Volume 5 • Issue 1 • PP: 37–46 • 2025
Rough-Neutrosophic Evidence Lattices for Healthcare-Utilization Stratification: Fusing Sleep and Wellness Indicators in the 2023 NPHA Dataset
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© 2025 The Author(s). Published by ASPG. This article is licensed under the Creative Commons Attribution 4.0 International License (CC BY 4.0).
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Healthcare-utilization prediction from survey data is mathematically difficult because the observable variables are categorical, self-reported, and partially discordant. A respondent may report poor physical health but no sleep disruption, or regular sleep-medication use with favorable mental-health ratings. Such cases are not well represented by classifiers that collapse all evidence into a single likelihood vector. This paper proposes a rough neutrosophic evidence-lattice model for stratifying older adults according to the number of doctors visited in a year. The model maps categorical sleep and wellness indicators into single-valued neutrosophic triples, estimates entropy-based evidence weights, introduces a rough boundary term from local equivalence classes, and ranks each respondent using an indeterminacy-penalized decision functional. The method is evaluated using the 2023 UCI National Poll on Healthy Aging schema and a reproducible computational implementation. The results show that the proposed lattice-based formulation improves macro-F1 over conventional categorical baselines while preserving interpretable truth, falsity, and indeterminacy degrees for each utilization class.
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References
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