CN109378074A - Chronic disease management method and relevant apparatus based on artificial intelligence - Google Patents
Chronic disease management method and relevant apparatus based on artificial intelligence Download PDFInfo
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- CN109378074A CN109378074A CN201811286573.XA CN201811286573A CN109378074A CN 109378074 A CN109378074 A CN 109378074A CN 201811286573 A CN201811286573 A CN 201811286573A CN 109378074 A CN109378074 A CN 109378074A
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- 208000017667 Chronic Disease Diseases 0.000 title claims abstract description 262
- 238000007726 management method Methods 0.000 title claims abstract description 46
- 238000013473 artificial intelligence Methods 0.000 title claims abstract description 20
- 230000001684 chronic effect Effects 0.000 claims abstract description 239
- 238000002560 therapeutic procedure Methods 0.000 claims abstract description 96
- 238000003745 diagnosis Methods 0.000 claims abstract description 59
- 238000000034 method Methods 0.000 claims abstract description 58
- 239000003814 drug Substances 0.000 claims description 38
- 229940079593 drug Drugs 0.000 claims description 36
- 238000004590 computer program Methods 0.000 claims description 14
- 238000004891 communication Methods 0.000 claims description 9
- 230000008569 process Effects 0.000 description 13
- 201000010099 disease Diseases 0.000 description 11
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 11
- 230000006870 function Effects 0.000 description 11
- 238000012545 processing Methods 0.000 description 10
- 238000010586 diagram Methods 0.000 description 9
- 206010012601 diabetes mellitus Diseases 0.000 description 6
- 206010020772 Hypertension Diseases 0.000 description 5
- 230000009471 action Effects 0.000 description 3
- 238000010168 coupling process Methods 0.000 description 3
- 238000005859 coupling reaction Methods 0.000 description 3
- 230000005540 biological transmission Effects 0.000 description 2
- 230000008878 coupling Effects 0.000 description 2
- 238000013507 mapping Methods 0.000 description 2
- 238000005192 partition Methods 0.000 description 2
- 230000001052 transient effect Effects 0.000 description 2
- 206010061218 Inflammation Diseases 0.000 description 1
- 208000031662 Noncommunicable disease Diseases 0.000 description 1
- 230000036772 blood pressure Effects 0.000 description 1
- 230000008859 change Effects 0.000 description 1
- 238000013497 data interchange Methods 0.000 description 1
- 238000013461 design Methods 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
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- PCHJSUWPFVWCPO-UHFFFAOYSA-N gold Chemical compound [Au] PCHJSUWPFVWCPO-UHFFFAOYSA-N 0.000 description 1
- 239000010931 gold Substances 0.000 description 1
- 229910052737 gold Inorganic materials 0.000 description 1
- 230000001631 hypertensive effect Effects 0.000 description 1
- 208000015181 infectious disease Diseases 0.000 description 1
- 230000002458 infectious effect Effects 0.000 description 1
- 230000004054 inflammatory process Effects 0.000 description 1
- 239000000203 mixture Substances 0.000 description 1
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H50/00—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
- G16H50/30—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for calculating health indices; for individual health risk assessment
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H50/00—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
- G16H50/70—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for mining of medical data, e.g. analysing previous cases of other patients
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Abstract
The embodiment of the present application discloses a kind of chronic disease management method and relevant apparatus based on artificial intelligence, this method comprises: obtaining the diagnosis and treatment data of multiple chronics of objective area in the first period；Cluster grouping is carried out according to the diagnosis and treatment data of multiple chronics, obtains at least one chronic disease population；Determine the corresponding therapy strategies of each chronic disease population；For any chronic in multiple chronics, therapy strategies corresponding with the affiliated chronic disease population of chronic are pushed to the terminal of chronic.The chronic disease management efficiency that some area can be improved using the embodiment of the present application helps to reduce medical insurance fund submitting an expense account in terms of chronic disease.
Description
Technical field
This application involves chronic disease management technical fields, and in particular to a kind of chronic disease management method based on artificial intelligence
And relevant apparatus.
Background technique
Chronic disease (Chronic Non-Communicable Diseases) does not refer in particular to certain disease instead of, hides to a kind of onset, the course of disease it is long and
Protracted inflammation is not cured, and lacks exact infectious organisms cause of disease evidence, the cause of disease is complicated, and some diseases being not yet identified is general
Including property general name.
Currently, manual type is generallyd use for the chronic disease management in some area, due to the management process of manual type
Always there are some careless omissions for more complicated and manual type, therefore influence the chronic disease management effect in some area to a certain extent
Rate, and then may result in medical insurance fund submitting an expense account in terms of chronic disease and continue to increase.
