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An Interpretable Recommendation Model for Gerontological Care

Published: 13 September 2021 Publication History

Abstract

Recommender systems have been successfully applied to diverse areas, but their use in the healthcare domain is still rare. One challenge of applying recommender systems to this domain is related to legal concerns about the consequences of provided recommendations. In this work, we advance an expert-in-the-loop, explanation-first approach to tackle this challenge in a specific healthcare niche: gerontological care. A key aspect of the proposed approach is that both recommendations and explanations reflect the structured questionnaire employed by the practitioner to identify patient needs. Another key aspect is that a clinical dataset of patient assessments and respective assigned interventions is used to estimate effects of alternative interventions during the recommendation process. To evaluate the feasibility of this modelling approach, an explanation style was designed with help of practitioners, and a recommendation model was devised and evaluated against a clinical dataset, which was collected by a partner research group working on gerontological primary care. When compared to other traditional recommendation models, the attained precision was competitive across several evaluation conditions. The results suggest that the proposed approach is feasible and may point new ways of adapting recommender systems to play an assistive role in health care.

Supplementary Material

MP4 File (Recsys21_Short_Presentation_LBR1090.mp4)
Recommender systems have been successfully applied to diverse areas, but their use in the healthcare domain is still rare. One challenge of applying recommender systems to this domain is related to legal concerns about the consequences of provided recommendations. In this work, we advance an expert-in-the-loop, explanation-first approach to tackle this challenge in a specific healthcare niche: gerontological care. A key aspect of the proposed approach is that both recommendations and explanations reflect the structured questionnaire employed by the practitioner to identify patient needs. Another key aspect is that a clinical dataset of patient assessments and respective assigned interventions is used to estimate effects of alternative interventions during the recommendation process.

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cover image ACM Conferences
RecSys '21: Proceedings of the 15th ACM Conference on Recommender Systems
September 2021
883 pages
ISBN:9781450384582
DOI:10.1145/3460231
Permission to make digital or hard copies of part or all of this work for personal or classroom use is granted without fee provided that copies are not made or distributed for profit or commercial advantage and that copies bear this notice and the full citation on the first page. Copyrights for third-party components of this work must be honored. For all other uses, contact the Owner/Author.

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Published: 13 September 2021

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Author Tags

  1. expert-in-the-loop
  2. explanation-by-design
  3. gerontological care
  4. healthcare
  5. interpretable model
  6. off-line study
  7. recommender systems
  8. transparent explanations

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RecSys '21: Fifteenth ACM Conference on Recommender Systems
September 27 - October 1, 2021
Amsterdam, Netherlands

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