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Healthcare Expenditure Prediction with Neighbourhood Variables – A Random Forest Model

Datos Bibliográficos

ID8021028
AutoresSigrid M Mohnen (0000-0002-1537-8706, National Institute for Public Health and the Environment), Adriënne H Rotteveel (0000-0002-3395-0147, Erasmus University Rotterdam, autor de correspondencia), G Doornbos (National Institute for Public Health and the Environment), Johan Polder (0000-0002-3231-2178, National Institute for Public Health and the Environment)
Año2020
Volumen11
Número2
Páginas111-138
Fecha de publicación2020-09-30
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaStatistics Politics and Policy (JOURNAL)
Identificadores de la revistaISSN: 2151-7509 • E-ISSN: 2194-6299
EditorialDe Gruyter (PUBLISHER • DE)
DOI10.1515/spp-2019-0010
OpenAlexW3090966930
IdiomaEN
Citas recibidas1
Referencias citadas57

We investigated the additional predictive value of an individual’s neighbourhood (quality and location), and of changes therein on his/her healthcare costs. To this end, we combined several Dutch nationwide data sources from 2003 to 2014, and selected inhabitants who moved in 2010. We used random forest models to predict the area under the curve of the regular healthcare costs of individuals in the years 2011–2014. In our analyses, the quality of the neighbourhood before the move appeared to be quite important in predicting healthcare costs (i.e. importance rank 11 out of 126 socio-demographic and neighbourhood variables; rank 73 out of 261 in the full model with prior expenditure and medication). The predictive performance of the models was evaluated in terms of R 2 (or proportion of explained variance) and MAE (mean absolute (prediction) error). The model containing only socio-demographic information improved marginally when neighbourhood was added ( R 2 +0.8%, MAE −€5). The full model remained the same for the study population ( R 2 = 48.8%, MAE of €1556) and for subpopulations. These results indicate that only in prediction models in which prior expenditure and utilization cannot or ought not to be used neighbourhood might be an interesting source of information to improve predictive performance

Econometrics · Economics · Geography · Health care · Neighbourhood (mathematics · Sociology · Statistics · Variance (accounting · Demography · Global Health Care Issues · Health disparities and outcomes · Mathematics · Medicine · Urban Transport and Accessibility

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Obras citantes distintas1
Citas por año0,2
Intervalo de citas2021 - 2021 (1)
Velocidad de citaciónhistorical
Altamente citadoNo
Tipos de citaNeutras: 1
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