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A Rebalancing Framework for Classification of Imbalanced Medical Appointment No-show Data Cover

A Rebalancing Framework for Classification of Imbalanced Medical Appointment No-show Data

Open Access
|Jan 2021

Abstract

Purpose

This paper aims to improve the classification performance when the data is imbalanced by applying different sampling techniques available in Machine Learning.

Design/methodology/approach

The medical appointment no-show dataset is imbalanced, and when classification algorithms are applied directly to the dataset, it is biased towards the majority class, ignoring the minority class. To avoid this issue, multiple sampling techniques such as Random Over Sampling (ROS), Random Under Sampling (RUS), Synthetic Minority Oversampling TEchnique (SMOTE), ADAptive SYNthetic Sampling (ADASYN), Edited Nearest Neighbor (ENN), and Condensed Nearest Neighbor (CNN) are applied in order to make the dataset balanced. The performance is assessed by the Decision Tree classifier with the listed sampling techniques and the best performance is identified.

Findings

This study focuses on the comparison of the performance metrics of various sampling methods widely used. It is revealed that, compared to other techniques, the Recall is high when ENN is applied CNN and ADASYN have performed equally well on the Imbalanced data.

Research limitations

The testing was carried out with limited dataset and needs to be tested with a larger dataset.

Practical implications

This framework will be useful whenever the data is imbalanced in real world scenarios, which ultimately improves the performance.

Originality/value

This paper uses the rebalancing framework on medical appointment no-show dataset to predict the no-shows and removes the bias towards minority class.

DOI: https://doi.org/10.2478/jdis-2021-0011 | Journal eISSN: 2543-683X | Journal ISSN: 2096-157X
Language: English
Page range: 178 - 192
Submitted on: Apr 29, 2020
Accepted on: Dec 21, 2020
Published on: Jan 27, 2021
Published by: Chinese Academy of Sciences, National Science Library
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2021 Ulagapriya Krishnan, Pushpa Sangar, published by Chinese Academy of Sciences, National Science Library
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.