Analyses of Public Health Databases via Clinical Pathway Modelling: TBWEB

One of the purposes of public health databases is to serve as repositories for storing information regarding the treatment of patients. TBWEB (TuBerculose WEB) is an epidemiological surveillance system for tuberculosis cases in the state of São Paulo, Brazil. This paper proposes an analysis of the TBWEB database with the use of clinical pathways modelling. Firstly, the database was analysed in order to find the interventions registered on the database. The clinical pathways were obtained from the database by the use of process mining techniques. Similar pathways were grouped into clusters in order to find the most common treatment sequences. Each cluster was characterised and the risk of bad outcomes associated with each cluster was discovered. Some clusters had an association with the risk of negative outcomes. This method can be applied to other databases, serve as a base for decision-making systems and can be used to monitor public health databases.

[1]  Robert R. Sokal,et al.  A statistical method for evaluating systematic relationships , 1958 .

[2]  Gábor Csárdi,et al.  The igraph software package for complex network research , 2006 .

[3]  S. C. Johnson.  Hierarchical clustering schemes , 1967, Psychometrika.

[4]  Sergey V. Kovalchuk,et al.  Data-driven modeling of clinical pathways using electronic health records , 2017 .

[5]  L. Mcquitty.  Similarity Analysis by Reciprocal Pairs for Discrete and Continuous Data , 1966 .

[6]  Niels Peek,et al.  Process Mining in Primary Care: A Literature Review , 2018, MIE.

[7]  Vladimir I. Levenshtein,et al.  Binary codes capable of correcting deletions, insertions, and reversals , 1965 .

[8]  M. Euwema,et al.  Care pathways lead to better teamwork: results of a systematic review. , 2012, Social science & medicine.

[9]  Billie Hunter,et al.  Using a clinical pathway to support normal birth: impact on practitioner roles and working practices. , 2010, Birth.

[10]  Vera Maria Neder Galesi,et al.  [Data on tuberculosis in the state of São Paulo, Brazil]. , 2007, Revista de saude publica.

[11]  R. Dietze,et al.  Adverse effects of the new tuberculosis treatment regimen recommended by the Brazilian National Ministry of Health* Efeitos adversos causados pelo novo esquema de tratamento da tuberculose preconizado pelo Ministério da Saúde do Brasil , 2010 .

[12]  R. Hotchkiss.  Integrated care pathways , 1997, BMJ.

[13]  Wil M. P. van der Aalst,et al.  Process Mining - Discovery, Conformance and Enhancement of Business Processes , 2011 .

[14]  Geoff Hall,et al.  Process mining routinely collected electronic health records to define real-life clinical pathways during chemotherapy , 2017, Int. J. Medical Informatics.

[15]  Bart Baesens,et al.  A Process Mining-Based Investigation of Adverse Events in Care Processes , 2014, Health information management : journal of the Health Information Management Association of Australia.