Artificial Intelligence driven Customer Behavior Analytics for Healthcare: A Systematic Review of Patient Experience, Engagement, and Decision-Making Patterns
DOI:
https://doi.org/10.59675/E322Keywords:
Artificial Intelligence, Healthcare Analytics, Patient Experience, Digital Health, Patient EngagementAbstract
The study discussed systematic literature review regarding the usage of Artificial Intelligence (AI) technologies as tools for analyzing, understanding and predicting consumer behavior in healthcare ecosystems, including patterns of patient engagement, service utilization and decision-making.
Design/methodology/approach - A systematic literature review was performed across the major academic databases including PubMed, Scopus, Web of Science and IEEE Xplore, capturing articles published from 1980 to 2024. The literature review provided a synthesis of 87 peer-reviewed articles, which focus on the application of AI for customer behavior analytics in the healthcare context, categorized into five thematic groups: predictive analytics, personalization engines, sentiment analysis, mapping patient journeys, and decision support systems.
Findings - AI technologies, in particular machine learning and natural language processing, are making strides in understanding complex patient behaviors, with predictive accuracy rates exceeding 85% in appointment adherence and compliance with treatment plans. Deep learning models are emerging as particularly useful in identifying patients who are at-risk and personalizing healthcare interventions, which have also resulted in increased patient satisfaction scores and lower healthcare costs.
Research limitations/implications – Although technology has advanced significantly, obstacles remain related to data privacy, bias in algorithms, the transparency of AI models, and integration with current healthcare information systems. This review identifies a research gap in longitudinal studies and promotes further research into ethical frameworks for AI implementation in healthcare contexts.
Practical implications – Healthcare organizations can use patient data and AI-informed behavioral insights to improve patient experiences, better allocate resources, decrease no-show rates, and develop health promotion initiatives targeting specific populations. Administrators and policymakers can utilize the implications presented in this study as actionable frameworks for improvement.
Originality/value – This is the first review to comprehensively synthesize AI technology with healthcare customer behavior, to provide taxonomy of AI technologies, and to present implications for future research as well as substantial contributions to the practice of healthcare delivery.
References
Davenport T, Kalakota R. The potential for artificial intelligence in healthcare. Future Healthc J. 2019;6(2):94-8.
Sharma A, Harrington RA, McClellan MB, Turakhia MP, Eapen ZJ, Steinhubl S, et al. Using digital health technology to better generate evidence and deliver evidence-based care. J Am Coll Cardiol. 2021;71(23):2680-90.
Reddy S, Allan S, Coghlan S, Cooper P. A governance model for the application of AI in health care. J Am Med Inform Assoc. 2020;27(3):491-7.
Rajkomar A, Dean J, Kohane I. Machine learning in medicine. N Engl J Med. 2019;380(14):1347-58.
Abbe A, Grouin C, Zweigenbaum P, Falissard B. Text mining applications in psychiatry: A systematic literature review. Int J Methods Psychiatr Res. 2016;25(2):86-100.
Esteva A, Robicquet A, Ramsundar B, Kuleshov V, DePristo M, Chou K, et al. A guide to deep learning in healthcare. Nat Med. 2019;25(1):24-9.
Char DS, Shah NH, Magnus D. Implementing machine learning in health care---addressing ethical challenges. N Engl J Med. 2018;378(11):981-3.
Morley J, Machado CC, Burr C, Cowls J, Joshi I, Taddeo M, et al. The ethics of AI in health care: A mapping review. Soc Sci Med. 2020;260:113172.
Topol EJ. High-performance medicine: The convergence of human and artificial intelligence. Nat Med. 2019;25(1):44-56.
Jiang F, Jiang Y, Zhi H, Dong Y, Li H, Ma S, et al. Artificial intelligence in healthcare: Past, present and future. Stroke Vasc Neurol. 2017;2(4):230-43.
Porter ME, Lee TH. The strategy that will fix health care. Harv Bus Rev. 2013;91(10):50-70.
Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. BMJ. 2021;372:n71.
Collins GS, Reitsma JB, Altman DG, Moons KG. Transparent reporting of a multivariable prediction model for individual prognosis or diagnosis (TRIPOD): The TRIPOD statement. BMJ. 2015;350:g7594.
Rosenstock IM. Historical origins of the health belief model. Health Educ Monogr. 1974;2(4):328-35.
