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Record W4413401094 · doi:10.1080/01605682.2025.2546058

Patient segmentation and resource allocation for tailored healthcare delivery

2025· article· en· W4413401094 on OpenAlexafffund
Maryam Akbari‐Moghaddam, Na Li, Douglas G. Down, Katie Hands, Alyssa Ziman

Bibliographic record

VenueJournal of the Operational Research Society · 2025
Typearticle
Languageen
FieldEngineering
TopicAdvanced X-ray and CT Imaging
Canadian institutionsUniversity of CalgaryMcMaster University
FundersNatural Sciences and Engineering Research Council of CanadaCanadian Blood Services
KeywordsHealth careComputer scienceHealthcare deliveryPurchasingResource allocationProject managementSegmentationBusinessOperations managementKnowledge managementOperations researchArtificial intelligenceMarketingEngineeringSystems engineeringEconomics

Abstract

fetched live from OpenAlex

Healthcare systems often face the challenge of providing quality care to a diverse patient population while effectively utilizing limited resources. While some patients with complex conditions may require specialized care at dedicated clinics, others could benefit from receiving treatments at home, rehabilitation centers, community health centers, or other tailored service programs. Evaluating resource allocation and directing patients to appropriate care settings are particularly important when planning new healthcare initiatives with limited prior data or operational experience. This work introduces a methodology that uses patient segmentation techniques to address the challenges of resource allocation in healthcare settings, specifically focusing on planning new programs that lack prior data or clinical experience by leveraging existing electric patient records. First, we use unsupervised learning, specifically ensemble clustering, to identify distinct groups of patients. Next, an algorithm for rule-based representation of clusters is proposed to generate simple data-driven recommendations that can be applied to practical settings for selecting target patient groups, and lastly, we introduce a resource delivery priority score function that can guide decision-making and patient prioritization under resource constraints. Our methodology is applied to a case study of home transfusion delivery of Red Blood Cell (RBC) products, a proposed program for patients who are required to regularly visit outpatient clinics for receiving transfusions. The results highlight the potential of our methodology in efficient resource allocation and improving patient care outcomes beyond the current heuristic-based approaches in clinical practice.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.003
metaresearch head score (Gemma)0.009
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Simulation or modeling · Consensus signal: Simulation or modeling
GenreCandidate signal: Empirical · Consensus signal: none
Teacher disagreement score0.009
Threshold uncertainty score0.017

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0030.009
Meta-epidemiology (narrow)0.0010.001
Meta-epidemiology (broad)0.0010.001
Bibliometrics0.0020.001
Science and technology studies0.0010.001
Scholarly communication0.0010.001
Open science0.0010.001
Research integrity0.0010.001
Insufficient payload (model declined to judge)0.0020.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.027
GPT teacher head0.344
Teacher spread0.317 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designSimulation or modeling
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2025
Admission routes2
Has abstractyes

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