Summary of the invention
The embodiment of the present application provides a kind of chronic disease management method and relevant apparatus based on artificial intelligence, for improving certain
The chronic disease management efficiency in a area helps to reduce medical insurance fund submitting an expense account in terms of chronic disease.
In a first aspect, the embodiment of the present application provides a kind of chronic disease management method based on artificial intelligence, comprising:
The diagnosis and treatment data of multiple chronics of objective area in the first period are obtained, the diagnosis and treatment data include chronic
Name of disease claims, body index, medical expense and physician office visits；
Cluster grouping is carried out according to the diagnosis and treatment data of the multiple chronic, obtains at least one chronic patient cluster
It closes, each chronic disease population corresponds at least one chronic disease title；
Determine the corresponding therapy strategies of each chronic disease population；
For any chronic in the multiple chronic, to the push of the terminal of the chronic and institute
State the affiliated corresponding therapy strategies of chronic disease population of chronic.
Second aspect, the embodiment of the present application provide a kind of chronic disease management device based on artificial intelligence, comprising:
Acquiring unit, it is described to examine for obtaining the diagnosis and treatment data of multiple chronics of objective area in the first period
Treating data includes chronic disease title, body index, medical expense and physician office visits；
Taxon obtains at least one for carrying out cluster grouping according to the diagnosis and treatment data of the multiple chronic
A chronic disease population, each chronic disease population correspond at least one chronic disease title；
Determination unit, for determining the corresponding therapy strategies of each chronic disease population；
Push unit is used for for any chronic in the multiple chronic, to the chronic
Terminal push corresponding with the affiliated chronic disease population of chronic therapy strategies.
The third aspect, the embodiment of the present application provide a kind of server, including processor, memory, communication interface and one
A or multiple programs, wherein said one or multiple programs are stored in above-mentioned memory, and are configured by above-mentioned processing
Device executes, and above procedure is included the steps that for executing the instruction in method described in the embodiment of the present application first aspect.
Fourth aspect, the embodiment of the present application provide a kind of computer readable storage medium, above-mentioned computer-readable storage
Medium is used to store the computer program of electronic data interchange, wherein above-mentioned computer program makes computer execute such as this Shen
It please step some or all of described in method described in embodiment first aspect.
5th aspect, the embodiment of the present application provide a kind of computer program product, and above-mentioned computer program product includes
The non-transient computer readable storage medium of computer program is stored, above-mentioned computer program is operable to hold computer
Step some or all of described in method of the row as described in the embodiment of the present application first aspect.
As can be seen that in the embodiment of the present application, server obtains the multiple chronic of objective area in a certain period first
Then the diagnosis and treatment data of patient carry out cluster grouping according to the diagnosis and treatment data of multiple chronics, it is slow to obtain at least one
STD population group set, and then determine the corresponding therapy strategies of each chronic disease population, finally for multiple chronics
In any chronic, corresponding with the affiliated chronic disease population of chronic cured to the push of the terminal of chronic
Treat strategy.The chronic disease management efficiency for improving some area to a certain extent in this way helps to reduce medical insurance fund slow
Submitting an expense account in terms of venereal disease.
These aspects or other aspects of the application can more straightforward in the following description.
Detailed description of the invention
Technical solution in ord to more clearly illustrate embodiments of the present application or in background technique below will be implemented the application
Attached drawing needed in example or background technique is illustrated.
Figure 1A is the process signal of the first chronic disease management method based on artificial intelligence provided by the embodiments of the present application
Figure；
Figure 1B is a kind of schematic diagram provided by the embodiments of the present application；
Fig. 2 is the process signal of the second provided by the embodiments of the present application chronic disease management method based on artificial intelligence
Figure；
Fig. 3 is the process signal of the third chronic disease management method based on artificial intelligence provided by the embodiments of the present application
Figure；
Fig. 4 is the process signal of the 4th kind of chronic disease management method based on artificial intelligence provided by the embodiments of the present application
Figure；
Fig. 5 is a kind of structural schematic diagram of chronic disease management device based on artificial intelligence provided by the embodiments of the present application；
Fig. 6 is a kind of structural schematic diagram of server provided by the embodiments of the present application.
Specific implementation
In order to make those skilled in the art more fully understand application scheme, below in conjunction in the embodiment of the present application
Attached drawing, the technical scheme in the embodiment of the application is clearly and completely described, it is clear that described embodiment is only
The embodiment of the application a part, instead of all the embodiments.Based on the embodiment in the application, ordinary skill people
Member's every other embodiment obtained without making creative work, all should belong to the model of the application protection
It encloses.