Becker MH. The health belief model and personal health behavior. Health Educ Monogr. 1974;2:324-473.
Champion VL, Skinner CS. The health belief model. In: Glanz K, Rimer BK, Viswanath K, editors. Health behavior and health education: Theory, research, and practice. 4th ed. San Francisco: Jossey-Bass; 2008. p. 45-65.
Ajzen I. The theory of planned behavior. Organ Behav Hum Decis Process. 1991;50(2):179-211.
Godin G, Kok G. The theory of planned behavior: A review of its applications to health-related behaviors. Am J Health Promot. 1996;11(2):87-98.
Dixon-Woods M, Agarwal S, Jones D, Young B, Sutton A. Synthesising qualitative and quantitative evidence: A review of possible methods. J Health Serv Res Policy. 2005;10(1):45-53.
Wolff J, Pauling J, Keck A, Baumbach J. The economic impact of artificial intelligence in health care. JMIR Med Inform. 2017;8(2):e16866.
Hibbard JH, Greene J. What the evidence shows about patient activation: Better health outcomes and care experiences; fewer data on costs. Health Aff. 2013;32(2):207-14.
Herzlinger RE. Why innovation in health care is so hard. Harv Bus Rev. 2006;84(5):58-66.
Shortliffe EH, Davis R, Axline SG, Buchanan BG, Green CC, Cohen SN. Computer-based consultations in clinical therapeutics: Explanation and rule acquisition capabilities of the MYCIN system. Comput Biomed Res. 1976;8(4):303-20.
Kononenko I, Bratko I, Kukar M. Application of machine learning to medical diagnosis. In: Michalski RS, Bratko I, Kubat M, editors. Machine learning and data mining: Methods and applications. New York: John Wiley & Sons; 2001. p. 389-408.
LeCun Y, Bengio Y, Hinton G. Deep learning. Nature. 2015;521(7553):436-44.
Esteva A, Kuprel B, Novoa RA, Ko J, Swetter SM, Blau HM, et al. Dermatologist-level classification of skin cancer with deep neural networks. Nature. 2017;542(7639):115-8.
Raghupathi W, Raghupathi V. Big data analytics in healthcare: Promise and potential. Health Inf Sci Syst. 2014;2(1):3.
Mehta N, Pandit A. Concurrence of big data analytics and healthcare: A systematic review. Int J Med Inform. 2018;114:57-65.
Griebel L, Prokosch HU, Köpcke F, Toddenroth D, Christoph J, Leb I, et al. A scoping review of cloud computing in healthcare. BMC Med Inform Decis Mak. 2015;15(1):17.
Beam AL, Kohane IS. Big data and machine learning in health care. JAMA. 2018;319(13):1317-8.
Obermeyer Z, Emanuel EJ. Predicting the future---Big data, machine learning, and clinical medicine. N Engl J Med. 2016;375(13):1216-9.
Khalilia M, Chakraborty S, Popescu M. Predicting disease risks from highly imbalanced data using random forest. BMC Med Inform Decis Mak. 2011;11(1):51.
Kreimeyer K, Foster M, Pandey A, Arya N, Halford G, Jones SF, et al. Natural language processing systems for capturing and standardizing unstructured clinical information: A systematic review. J Biomed Inform. 2017;73:14-29.
Greaves F, Ramirez-Cano D, Millett C, Darzi A, Donaldson L. Use of sentiment analysis for capturing patient experience from free-text comments posted online. J Med Internet Res. 2013;15(11):e239.
Lipton ZC, Kale DC, Elkan C, Wetzel R. Learning to diagnose with LSTM recurrent neural networks. Proceedings of the International Conference on Learning Representations; 2016.
Vaswani A, Shazeer N, Parmar N, Uszkoreit J, Jones L, Gomez AN, et al. Attention is all you need. Adv Neural Inf Process Syst. 2017;30:5998-6008.
Yu C, Liu J, Nemati S, Yin G. Reinforcement learning in healthcare: A survey. ACM Comput Surv. 2021;55(1):1-36.
Nelson A, Herron D, Rees G, Nachev P. Predicting scheduled hospital attendance with artificial intelligence. NPJ Digit Med. 2019;2(1):26.
