Tag Archives: healthcare

Using Data to Revolutionize How We Make Decisions

Community members taking part in a planning process as part of Robert Goodspeed's doctorl work in Dripping Springs, Texas.

Robert Goodspeed, assistant professor of Urban Planning at the University of Michigan’s Taubman College of Architecture and Urban Planning, examined how decision support systems could be applied to urban planning processes during his doctoral work. This photo is of one such process in Dripping Springs, Texas.

By Drew Bush

The decision support market, a segment of the healthcare industry, made financial headlines when estimation of its global value by 2019 reached USD 239 billion, a jump of almost 38 billion since 2012. According to a new report, major players in the industry have poured money into new technologies that can take advantage of big data.

Digital health initiatives like those led by Canada Health Infoway have led to the creation of a network of systems that securely connect and share health information. Decision Support Systems like this one utilize computer-based data to aid in individual decision-making by supplying a massive bank of previous cases that aid in choosing the most likely answer or predicting trends. Most consist of interactive computer-based systems that utilize data and models to solve problems requiring geographically or temporally dispersed information.

In healthcare, IBM’s Watson system has been leading the trend to improve decisions made by doctors. “Watson knows what tests are relevant to further characterize a particular patient condition and what tests are not,” the report states. “It is a great help to physicians to have an assistant that is able to have read the latest journal articles and is loaded with medical information to recommend what tests may be relevant in a particular situation.”

An estimated 30 percent of all costs incurred for healthcare delivery come from tests that are either of little value in a patient’s case or sometimes outright wrong, according to some reports. Like platforms offered in other industries, the decision support system engineered by IBM offers the promise of more nuanced testing to enable better decisions on which medical tests can be best applied to specific patient conditions.

Robert Goodspeed, assistant professor of Urban Planning at the University of Michigan’s Taubman College of Architecture and Urban Planning, studies decision support systems.

Robert Goodspeed, assistant professor of Urban Planning at the University of Michigan’s Taubman College of Architecture and Urban Planning, studies decision support systems.

Using decision support systems to analyze data and make better decisions has helped to improve processes in many industries. Geothink 2015 Summer Institute Instructor Robert Goodspeed, assistant professor of Urban Planning at the University of Michigan’s Taubman College of Architecture and Urban Planning, has studied this trend.

Although Goodspeed doesn’t work in healthcare, his research examines what he refers to as “planning support systems.” His work has looked at how we can use information technology to improve processes that engage community members in urban planning decisions. During his doctoral work, he created a process that allowed individuals to access information about their neighborhood and city to improve discussions.

This research involved community members placing stickers on maps to categorize specific areas for different land uses. This data was then transferred to digital form with one person entering the data as it was called out. Interactions such as this ensured entering the data could be reviewed by the group as a whole and reflected the ideas that they had discussed.

“The participants reported learning quite a bit and I could observe their plans evolving,” Goodspeed said. “So that’s just one example of the sorts of tools and practices that I think or feel we need. Especially as we’re facing issues like climate change where we want to quantify things and create indicators, and know how the plans we are creating are going to do or how they’ll perform against these different indicators.”

The Varied Uses of Decision/Planning Support Systems

In more recent research, Goodspeed has taken his work with planning support systems and applied it to improve environmental-decision-making processes surrounding North America’s Great Lakes ecosystems. Work he’s done as part of the Great Lakes Aquatic Habitat Framework project have used GIS datasets to examine aquatic habitats such as streams, rivers, and lakes in the region. The process also supplies a “big pile of data” for decision-makers in the fisheries and environmental management departments in Canada and the United States.

Unlike in planning where professional tasks follow a somewhat structured process, ecosystem-based management systems must consider a whole variety of information and tasks, Goodspeed said. Work in the project has included leading participatory design workshops for professionals north and south of the border to aid in the development of a tool that will one day allow easy digital examination off all the information on the Great Lakes collected for the project.

Community participation in planning processes that help to envision the possible future often result in a final product that’s inherently more understandable, Goodspeed added.

“And really it requires that kind of combination of creativity but being specific about what you think will happen and what you think will work,” he said of his work with decision-support systems. As big data is increasingly used to inform decision-making, this trend will only continue to grow beyond the industries of healthcare and environmental planning.

Tweet him @rgoodspeed.

If you have thoughts or questions about this article, get in touch with Drew Bush, Geothink’s digital journalist, at drew.bush@mail.mcgill.ca.

Geothoughts 5: Helping Bring Equitable Access to Healthcare to All Canadians

This week's Geothoughts podcast examines how spatial data can be used to improve access to healthcare for all Canadians.

This week’s Geothoughts podcast examines how spatial data can be used to improve access to healthcare for all Canadians.

By Drew Bush

We’re very excited to present you with our fifth episode of Geothoughts. You can also subscribe to this Podcast by finding it on iTunes.

This episode features a look at how spatial data can be used to improve access to healthcare for all Canadians. In it we talk with Scott Bell from the Department of Geography and Planning at University of Saskatchewan.

Thanks for tuning in. And we hope you subscribe with us at Geothoughts on iTunes. A transcript of this original audio podcast follows.

