Hospital Services Quality Prediction Using A New Deep Fuzzy Learning Model

Authors

  • Dr. Mohammed K. Al-Khafaji Software Dept., Information Technology College, University of Babylon, Hilla, Iraq
  • Dr. Eman S. Al-Shamery Software Dept., Information Technology College, University of Babylon, Hilla, Iraq

DOI:

https://doi.org/10.30572/2018/KJE/170319

Keywords:

Prediction, deep learning, Fuzzy theory, Gaussian distribution, Hospital service quality

Abstract

Hospital services play a crucial role in people's lives, and continuous improvement in these services is essential. The prediction is paramount to determine the quality and suitability of the hospital's services. Yet the complexity of predicting increases, especially when dealing with intangible services such as hospital services. Many traditional prediction methods suffer from a gradual decline in accuracy and a simultaneous increase in the error rate especially in time series data. This paper introduces a new model, called Deep Fuzzy Learning Prediction (DFLP), for accurately predicting hospital service quality. The model combines fuzzy logic and deep learning neural network techniques and utilizes a set of quality parameters. DFLP's nodes represent different memberships among fuzzy sets, and the model adapts its internal fuzzy membership functions based on input data and time. Each node within the DFLP model box represents a different membership among the fuzzy sets. The membership scenarios vary when adding or removing a group of hospitals from the prediction process. This is due to changes in the fuzzy membership centers, resulting in membership changes. The DFLP model offers an effective way to predict and adapt to the dynamic nature of hospital services across time series. The model is tested on data from more than 4500 hospitals in the United States collected by the Centers for Medicare and Medicaid Services (CMS). The results show a significant convergence between the model's prediction and the actual services provided by hospitals. The results were compared with Long Short-Term Memory (LSTM) networks and Bidirectional LSTM (Bi-LSTM) networks and showed the superiority of the proposed model over traditional prediction networks. The proposed model achieved an accuracy of 96.68%, while LSTM and Bi-LSTM obtained 92.30% and 94.45%, respectively

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References

Abdel-Aty, A.-H. et al. (2020) 'A quantum classification algorithm for classification incomplete patterns based on entanglement measure', Journal of Intelligent & Fuzzy Systems, (Preprint), pp. 1-8.

Abdel-Basset, M. et al. (2019) 'A novel model for evaluation Hospital medical care systems based on plithogenic sets', Artificial Intelligence in Medicine, 100, p. 101710.

Aldahiri, A., Alrashed, B. and Hussain, W. (2021) 'Trends in using IoT with machine learning in health prediction system', Forecasting, 3(1), pp. 181-206.

Al-khafaji, M. K. and Al-Shamery, E. S. (2024) 'Hybrid model for hospital services quality prediction based on patient viewpoint', In International Conference on Innovations of Intelligent Informatics, Networking, and Cybersecurity. Springer, pp. 133-147.

Al-Khafaji, M. K. and Al-Shamery, E. S. (2025) 'Predicting healthcare service quality based on a kalman-optimized bi-lstm-inspired deep learning model', Karbala International Journal of Modern Science, 11(2), p. 6.

AlOmari, F. (2021) 'Measuring gaps in healthcare quality using SERVQUAL model: challenges and opportunities in developing countries', Measuring Business Excellence, 25(4), pp. 407-420.

Al-Taie, A. and Baiee, W. R. (2025) 'A comprehensive study of deep learning approaches for predicting reciprocal traffic dynamics and climate variability.', Kufa Journal of Engineering, 16(3).

Altuntas, S., Dereli, T. and Erdoğan, Z. (2022) 'Evaluation of service quality using SERVQUAL scale and machine learning algorithms: a case study in healthcare', Kybernetes, 51(2), pp. 846-875.

Aydın, Ö.M. and Chouseinoglou, O. (2013) 'Fuzzy assessment of health information system users' security awareness', Journal of Medical Systems, 37(6), p. 9984.

Bai, Y., Zhuang, H. and Wang, D. (2007) Advanced fuzzy logic technologies in industrial applications. Springer Science & Business Media.

Bilimoria, K. Y. and Barnard, C. (2016) 'The new CMS hospital quality star ratings: the stars are not aligned', Jama, 316(17), pp. 1761-1762.

Deng, Y. et al. (2016) 'A hierarchical fused fuzzy deep neural network for data classification', Ieee Transactions on Fuzzy Systems, 25(4), pp. 1006-1012.

DiPietro, R. and Hager, G. D. (2020) 'Deep learning: Rnns and lstm', in Handbook of medical image computing and computer assisted intervention. Elsevier, pp. 503-519.

Endeshaw, B. (2021) 'Healthcare service quality-measurement models: a review', Journal of Health Research, 35(2), pp. 106-117.

Ferreira, D. C. et al. (2023) 'Patient satisfaction with healthcare services and the techniques used for its assessment: a systematic literature review and a bibliometric analysis', in Healthcare. MDPI, p. 639.

Heidari, S. et al. (2024) 'An integrated approach for evaluating and improving the performance of hospital ICUs based on ergonomic and work-motivational factors', Computers in Biology and Medicine, 168, p. 107773.

Hill, P. (1999) 'Tangibles, intangibles and services: a new taxonomy for the classification of output', The Canadian Journal of Economics/revue Canadienne D'economique, 32(2), pp. 426-446.

