Medical Treatment Migration Prediction Based on GCN via Medical Insurance Data

Nowadays, prediction for medical treatment migration has become one of the interesting issues in the field of health informatics. This is because the medical treatment migration behavior is closely related to the evaluation of regional medical level, the rational use of medical resources, and the distribution of medical insurance. Therefore, a prediction model for medical treatment migration based on medical insurance data is introduced in this paper. First, a medical treatment graph is constructed based on medical insurance data. The medical treatment graph is a heterogeneous graph, which contains entities such as patients, diseases, hospitals, medicines, hospitalization events, and the relations between these entities. However, existing graph neural networks are unable to capture the time-series relationships between event-type entities. To this end, a prediction model based on Graph Convolutional Network (GCN) is proposed in this paper, namely, Event-involved GCN (EGCN). The proposed model aggregates conventional entities based on attention mechanism, and aggregates event-type entities based on a gating mechanism similar to LSTM. In addition, jumping connection is deployed to obtain the final node representation. In order to obtain embedded representations of medicines based on external information (medicine descriptions), an automatic encoder capable of embedding medicine descriptions is deployed in the proposed model. Finally, extensive experiments are conducted on a real medical insurance data set. Experimental results show that our model's predictive ability is better than the best models available.