TRANSCRIPT OF AUDIO PODCAST

This week we sit down with Professor Scott Bell from the Department of Geography and Planning at University of Saskatchewan to discuss his research using geospatial data to help create better healthcare access for all Canadians.

[Geothink.ca theme music]

Welcome to Geothoughts. I’m Drew Bush.

“From a GIS, GIScience perspective, I sort of went extreme in the access to location, or the location aspects of access. So looking at the arrangements of doctors just to get a sense of, just at the physical level, is there an equitable arrangement of doctors. And we know pretty clearly that that’s not true across Canada, at different scales and at the scale of the nation.”

To draw this conclusion, Bell brings a Geographic Information Systems (GIS) perspective to the context of a broad variety of areas of interest in human health. For example, he has collaborated on interdisciplinary health, environmental, and social science research that uses both public and private data.

“My interest in health really has broadened areas of interest to look at access to a variety of things that effect our health.”

This year alone he has worked with the University of Saskatchewan’s College of Dentistry and also examined the accessibility of Canadian food in terms of finding healthy eating options. But collecting such data can sometimes be onerous work owing to the fact that different provincial colleges of physicians and surgeons have varying standards for their data, he must collect population data from Statistics Canada for comparison, and sometimes he might even collect his own data using surveys to gain insight.

“So we integrate data across a variety of sources, mostly publicly available not always in the sort of true and honest definition of open data…We collect our own sometimes using telephone surveys of people to get an idea of what’s controlling or what’s affecting their access to healthcare.”

What’s important is figuring out what particular issues might impact how people access doctors. These include aspects of a given doctor’s services, such as the number of patients they take, or the personal concerns of the consumer or patient.

“We as just members of the public when we look for a doctor, access can be affected by our own personal opinions, or beliefs, or worldviews, or preferences. So if I prefer to be seen by a male doctor and my neighborhood is filled with female doctors, a physical measure of access might show that there are lots of doctors near me and I should have great accessibility. But I’m not willing to see any of those doctors.”

[Geothink.ca theme music]

[Voice over: Geothoughts are brought to you by Geothink.ca and generous funding from Canada’s Social Sciences and Humanities Research Council.]

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If you have thoughts or questions about this podcast, get in touch with Drew Bush, Geothink’s digital journalist, at drew.bush@mail.mcgill.ca.

Improving Access to Canadian Healthcare Using Open Data with Scott Bell

By Drew Bush

Scott Bell is a professor in the Department of Geography and Planning at the University of Saskatchewan.

Scott Bell is a professor in the Department of Geography and Planning at the University of Saskatchewan.

If you ask a Canadian what makes them most proud of their country, free and easily accessible healthcare would often be near the top of the list. But for one Geothink researcher, this commonly held narrative has been disproven and led him to help those in need of better healthcare.

“People in the north and some rural areas just don’t have that many doctors per person or have very low rates of doctors per 1,000 people,” Scott Bell, a professor of Geography and Planning at University of Saskatchewan, said. “And I think one of the things that really captured my interest here is that as Canadians and in Canada, we sort of expect equitable healthcare. And I think a lot of people—who have easy access to healthcare, are happy with their doctor’s care, and their ability to make appointments, and things like that—don’t think too much about the fact that not all Canadians have access to the free healthcare services we should all have access to. So that’s kind of a guiding principle.”

To draw the above conclusions, Bell brings a Geographic Information Systems (GIS) perspective to examine a broad variety of areas in human health. For example, he has collaborated on interdisciplinary health, environmental, and social science research that uses both public and private data including from surveys he has conducted himself and data he’s collected from provincial colleges of physicians and surgeons.

To get a sense of which populations are being served or not served by healthcare, his research compares the above data against population data from Statistics Canada (particularly, he says, the 2006 Long Form Census). This year he has worked with the University of Saskatchewan’s College of Dentistry and also examined the accessibility of Canadian food in terms of finding healthy eating options.

“My interest in health research really is focused on disparities in accessibility, and accessibility is a word that people use in day-to-day conversations a lot,” he told Geothink. “In terms of health, it’s a pretty complicated concept that is related not just to services themselves, where and when they’re available, when a clinic might be open, and how many doctors are there, and how many bookings they can take, or have open for drop-in or scheduling. But is also related to the patients themselves.”

It’s these consumer issues that can complicate how healthcare services can be made more accessible.

“Access can be affected by our own personal opinions, or beliefs, or worldviews, or preferences,” he said. “So if I prefer to be seen by a male doctor and my neighborhood is filled with female doctors, the physical measure of access might show that there are lots of doctors near me and I should have great accessibility. But I’m not willing to see any of those doctors.”

He has also found that when GIS is used to look at extreme situations in specific locations in Canada by just the arrangement of doctors, it’s not true that everyone has access to healthcare across the country. But identifying such a problem by locating those most in need often is the first step in starting a conversation to correct such problems.

If you have thoughts or questions about this article, get in touch with Drew Bush, Geothink’s digital journalist, at drew.bush@mail.mcgill.ca.