With the development of the Internet and big data, more and more consumer behavior data are used in different forecasting problems, which greatly improve the performance of prediction. As the main travel tool, the sales of automobiles will change with the variations of the market and the external environment. Accurate prediction of automobile sales can not only help the dealers adjust their marketing plans dynamically but can also help the economy and the transportation sector make policy decisions. The automobile is a product with high value and high involvement, and its purchase decision can be affected by its own attributes, economy, policy and other factors. Furthermore, the sample data have the characteristics of various sources, great complexity and large volatility. Therefore, this paper uses the Support Vector Regression (SVR) model, which has global optimization, a simple structure, and strong generalization abilities and is suitable for multi-dimensional, small sample data to predict the monthly sales of automobiles. In addition, the parameters are optimized by the Grey Wolf Optimizer (GWO) algorithm to improve the prediction accuracy. First, the grey correlation analysis method is used to analyze and determine the factors that affect automobile sales. Second, it is used to build the GWO-SVR automobile sales prediction model. Third, the experimental analysis is carried out by using the data from Suteng and Kaluola in the Chinese car segment, and the proposed model is compared with the other four commonly used methods. The results show that the GWO-SVR model has the best performance of mean absolute percentage error (MAPE) and root mean square error (RMSE). Finally, some management implications are put forward for reference.

Modelling patient trajectories from longitudinal electronic health records (EHRs) is crucial for early chronic disease prediction. Foundation models (FMs), benefiting from the computational power and generalization abilities, offer a promising direction towards understanding patient health progression. However, key challenges of adopting FMs in clinical decisions remain in (1) incorporating multi-modal EHR data into an FM effectively for unified patient representations and (2) ensuring model generalizability across various clinical domains with distribution shifts. To address these challenges, we propose MsHeCare, an FM-based, two-stage learning framework integrating multi-modal representation learning and multi-source domain adaptation (MSDA). In the pretraining stage, MsHeCare performs self-supervised contrastive learning and masked language modelling tasks to mitigate semantic biases across text-based diagnostic and treatment sequences. A cross-attention mechanism further fuses these temporal features with structured static demographic information, enhancing personalized patient representations. In the fine-tuning stage, MsHeCare incorporates an MSDA framework with a novel source importance estimation method, facilitating adaptive knowledge transfer across domains and improving model generalizability. Experiments on two real-world EHR datasets demonstrate that MsHeCare significantly outperforms single-domain baselines and state-of-the-art MSDA methods. Furthermore, we validate the robustness of MsHeCare across varying targetdomain data sizes and demonstrate its alignment with clinical practices through case studies, underscoring its potential for multi-modal, domain-adaptive predictive healthcare systems.

It is a consensus that Fee-for-Service (FFS) is a traditional medical insurance payment scheme with significant disadvantages, namely the waste of health care resources. However, the majority of the prior works that draw such conclusions from the perspective of social welfare while analyzing the impacts of FFS on operation outcomes of hospitals still lack attention from the existing literature, considering the fact that the majority of public hospitals are self-founding. Under this motivation, we collected operation data of 301 public hospitals with different grades (grade II and III) in central China. Here, we present a novel statistical evaluation framework on the impact of FFS on hospital operation outcomes from four dimensions (financial income, efficiency, medical service capacity, and sustainability) using fixed-effects multivariate regression. With verification by the robustness test, our results indicate that: (i) The classification of the hospital (COH) significantly affected the impacts of FFS on hospitals’ operations. (ii) For grade III hospitals, FFS leads to higher financial income, medical service capacity (MSC) and longer length-of-stay (LOS). (iii) However, as for grade II hospitals, hospitals with FFS adoptions achieve lower financial income, lower MSC and shorter LOS, which violates the common sense from previous works. (iv) FFS has a significant negative impact on public hospital’s sustainable development; however, there is lack of evidence showing that sustainability would be affected by the interaction effects between FFS and COH. We believe these new findings from the perspective of hospital operation provide insights and could serve as a reference for the healthcare payment hierarchical reform by COH in low and middle-income countries (LMICs), which are going through the primary stage of the healthcare reform.

Over the years, research on fuzzy clustering algorithms has attracted the attention of many researchers, and they have been applied to various areas, such as image segmentation and data clustering. Various fuzzy clustering algorithms have been put forward based on the initial Fuzzy C-Means clustering (FCM) with Euclidean distance. However, the existing fuzzy clustering approaches ignore two problems. Firstly, clustering algorithms based on Euclidean distance have a high error rate, and are more sensitive to noise and outliers. Secondly, the parameters of the fuzzy clustering algorithms are hard to determine. In practice, they are often determined by the user’s experience, which results in poor performance of the clustering algorithm. Therefore, considering the above deficiencies, this paper proposes a novel fuzzy clustering algorithm by combining the Gaussian kernel function and Grey Wolf Optimizer (GWO), called Kernel-based Picture Fuzzy C-Means clustering with Grey Wolf Optimizer (KPFCM-GWO). In KPFCM-GWO, the Gaussian kernel function is used as a symmetrical measure of distance between data points and cluster centers, and the GWO is utilized to determine the parameter values of PFCM. To verify the validity of KPFCM-GWO, a comparative study was conducted. The experimental results indicate that KPFCM-GWO outperforms other clustering methods, and the improvement of KPFCM-GWO is mainly attributed to the combination of the Gaussian kernel function and the parameter optimization capability of the GWO. What is more, the paper applies KPFCM-GWO to analyzes the value of an airline’s customers, and five levels of customer categories are defined.