It is described in detail separately below.
The description and claims of this application and term " first ", " second ", " third " and " in the attached drawing
Four " etc. are not use to describe a particular order for distinguishing different objects.In addition, term " includes " and " having " and it
Any deformation, it is intended that cover and non-exclusive include.Such as it contains the process, method of a series of steps or units, be
System, product or equipment are not limited to listed step or unit, but optionally further comprising the step of not listing or list
Member, or optionally further comprising other step or units intrinsic for these process, methods, product or equipment.
Referenced herein " embodiment " is it is meant that a particular feature, structure, or characteristic described can wrap in conjunction with the embodiments
It is contained at least one embodiment of the application.Each position in the description occur the phrase might not each mean it is identical
Embodiment, nor the independent or alternative embodiment with other embodiments mutual exclusion.Those skilled in the art explicitly and
Implicitly understand, embodiment described herein can be combined with other embodiments.
Hereinafter, the part term in the application is explained, in order to those skilled in the art understand that.
(1) terminal may include the various handheld devices with wireless communication function, mobile unit, wearable device, meter
Calculate equipment or be connected to radio modem other processing equipments and various forms of user equipment (User
Equipment, UE), mobile station (Mobile Station, MS), terminal device (terminal device), etc..
(2) server, also referred to as servomechanism are to provide the equipment of the service of calculating.The composition of server includes processor, hard
Disk, memory, system bus etc. are similar with general computer architecture.In a network environment, the service class provided according to server
Type is different, is divided into file server, database server, apps server, WEB server etc..
It describes in detail below to the embodiment of the present application.
Figure 1A is please referred to, Figure 1A is the first chronic disease management method based on artificial intelligence provided by the embodiments of the present application
Flow diagram, should chronic disease management method based on artificial intelligence include:
Step 101: server obtains the diagnosis and treatment data of multiple chronics of objective area in the first period, described to examine
Treating data includes chronic disease title, body index, medical expense and physician office visits.
Wherein, the end time of the first period can be the current system moment, and the duration of the first period can be 1 month, 2
A month, 3 months, 4 months, 5 months or other values.
Wherein, the corresponding diagnosis and treatment data of each chronic.
Specifically, server obtains the embodiment party of the diagnosis and treatment data of multiple chronics of objective area in the first period
Formula may is that chronic disease management platform is shown in its display interface in the case where chronic disease management function is in the open state
Map, moveable regional choice frame, period option and diagnosis and treatment data acquisition button；Wherein, map includes objective area, region
The shape of choice box can be circle, ellipse, rectangle, square etc., and period option includes initial time option and termination
Moment option；When receiving for the diagnosis and treatment data acquisition instruction of objective area in the first period, chronic disease management platform to
Server sends instruction information, and instruction information is used to indicate multiple chronic sufferers that server obtains objective area in the first period
The diagnosis and treatment data of person, diagnosis and treatment data include chronic disease title, body index, medical expense and physician office visits；Server reception refers to
Show information, sends multiple first solicited messages, each first solicited message to the server of more medical institutions of objective area
It is used to indicate the diagnosis and treatment data of all chronics in the first period of its storage of the server feedback of a medical institutions；Clothes
Business device receives the diagnosis and treatment number of multiple chronics of objective area in the first period sent for multiple first solicited messages
According to.
For example, as shown in Figure 1B, there are 3 medical institutions in objective area, is directed to target in the first period when detecting
When the diagnosis and treatment data acquisition instruction in area, chronic disease management platform sends instruction information to server；Receiving instruction information
Later, server, the server of 2nd medical institutions and the service of 3rd medical institutions of the server to the 1st medical institutions
Device sends the first solicited message respectively；10 chronics' that the server that server receives the 1st medical institutions is sent
Diagnosis and treatment data, the diagnosis and treatment data for 15 chronics that the server that server receives the 2nd medical institutions is sent, server
Receive the diagnosis and treatment data of 12 chronics of the server transmission of the 3rd medical institutions.
Wherein, body index is used to judge at least one chronic disease that chronic is suffered from the chronic of every kind of chronic disease
The sick stage.
Wherein, medical expense is chronic at least medical institutions' treatment in the first period in objective area
The expense that chronic disease is spent.
Step 102: server carries out cluster grouping according to the diagnosis and treatment data of the multiple chronic, obtains at least one
A chronic disease population, each chronic disease population correspond at least one chronic disease title.
In a possible example, server carries out cluster point according to the diagnosis and treatment data of the multiple chronic
Group, obtains at least one chronic disease population, comprising:
The identical chronic of chronic disease title is categorized into the same chronic disease population by server, is obtained at least
One chronic disease population.
