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This study developed an automated system using natural language processing and machine learning to categorize health service perceptions from Twitter data. The BERT-based classifier achieved high accuracy, enabling efficient analysis of consumer feedback on Medicaid services.

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Area of Science:

  • Health Informatics
  • Computational Linguistics
  • Social Media Analytics

Background:

  • Social media platforms offer rich, real-time data for assessing consumer perceptions of health services.
  • Analyzing this vast and diverse social media data presents significant challenges.

Purpose of the Study:

  • To develop and evaluate an automated system for characterizing user-posted Twitter data related to health services.
  • To utilize natural language processing and machine learning techniques for this characterization, using Medicaid as a case study.

Main Methods:

  • Collected Twitter data using keywords and agency-specific handles.
  • Manually labeled a sample of tweets and trained various supervised learning algorithms.
  • Evaluated classifiers including support vector machine, random forest, and BERT, applying the best-performing model for analysis.

Main Results:

  • A BERT-based classifier achieved the highest accuracy (81.7% and 80.7%) and F1 scores for consumer feedback.
  • The BERT classifier outperformed other models like random forest and neural networks.
  • Postclassification analysis showed differing distributions of tweet categories across corpora.

Conclusions:

  • The proposed system offers a feasible solution for automatically categorizing health service-related social media data.
  • This approach can be generalized to other health service programs beyond Medicaid.
  • The annotated data and methods are available for future research.