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Artif Intell Med ; 88: 25-36, 2018 06.
Article in English | MEDLINE | ID: mdl-29705551

ABSTRACT

Healthcare quality is affected by various factors including trust. Patients' trust to healthcare providers is one of the most important factors for treatment outcomes. The presented study identifies optimum mixture of patient demographic features with respect to trust in three large and busy medical centers in Tehran, Iran. The presented algorithm is composed of adaptive neuro-fuzzy inference system and statistical methods. It is used to deal with data and environmental uncertainty. The required data are collected from three large hospitals using standard questionnaires. The reliability and validity of the collected data is evaluated using Cronbach's Alpha, factor analysis and statistical tests. The results of this study indicate that middle age patients with low level of education and moderate illness severity and young patients with high level of education, moderate illness severity and moderate to weak financial status have the highest trust to the considered medical centers. To the best of our knowledge this the first study that investigates patient demographic features using adaptive neuro-fuzzy inference system in healthcare sector. Second, it is a practical approach for continuous improvement of trust features in medical centers. Third, it deals with the existing uncertainty through the unique neuro-fuzzy approach.


Subject(s)
Delivery of Health Care , Fuzzy Logic , Hospitals , Models, Statistical , Patients/psychology , Physician-Patient Relations , Socioeconomic Factors , Trust , Adolescent , Adult , Age Factors , Educational Status , Female , Humans , Income , Iran , Male , Middle Aged , Patient Acceptance of Health Care , Reproducibility of Results , Severity of Illness Index , Surveys and Questionnaires , Uncertainty , Young Adult
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