Topuz K, Uner H, Oztekin A, Yildirim MB. Predicting pediatric clinic no-shows: A decision analytic framework using elastic net and Bayesian belief network. Ann Oper Res. 2018;263(1):479-99.
Harvey H, Glocker B, Kamnitsas K, Oktay O, Hou B, Karimpour N, et al. ACDC and automated cardiac diagnosis challenge. Cham: Springer; 2017.
Prosperi M, Guo Y, Sperrin M, Koopman JS, Min JS, He X, et al. Causal inference and counterfactual prediction in machine learning for actionable healthcare. Nat Mach Intell. 2020;2(7):369-75.
Mohr DC, Zhang M, Schueller SM. Personal sensing: Understanding mental health using ubiquitous sensors and machine learning. Annu Rev Clin Psychol. 2017;13:23-47.
Rajkomar A, Oren E, Chen K, Dai AM, Hajaj N, Hardt M, et al. Scalable and accurate deep learning with electronic health records. NPJ Digit Med. 2018;1(1):18.
Gul M, Celik E. An exhaustive review and analysis on applications of statistical forecasting in hospital emergency departments. Health Syst. 2020;9(4):263-84.
Subrahmanian VS, Aguirre MA, Chelmis C, Coogan K, Elovici Y, McCoy D, et al. Computational models of extremism. Cham: Springer; 2021.
Cao B, Wang X, Zhang W, Song H, Lv Z. A many-objective optimization model of industrial Internet of Things based on private blockchain. IEEE Network. 2020;34(5):78-83.
Lee H, Yoon Y. Engineering doc2vec for automatic classification of product descriptions on O2O applications. Electron Commer Res. 2021;21(1):7-27.
Tran T, Luo W, Phung D, Harvey R, Berk M, Kennedy RL, et al. A framework for feature extraction from hospital medical data with applications in risk prediction. BMC Bioinformatics. 2019;15(1):6596.
Laranjo L, Dunn AG, Tong HL, Kocaballi AB, Chen J, Bashir R, et al. Conversational agents in healthcare: A systematic review. J Am Med Inform Assoc. 2018;25(9):1248-58.
Palanica A, Flaschner P, Thommandram A, Li M, Fossat Y. Physicians' perceptions of chatbots in health care: Cross-sectional web-based survey. J Med Internet Res. 2019;21(4):e12887.
Inkster B, Sarda S, Subramanian V. An empathy-driven, conversational artificial intelligence agent (Wysa) for digital mental well-being: Real-world data evaluation mixed-methods study. JMIR Mhealth Uhealth. 2018;6(11):e12106.
Nahum-Shani I, Smith SN, Spring BJ, Collins LM, Witkiewitz K, Tewari A, et al. Just-in-time adaptive interventions (JITAIs) in mobile health: Key components and design principles for ongoing health behavior support. Ann Behav Med. 2018;52(6):446-62.
Riley WT, Stevens VJ, Zhu SH, Morgan G, Grossman D. Overview of the adolescent training and learning to avoid steroids program. J Adolesc Health. 2020;66(1):96-102.
Huesch MD, Galstyan A, Ong MK, Doctor JN. Using social media to identify sources of patient anxiety following a bariatric surgery consultation. Surg Obes Relat Dis. 2018;14(1):90-6.
Devlin J, Chang MW, Lee K, Toutanova K. BERT: Pre-training of deep bidirectional transformers for language understanding. Proceedings of NAACL-HLT; 2019. p. 4171-86.
Gohil S, Vuik S, Darzi A. Sentiment analysis of health care tweets: Review of the methods used. JMIR Public Health Surveill. 2018;4(2):e43.
Doing-Harris KM, Livnat Y, Meystre SM, Zeng-Treitler Q. Automated concept and relationship extraction for the semi-automated ontology management (SEAM) system. J Biomed Semantics. 2017;8(1):15.
Reeves JJ, Hollandsworth HM, Torriani FJ, Taplitz R, Abeles S, Tai-Seale M, et al. Rapid response to COVID-19: Health informatics support for outbreak management in an academic health system. J Am Med Inform Assoc. 2020;27(6):853-9.
Sezgin E, Huang Y, Ramtekkar U, Lin S. Readiness for voice assistants to support healthcare delivery during a health crisis and pandemic. NPJ Digit Med. 2020;3(1):122.
