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Sentiment
Analysis in
Healthcare
A case study using survey
responses
Outline
1) Sentiment analysis & healthcare
2) Existing tools
3) Conclusions & Recommendations
Focus on Healthcare
1) Difficult field – biomedical text
2) Potential improvements
Relevant Research:
 NLP procedure: FHF prediction
(Roy et. al., 2013)
 TPA: ‘Who is sick’, ‘Google Flu Trends’
(Maged et. al., 2010)
 BioTeKS: analyse biomedical text
(Mack et. al., 2004)
Sentiment Analysis
 Opinions
 Thoughts
 Feelings
 Used to extract information from raw data
Sentiment Analysis – Examples
 Surveys: analyse open-ended questions
 Business & Governments: assist in the
decision-making process & monitor
negative communication
 Consumer feedback: analyse reviews
 Health: analyse biomedical text
Aims & Objectives
 Can existing Sentiment Analysis tools
respond to the needs of any healthcare-
related matter?
 Is it possible to accurate replicate human
language using machines?
The case study details
 8 survey questions (open & close-ended)
 Analysed 137 responses based on the
question: “What is your feedback?”
 Commercial tools: Semantria & TheySay
 Non-commercial tools: Google
Predication API & WEKA
Survey Overview
0
20
40
60
80
100
1 2 3 4 5
NumberofResponses
Score
Q.1: navigation Q.2: finding information
Q.3: website's appeal Q.6: satisfaction
Q.8: recommend website
Semantria
 Collection Analysis
 Categories
 Classification Analysis
 Entity Recognition
TheySay
 Document Sentiment
 Sentence Sentiment
 POS
 Comparison
Detection
 Humour Detection
 Speculation Analysis
 Risk Analysis
 Intent Analysis
Commercial Tools – Results
39
51
47
Semantria
Positive Neutral Negative
45
8
84
TheySay
Positive Neutral Negative
Introducing a Baseline
0
20
40
60
80
100
1 2 3 4 5
NumberofResponses
Score
Q.1 Q.2 Q.3 Q.6 Q.8
Neutral Classification Guidelines
Equally positive & negative
Factual statements
Irrelevant statements
Class Score Range
Positive 1 – 2.7
Neutral 2.8 – 4.2
Negative 4.3 - 5
Introducing a Baseline
Example
Polarity Class
“CG 102 not
available”
Hence: Negative
Neutral Classification
But
 Factual Statement
 Positive or negative?
Final label: Neutral
Q.1 Q.2 Q.3 Q.6 Q.8 Avg.
3 5 4 5 5 4.4
Introducing a Baseline
24
18
95
Manually Classified Responses
Positive Neutral Negative
Google Prediction API
1) Pre-process the data:
punctuation & capital removal,
account for negation
2) Separate into training and testing sets
3) Insert pre-labelled data
4) Train model
5) Test model
6) Cross validation: 4-fold
7) Compare with baseline
Google Prediction API – Results
5
122
10
Classification Results
Neutral Negative Positive
WEKA
1) Separate into training and testing sets
2) Choose graphical user interface: “The
Explorer”
3) Insert pre-labelled data
4) Pre-process the data:
punctuation, capital & stopwords
removal and alphabetically tokenize
WEKA
5) Consider resampling:
whether a balanced dataset is
preferred
6) Choose classifier: “Naïve Bayes”
7) Classify using cross validation: 4-fold
WEKA – Results
 Resampling:
10% increase in precision
6% increase in accuracy
 Overall, 82% correctly classified
The tools
 Semantria: range between -2 and 2
 TheySay: three percentages for negative,
positive & neutral
 Google Prediction API: three values for
negative, positive & neutral
 WEKA: percentage of correctly classified
Evaluation
Tool Accuracy
Commercial Tools
Semantria 51.09%
TheySay 68.61%
Non-Commercial Tools
Google Prediction API 72.25%
WEKA 82.35%
Evaluation
Tool Kappa statistic F-measure
Semantria 0.2692 0.550
TheySay 0.3886 0.678
Google Prediction
API
0.2199 0.628
WEKA 0.5735 0.809
Evaluation
Evaluation
0
0.1
0.2
0.3
0.4
0.5
0.6
0.7
0.8
0.9
1
Negative Neutral Positive
PrecisionValue
Class
Comparison of Precision
Semantria
TheySay
Google API
WEKA
Evaluation
0
0.1
0.2
0.3
0.4
0.5
0.6
0.7
0.8
0.9
1
Negative Neutral Positive
RecallValue
Class
Comparison of Recall
Semantria
TheySay
Google API
WEKA
Evaluation:
Single-sentence responses
Tool
Accuracy based on
correct classification
All
responses
Single-
sentence
Responses
Commercial Tools
Semantria 51.09% 53.49%
TheySay 68.61% 72.09%
Non-Commercial Tools
Google Prediction API 72.25% 54%
WEKA 82.35% 70%
Conclusions
 Semantria: business use
 TheySay: prepare for competition &
academic research
 Google Prediction API: classification
 WEKA: extraction & classification in
healthcare
Conclusions
 Commercial tools:
easy to use and provide results quickly
 Non-commercial tools:
time-consuming but more reliable
Conclusions
Is it possible to accurate replicate human
language using machines?
 Approx. 70% accuracy for all tools
(except Semantria)
 WEKA: most powerful tool
Conclusions
Can existing SA tools respond to the needs
of any healthcare-related matter?
 Commercial tools can not respond
 Non-commercial can be trained
Limitations
 Only four tools
 Small dataset
 Potential errors in manual classification
 Detailed analysis of single-sentence
responses was omitted
Recommendations
 Examine reliability of other commercial
tools
 Investigate other non-commercial tools,
especially NLTK and GATE
 Examine other classifiers (SVM & MaxEnt)
 Investigate all WEKA’s GUI
Recommendations
 Verify labels using more people
 Label sentence as well as the whole
response
 Negativity associated with long reviews
Questions

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