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What Role Can Process Mining Play in Recurrent Clinical Guidelines Issues? A Position Paper
Open AccessArticle

Using a Multi-Level Process Comparison for Process Change Analysis in Cancer Pathways

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School of Computing, University of Leeds, Leeds LS2 9JT, UK
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School of Computing, Telkom University, Bandung 40257, Indonesia
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School of Medicine, University of Leeds, Leeds Teaching Hospitals Trust, Leeds LS1 3EX, UK
*
Author to whom correspondence should be addressed.
This paper is an extended version of our paper published in the International Workshop on Process-Oriented Data Science for Healthcare 2019 (PODS4H2019), Vienna, Austria, 2 September 2019 called “A multi-level approach for identifying process change in cancer pathways”.
Int. J. Environ. Res. Public Health 2020, 17(19), 7210; https://doi.org/10.3390/ijerph17197210
Received: 9 August 2020 / Revised: 27 September 2020 / Accepted: 29 September 2020 / Published: 1 October 2020
(This article belongs to the Special Issue Process-Oriented Data Science for Healthcare 2019 (PODS4H19))
The area of process change over time is a particular concern in healthcare, where patterns of care emerge and evolve in response to individual patient needs. We propose a structured approach to analyse process change over time that is suitable for the complex domain of healthcare. Our approach applies a qualitative process comparison at three levels of abstraction: a holistic perspective (process model), a middle-level perspective (trace), and a fine-grained detail (activity). Our aim was to detect change points, localise and characterise the change, and unravel/understand the process evolution. We illustrate the approach using a case study of cancer pathways in Leeds where we found evidence of change points identified at multiple levels. In this paper, we extend our study by analysing the miners used in process discovery and providing a deeper analysis of the activity of investigation in trace and activity levels. In the experiment, we show that this qualitative approach provides a useful understanding of process change over time. Examining change at three levels provides confirmatory evidence of process change where perspectives agree, while contradictory evidence can lead to focused discussions with domain experts. This approach should be of interest to others dealing with processes that undergo complex change over time. View Full-Text
Keywords: process mining; cancer pathways; process change; concept drift; multi-level process comparison process mining; cancer pathways; process change; concept drift; multi-level process comparison
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Kurniati, A.P.; McInerney, C.; Zucker, K.; Hall, G.; Hogg, D.; Johnson, O. Using a Multi-Level Process Comparison for Process Change Analysis in Cancer Pathways. Int. J. Environ. Res. Public Health 2020, 17, 7210.

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