regression Tree (CART), Boosted Tree (BT), Random Forest (RF), and Logistic Regression (LR) were applied to predict the COVID-19 response performance based on fifteen environmental factors, which were classified into social distancing, health policy, and socioeconomic measures. The results showed that 23 states were efficient with an average efficiency score of 0.97. Furthermore, BT and RF models produced the best prediction results and CART performed better than LR. Lastly, urban, physical inactivity, number of tested per population, population density, and total hospital beds per population were the most influential factors on efficiency.
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spelling pubmed-79982152021-03-28 Measuring the Response Performance of U.S. States against COVID-19 Using an Integrated DEA, CART, and Logistic Regression Approach Xu, Yuan Park, Yong Shin Park, Ju Dong Healthcare (Basel) Article Measuring the U.S.’s COVID-19 response performance is an extremely important challenge for health care policymakers. This study integrates Data Envelopment Analysis (DEA) with four different machine learning (ML) techniques to assess the efficiency and evaluate the U.S.’s COVID-19 response performance. First, DEA is applied to measure the efficiency of fifty U.S. states considering four inputs: number of tested, public funding, number of health care employees, number of hospital beds. Then, number of recovered from COVID-19 as a desirable output and number of confirmed COVID-19 cases as a undesirable output are considered. In the second stage, Classification and Regression Tree (CART), Boosted Tree (BT), Random Forest (RF), and Logistic Regression (LR) were applied to predict the COVID-19 response performance based on fifteen environmental factors, which were classified into social distancing, health policy, and socioeconomic measures. The results showed that 23 states were efficient with an average efficiency score of 0.97. Furthermore, BT and RF models produced the best prediction results and CART performed better than LR. Lastly, urban, physical inactivity, number of tested per population, population density, and total hospital beds per population were the most influential factors on efficiency. MDPI 2021-03-03 /pmc/articles/PMC7998215/ /pubmed/33802276 http://dx.doi.org/10.3390/healthcare9030268 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/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/ (https://creativecommons.org/licenses/by/4.0/) ).
spellingShingle Article
Xu, Yuan
Park, Yong Shin
Park, Ju Dong
Measuring the Response Performance of U.S. States against COVID-19 Using an Integrated DEA, CART, and Logistic Regression Approach
title Measuring the Response Performance of U.S. States against COVID-19 Using an Integrated DEA, CART, and Logistic Regression Approach
title_full Measuring the Response Performance of U.S. States against COVID-19 Using an Integrated DEA, CART, and Logistic Regression Approach
title_fullStr Measuring the Response Performance of U.S. States against COVID-19 Using an Integrated DEA, CART, and Logistic Regression Approach
title_full_unstemmed Measuring the Response Performance of U.S. States against COVID-19 Using an Integrated DEA, CART, and Logistic Regression Approach
title_short Measuring the Response Performance of U.S. States against COVID-19 Using an Integrated DEA, CART, and Logistic Regression Approach
title_sort measuring the response performance of u.s. states against covid-19 using an integrated dea, cart, and logistic regression approach
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7998215/
https://www.ncbi.nlm.nih.gov/pubmed/33802276
http://dx.doi.org/10.3390/healthcare9030268
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