Jonkisz, A., Karniej, P. and Krasowska, D. (2022) 'The servqual method as an assessment tool of the quality of medical services in selected asian countries', International Journal of Environmental Research and Public Health, 19(13), p. 7831.

Khan, M. et al. (2021) 'Bidirectional LSTM-RNN-based hybrid deep learning frameworks for univariate time series classification', The Journal of Supercomputing, 77, pp. 7021-7045.

Kohn, L. T., Corrigan, J. and Donaldson, M. S. (2000) To err is human: building a safer health system. National academy press Washington, DC.

LeCun, Y., Bengio, Y. and Hinton, G. (2015) 'Deep learning', Nature, 521(7553), pp. 436-444.

Lee, H. et al. (2000) 'Methods of measuring health-care service quality', Journal of Business Research, 48(3), pp. 233-246.

Li, H. et al. (2023) 'A fuzzy rough copula Bayesian network model for solving complex hospital service quality assessment', Complex & Intelligent Systems, pp. 1-27.

Li, Xuhong et al. (2022) 'Interpretable deep learning: Interpretation, interpretability, trustworthiness, and beyond', Knowledge and Information Systems, 64(12), pp. 3197-3234.

Mahmoudi, E. et al. (2020) 'Use of electronic medical records in development and validation of risk prediction models of hospital readmission: systematic review', Bmj, 369.

Mrabet, S., Benachenhou, S. M. and Khalil, A. (2022) 'Measuring the effect of healthcare service quality dimensions on patient's satisfaction in the Algerian private sector'.

Narteh, B. (2018) 'Service quality and customer satisfaction in Ghanaian retail banks: the moderating role of price', International Journal of Bank Marketing [Preprint].

Parker, C. A. et al. (2019) 'Predicting hospital admission at the emergency department triage: A novel prediction model', The American Journal of Emergency Medicine, 37(8), pp. 1498-1504.

Perçin, S. (2018) 'Evaluating airline service quality using a combined fuzzy decision-making approach', Journal of Air Transport Management, 68, pp. 48-60.

Petropoulos, F. et al. (2022) 'Forecasting: theory and practice', International Journal of Forecasting, 38(3), pp. 705-871.

Ross, T. J. (2005) Fuzzy logic with engineering applications. John Wiley & Sons.

Salih Al-Shamery, E. (2020) 'A fuzzy assessment model for hospitals services quality based on patient experience', Karbala International Journal of Modern Science, 6(3), p. 10.

Scorzato, L. (2024) 'Reliability and interpretability in science and deep learning', Minds and Machines, 34(3), p. 27.

Shneen, S. W., Salih, R. S. and Jiaad, S. M. (2025) 'Artificial neural network (ANN) based proportional integral derivative (pid) for arm rehabilitation device.', Kufa Journal of Engineering, 16(1).

Singh, A., Prasher, A. and Kaur, N. (2018) 'Assessment of hospital service quality parameters from patient, doctor and employees' perspectives', Total Quality Management & Business Excellence, pp. 1-20.

Suparta, W. and Alhasa, K. M. (2016) 'Adaptive neuro-fuzzy interference system', in Modeling of Tropospheric Delays Using ANFIS. Springer, pp. 5-18.

Yahyaoui, H., El-Qurna, J. and Almulla, M. (2020) 'Specification and recognition of service trust behaviors', Kuwait Journal of Science, 47(1).

Yang, S., Yu, X. and Zhou, Y. (2020) 'Lstm and gru neural network performance comparison study: Taking yelp review dataset as an example', In (2020) International Workshop on Electronic Communication and Artificial Intelligence (Iwecai) Ieee, pp. 98-101.

Yassin, R. A., Valizadeh, M. and Abdulaal, A. H. (2025) 'A novel deep learning approaches for multi-class histopathological sub-image classification using prior knowledge.', Kufa Journal of Engineering, 16(3).

Yazdani, M., Shahriari, S. and Haghani, M. (2025) 'Real-time decision support model for logistics of emergency patient transfers from hospitals via an integrated optimisation and machine learning approach', Progress in Disaster Science, 25, p. 100397.

Yin, Y. et al. (2020) 'QoS prediction for service recommendation with features learning in mobile edge computing environment', Ieee Transactions on Cognitive Communications and Networking, 6(4), pp. 1136-1145, available: https://doi.org/10.1109/TCCN.2020.3027681.

Yucel, G. et al. (2012) 'A fuzzy risk assessment model for hospital information system implementation', Expert Systems with Applications, 39(1), pp. 1211-1218.

Zadeh, L. A. (1965) 'Fuzzy sets', Information and Control, 8(3), pp. 338-353.

Zhao, C. et al. (2020) 'Deep bi-lstm networks for sequential recommendation', Entropy, 22(8), p. 870.

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Published

2026-08-01

How to Cite

Al-Khafaji, Mohammed K., and Eman S. Al-Shamery. “Hospital Services Quality Prediction Using A New Deep Fuzzy Learning Model”. Kufa Journal of Engineering, vol. 17, no. 3, Aug. 2026, pp. 326-49, https://doi.org/10.30572/2018/KJE/170319.

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