There are numerous cases in real life when we come across problems involving the optimization of multiple objectives simultaneously. One of the complexities of solving such problems is that often one or more objectives are usually conflicting under given conditions. In this study, the benefits of relying on a deployed Clinical Decision Support System (CDSS) concerning the overall reputation of a health facility has been studied. The analysis is performed in terms of a cooperative Bayesian game-theoretic model. The game is played between two players of which the first player is a patient who needs quick and accurate medical attention and the second player is the hospital administration that relies on medical experts as well as integrated multi-objective clinical data classification systems for decision-making. The proposed model ''MEAF''-Multi-objective Evolutionary Algorithm using Fuzzy Genetics attempts to address accuracy and interpretability simultaneously using Evolutionary Algorithms (EAs). This model enables a H CDSS to detect a disease accurately by using the available resources efficiently. The results of our simulation show that H CDSS produces better and accurate results in detecting disease with efficient resource utilization along with the reduced computational cost. This approach has also produced a better response for both players based on Bayesian Nash Equilibrium. Finally, the proposed model has been tested for accuracy, efficient resource utilization, and computationally cost-effective solution.
Evolution of technology has brought a revolution in various fields of sciences and amongst them, healthcare is one of the most critical and sensitive areas because of its connection with common masses' quality of life. The notion of integrating the healthcare system with the latest data repositories is to make disease prediction efficient, transparent, and reusable. Due to data heterogeneity, data repositories along with optimum classifiers help stakeholders to predict the disease more accurately without compromising the interpretability. Evolutionary algorithms have shown great efficacy, accuracy, and interpretability in improving disease prediction for several datasets. However, the quest for the best classifier is still in evolution. In this research, a state-of-the-art medical data repository has been developed to give researchers of medical domain great ease of use in utilizing different datasets governed by a multi-objective evolutionary algorithm using fuzzy genetics. The proposed model called 'MEAF' is evaluated on various public repositories. A subset of these repositories includes breast cancer, heart, diabetes, liver, and hepatitis datasets. The results have been analyzed, which show competitive accuracy, sensitivity, and interpretability as compared to relevant research. A customised software application named 'MediHealth' is developed to supplement the proposed model that will facilitate the domain users.
Clinical advancements are one of the major outcomes of the technological phase shift of data sciences. The significance of information technology in medical sciences by utilizing the Clinical Decision Support System (CDSS) has opened the spillways of exponentially improved predictive models. Utilizing the latest norms of classification algorithms on clinical data are widely incorporated for prognostic assessments. Medical experts have to make decisions that are crucial in nature and if the research can develop a mechanism that assists them in evolving solid reasoning, infer the knowledge and clearly express their clinical decision by justifying their assertions made, it will be a win-win situation. However, this field of science is still an unknown world for clinicians despite the fact that the enormous amount of medical data cannot be exploited to its maximum without invoking the technological support. The objective of this research is to introduce the clinicians and policymakers of the medical domain with the renowned computer-based methodologies employed to construct a clinical decision support system. We expect that gaining the technical insight into the medical domain by the stakeholders will ensure commissioning the accurate and effective CDSS for improved healthcare delivery.
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