Pestian JP, Sorter M, Connolly B, Cohen KB, McCullumsmith C, Gee JT, et al. A machine learning approach to identifying the thought markers of suicidal subjects: A prospective multicenter trial. Suicide Life Threat Behav. 2017;47(1):112-21.
Wallace E, Uijen MJ, Clyne B, Zarabzadeh A, Keogh C, Galvin R, et al. Impact analysis of implementing a national clinical guideline to reduce potentially inappropriate prescribing in older adults with multimorbidity. BMJ Qual Saf. 2019;28(11):952-60.
Rojas E, Munoz-Gama J, Sepúlveda M, Capurro D. Process mining in healthcare: A literature review. J Biomed Inform. 2016;61:224-36.
Baker K, Dunwoodie E, Jones RG, Newsham A, Johnson O, Price CP, et al. Process mining routinely collected electronic health records to define real-life clinical pathways during chemotherapy. Int J Med Inform. 2017;103:32-41.
Dagliati A, Marini S, Sacchi L, Cogni G, Teliti M, Tibollo V, et al. Machine learning methods to predict diabetes complications. J Diabetes Sci Technol. 2018;12(2):295-302.
Wang Y, Kung L, Byrd TA. Big data analytics: Understanding its capabilities and potential benefits for healthcare organizations. Technol Forecast Soc Change. 2018;126:3-13.
Allam A, Kostova Z, Nakamoto K, Schulz PJ. The effect of social support features and gamification on a Web-based intervention for rheumatoid arthritis patients: Randomized controlled trial. J Med Internet Res. 2021;23(1):e23510.
Kartoun U, Corey KE, Simon TG, Zheng H, Aggarwal R, Ng K, et al. The MELD-Plus: A generalizable prediction risk score in cirrhosis. PLoS One. 2017;12(10):e0186301.
Lee C, Zame WR, Yoon J, van der Schaar M. DeepHit: A deep learning approach to survival analysis with competing risks. Proceedings of the AAAI Conference on Artificial Intelligence. 2018;32(1):2314-21.
Patel MS, Volpp KG, Asch DA. Nudge units to improve the delivery of health care. N Engl J Med. 2018;378(3):214-6.
Dhir S, Kumar D, Singh VB. Success and failure factors that impact on project implementation using agile software development methodology. In: Kumar A, Mozar S, Srivastava J, editors. Computational intelligence in data mining. Singapore: Springer; 2020. p. 647-54.
Patel MS, Asch DA, Volpp KG. Wearable devices as facilitators, not drivers, of health behavior change. JAMA. 2016;313(5):459-60.
Mohr DC, Riper H, Schueller SM. A solution-focused research approach to achieve an implementable revolution in digital mental health. JAMA Psychiatry. 2020;77(2):113-4.
Centola D. How behavior spreads: The science of complex contagions. Princeton: Princeton University Press; 2018.
Blumenthal-Barby JS, Krieger H. Cognitive biases and heuristics in medical decision making: A critical review using a systematic search strategy. Med Decis Making. 2015;35(4):539-57.
Krittanawong C, Zhang H, Wang Z, Aydar M, Kitai T. Artificial intelligence in precision cardiovascular medicine. J Am Coll Cardiol. 2020;69(21):2657-64.
Akoka J, Comyn-Wattiau I, Laoufi N. Research on Big Data -- A systematic mapping study. Comput Stand Interfaces. 2017;54:105-15.
Paranjape K, Schinkel M, Nannan Panday R, Car J, Nanayakkara P. Introducing artificial intelligence training in medical education. JMIR Med Educ. 2019;5(2):e16048.
Guo X, Zhang X. The human side of algorithm governance: An investigation of employees' perceptions of algorithmic management. Inf Syst Res. 2021.
Finlayson SG, Subbaswamy A, Singh K, Bowers J, Kupke A, Zittrain J, et al. The clinician and dataset shift in artificial intelligence. N Engl J Med. 2021;385(3):283-6.
Price WN, Cohen IG. Privacy in the age of medical big data. Nat Med. 2019;25(1):37-43.
Obermeyer Z, Powers B, Vogeli C, Mullainathan S. Dissecting racial bias in an algorithm used to manage the health of populations. Science. 2019;366(6464):447-53.
Vyas DA, Eisenstein LG, Jones DS. Hidden in plain sight---Reconsidering the use of race correction in clinical algorithms. N Engl J Med. 2020;383(9):874-82.
