Preserving Geo-Indistinguishability of the Emergency Scene to Predict Ambulance Response Time

Emergency medical services (EMS) provide crucial emergency assistance and ambulatory services. One key measurement of EMS’s quality of service is their ambulances’ response time (ART), which generally refers to the period between EMS notification and the moment an ambulance arrives on the scene. Due...

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Main Authors: Héber H. Arcolezi, Selene Cerna, Christophe Guyeux, Jean-François Couchot
Format: Article
Language:English
Published: MDPI AG 2021-08-01
Series:Mathematical and Computational Applications
Subjects:
Online Access:https://www.mdpi.com/2297-8747/26/3/56
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author Héber H. Arcolezi
Selene Cerna
Christophe Guyeux
Jean-François Couchot
author_facet Héber H. Arcolezi
Selene Cerna
Christophe Guyeux
Jean-François Couchot
author_sort Héber H. Arcolezi
collection DOAJ
description Emergency medical services (EMS) provide crucial emergency assistance and ambulatory services. One key measurement of EMS’s quality of service is their ambulances’ response time (ART), which generally refers to the period between EMS notification and the moment an ambulance arrives on the scene. Due to many victims requiring care within adequate time (e.g., cardiac arrest), improving ARTs is vital. This paper proposes to predict ARTs using machine-learning (ML) techniques, which could be used as a decision-support system by EMS to allow a dynamic selection of ambulance dispatch centers. However, one well-known predictor of ART is the location of the emergency (e.g., if it is urban or rural areas), which is <i>sensitive data</i> because it can reveal who received care and for which reason. Thus, we considered the ‘input perturbation’ setting in the privacy-preserving ML literature, which allows EMS to sanitize each location data independently and, hence, ML models are trained only with sanitized data. In this paper, geo-indistinguishability was applied to sanitize each emergency location data, which is a state-of-the-art formal notion based on differential privacy. To validate our proposals, we used retrospective data of an EMS in France, namely Departmental Fire and Rescue Service of Doubs, and publicly available data (e.g., weather and traffic data). As shown in the results, the sanitization of location data and the perturbation of its associated features (e.g., city, distance) had no considerable impact on predicting ARTs. With these findings, EMSs may prefer using and/or sharing sanitized datasets to avoid possible data leakages, membership inference attacks, or data reconstructions, for example.
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spelling doaj.art-346777d4d0874710b25d34b59ae05e892023-11-22T14:07:09ZengMDPI AGMathematical and Computational Applications1300-686X2297-87472021-08-012635610.3390/mca26030056Preserving Geo-Indistinguishability of the Emergency Scene to Predict Ambulance Response TimeHéber H. Arcolezi0Selene Cerna1Christophe Guyeux2Jean-François Couchot3FEMTO-ST Institute, UMR 6174 CNRS, Université Bourgogne Franche-Comté (UBFC), 90000 Belfort, FranceFEMTO-ST Institute, UMR 6174 CNRS, Université Bourgogne Franche-Comté (UBFC), 90000 Belfort, FranceFEMTO-ST Institute, UMR 6174 CNRS, Université Bourgogne Franche-Comté (UBFC), 90000 Belfort, FranceFEMTO-ST Institute, UMR 6174 CNRS, Université Bourgogne Franche-Comté (UBFC), 90000 Belfort, FranceEmergency medical services (EMS) provide crucial emergency assistance and ambulatory services. One key measurement of EMS’s quality of service is their ambulances’ response time (ART), which generally refers to the period between EMS notification and the moment an ambulance arrives on the scene. Due to many victims requiring care within adequate time (e.g., cardiac arrest), improving ARTs is vital. This paper proposes to predict ARTs using machine-learning (ML) techniques, which could be used as a decision-support system by EMS to allow a dynamic selection of ambulance dispatch centers. However, one well-known predictor of ART is the location of the emergency (e.g., if it is urban or rural areas), which is <i>sensitive data</i> because it can reveal who received care and for which reason. Thus, we considered the ‘input perturbation’ setting in the privacy-preserving ML literature, which allows EMS to sanitize each location data independently and, hence, ML models are trained only with sanitized data. In this paper, geo-indistinguishability was applied to sanitize each emergency location data, which is a state-of-the-art formal notion based on differential privacy. To validate our proposals, we used retrospective data of an EMS in France, namely Departmental Fire and Rescue Service of Doubs, and publicly available data (e.g., weather and traffic data). As shown in the results, the sanitization of location data and the perturbation of its associated features (e.g., city, distance) had no considerable impact on predicting ARTs. With these findings, EMSs may prefer using and/or sharing sanitized datasets to avoid possible data leakages, membership inference attacks, or data reconstructions, for example.https://www.mdpi.com/2297-8747/26/3/56emergency medical servicesemergency medicinedecision-support systempre-hospital emergency careambulance response timemachine learning
spellingShingle Héber H. Arcolezi
Selene Cerna
Christophe Guyeux
Jean-François Couchot
Preserving Geo-Indistinguishability of the Emergency Scene to Predict Ambulance Response Time
Mathematical and Computational Applications
emergency medical services
emergency medicine
decision-support system
pre-hospital emergency care
ambulance response time
machine learning
title Preserving Geo-Indistinguishability of the Emergency Scene to Predict Ambulance Response Time
title_full Preserving Geo-Indistinguishability of the Emergency Scene to Predict Ambulance Response Time
title_fullStr Preserving Geo-Indistinguishability of the Emergency Scene to Predict Ambulance Response Time
title_full_unstemmed Preserving Geo-Indistinguishability of the Emergency Scene to Predict Ambulance Response Time
title_short Preserving Geo-Indistinguishability of the Emergency Scene to Predict Ambulance Response Time
title_sort preserving geo indistinguishability of the emergency scene to predict ambulance response time
topic emergency medical services
emergency medicine
decision-support system
pre-hospital emergency care
ambulance response time
machine learning
url https://www.mdpi.com/2297-8747/26/3/56
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AT selenecerna preservinggeoindistinguishabilityoftheemergencyscenetopredictambulanceresponsetime
AT christopheguyeux preservinggeoindistinguishabilityoftheemergencyscenetopredictambulanceresponsetime
AT jeanfrancoiscouchot preservinggeoindistinguishabilityoftheemergencyscenetopredictambulanceresponsetime