Linardatos P, Papastefanopoulos V, Kotsiantis S. Explainable AI: A review of machine learning interpretability methods. Entropy. 2021;23(1):18.
Lundberg SM, Lee SI. A unified approach to interpreting model predictions. Adv Neural Inf Process Syst. 2017;30:4765-74.
Kim MO, Coiera E, Magrabi F. Problems with health information technology and their effects on care delivery and patient outcomes: A systematic review. J Am Med Inform Assoc. 2020;27(5):788-98.
Blumenthal-Barby JS, Burroughs H. Seeking better health care outcomes: The ethics of using the "nudge". Am J Bioeth. 2012;12(2):1-10.
Ancker JS, Edwards A, Nosal S, Hauser D, Mauer E, Kaushal R. Effects of workload, work complexity, and repeated alerts on alert fatigue in a clinical decision support system. BMC Med Inform Decis Mak. 2017;17(1):36.
Ash JS, Berg M, Coiera E. Some unintended consequences of information technology in health care: The nature of patient care information system-related errors. J Am Med Inform Assoc. 2004;11(2):104-12.
Topuz K, Zengul FD, Dag A, Almehmi A, Yildirim MB. Predicting graft survival among kidney transplant recipients: A Bayesian decision support model. Decis Support Syst. 2019;106:97-109.
Matheny ME, Whicher D, Thadaney Israni S. Artificial intelligence in health care: A report from the National Academy of Medicine. JAMA. 2020;323(6):509-10.
Cai CJ, Winter S, Steiner D, Wilcox L, Terry M. "Hello AI": Uncovering the onboarding needs of medical practitioners for human-AI collaborative decision-making. Proc ACM Hum Comput Interact. 2019;3(CSCW):1-24.
Kheirkhah P, Feng Q, Travis LM, Tavakoli-Tabasi S, Sharafkhaneh A. Prevalence, predictors and economic consequences of no-shows. BMC Health Serv Res. 2016;16(1):13.
Carreras-García D, Delgado-Gómez D, Llorente-Fernández F, Arribas-Gil A. Patient no-show prediction: A systematic literature review. Entropy. 2020;22(6):675.
Reichheld FF. The one number you need to grow. Harv Bus Rev. 2003;81(12):46-55.
Luo J, Wu M, Gopukumar D, Zhao Y. Big data application in biomedical research and health care: A literature review. Biomed Inform Insights. 2020;8:1-10.
Ranaweera C, Prabhu J. The influence of satisfaction, trust and switching barriers on customer retention in a continuous purchasing setting. Int J Serv Ind Manag. 2003;14(4):374-95.
Frizzell JD, Liang L, Schulte PJ, Yancy CW, Heidenreich PA, Hernandez AF, et al. Prediction of 30-day all-cause readmissions in patients hospitalized for heart failure: Comparison of machine learning and other statistical approaches. JAMA Cardiol. 2017;2(2):204-9.
Kansagara D, Englander H, Salanitro A, Kagen D, Theobald C, Freeman M, et al. Risk prediction models for hospital readmission: A systematic review. JAMA. 2011;306(15):1688-98.
Wargon M, Guidet B, Hoang TD, Hejblum G. A systematic review of models for forecasting the number of emergency department visits. Emerg Med J. 2010;27(10):724-8.
Helm JE, Van Oyen MP. Design and optimization methods for elective hospital admissions. Oper Res. 2014;62(6):1265-82.
Kreuter MW, Strecher VJ, Glassman B. One size does not fit all: The case for tailoring print materials. Ann Behav Med. 2000;21(4):276-83.
Bates DW, Landman A, Levine DM. Health apps and health policy: What is needed? JAMA. 2018;320(19):1975-6.
Pereira A, Thomas C, Tavares N, Morais A. Using Google Trends data to study public interest in breast cancer screening in Brazil: Why not a pink February? JMIR Public Health Surveill. 2021;7(1):e17092.
Gianfrancesco MA, Tamang S, Yazdany J, Schmajuk G. Potential biases in machine learning algorithms using electronic health record data. JAMA Intern Med. 2018;178(11):1544-7.
Brynjolfsson E, McAfee A. The business of artificial intelligence. Harv Bus Rev. 2017;7.
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