Wherein, the chronic disease title number and chronic disease title of all chronics are equal in each chronic disease population
It is identical.
For example, server obtains the diagnosis and treatment data of regional 100 chronics of A, in this 100 chronics
There are 30 chronics with hypertension, 30 chronics with diabetes and 40 chronics while suffering from height
30 chronics of only patient's hypertension are categorized into Hypertensive Population set by blood pressure and diabetes, server, will only be suffered from
There are 30 chronics of diabetes to be categorized into diabetic population set, 40 simultaneously with hypertension and diabetes are slow
Std patient is categorized into hypertension-diabetic population set.
Further, server carries out clustering according to the diagnosis and treatment data of the multiple chronic, obtains at least
One chronic disease population, comprising:
Server determines the chronic disease of the corresponding each chronic disease title of each chronic according to the body index
Stage, each chronic correspond at least one chronic disease title；
Chronic disease title number, chronic disease title and chronic disease stage chronic all the same are categorized by server
The same chronic disease population obtains at least one chronic disease population.
Specifically, server determines the chronic of the corresponding each chronic disease title of each chronic according to body index
The embodiment in sick stage may is that the selection chronic disease parameter from the body index of each chronic, obtain at least one
A chronic disease parameter, at least one chronic disease parameter correspond at least one chronic disease title；According to chronic disease parameter and chronic disease
The mapping relations in stage determine the chronic disease stage of each chronic disease title at least one chronic disease title, obtain each chronic
The chronic disease stage of the corresponding each chronic disease title of patient.
Specifically, server is by chronic disease title number, chronic disease title and chronic disease stage chronic sufferer all the same
Person is categorized into the same chronic disease population, and the embodiment for obtaining at least one chronic disease population may is that basis
Chronic disease title number carries out cluster grouping to multiple chronics, obtains at least one first chronic disease population, often
The chronic disease title number of all chronics is identical in a first chronic disease population；According to chronic disease title to each
All chronics carry out cluster grouping in first chronic disease population, obtain at least one secondary chronic patient cluster
It closes, the chronic disease title of all chronics is identical in each secondary chronic disease population；It will be every according to the chronic disease stage
All chronics carry out cluster grouping in a secondary chronic disease population, obtain at least one chronic disease population,
The chronic disease stage of all chronics is identical in each chronic disease population.
In a possible example, server carries out cluster point according to the diagnosis and treatment data of the multiple chronic
Group, obtains at least one chronic disease population, comprising:
The chronic that physician office visits are in same numbers range is categorized into the same chronic patient cluster by server
It closes, obtains at least one chronic disease population.
Further, server carries out cluster grouping according to the diagnosis and treatment data of the multiple chronic, obtains at least
One chronic disease population, comprising:
The chronic that physician office visits are in same numbers range is categorized into initial chronic disease population by server；
Server chooses the corresponding initial chronic patient of numbers range that maximum physician office visits are less than or equal to first threshold
Cluster is closed, at least one chronic patient realm type is obtained.
Wherein, it is customized to can be user for first threshold, and it is customized to be also possible to server.
In this example, the maximum physician office visits of all chronics are less than or equal to first in chronic disease population
Threshold value indicates that the medical treatment state of all chronics in chronic disease population is to see a doctor once in a while, pays close attention to once in a while just
The chronic crowd of doctor, since all chronics see a doctor once in a while in chronic disease population, the chronic disease
The state of an illness of part or all of chronic can aggravate in crowd's type, directly result in the treatment of part or all of chronic
The increase of expense, and then cause medical insurance fund to be submitted an expense account and be consequently increased.
In a possible example, server carries out cluster point according to the diagnosis and treatment data of the multiple chronic
Group, obtains at least one chronic disease population, comprising:
The chronic that medical expense is in same cost range is categorized into the same chronic patient cluster by server
It closes, obtains at least one chronic disease population.
Further, server carries out cluster grouping according to the diagnosis and treatment data of the multiple chronic, obtains at least
One chronic disease population, comprising:
The chronic that medical expense is in same cost range is categorized into initial chronic disease population by server；
Server chooses the corresponding initial chronic patient of cost range that minimum medical expense is greater than or equal to second threshold
Cluster is closed, at least one chronic disease population is obtained.
Wherein, it is customized to can be user for second threshold, and it is customized to be also possible to server.
In this example, the minimum medical expense of all chronics is greater than or equal to second in chronic disease population
Threshold value indicates that all chronics belong to high medical expense chronic disease crowd in chronic disease population, due to certain
The medical expense with medical insurance fund of chronic is submitted an expense account proportional in degree, and population is to medical insurance for the chronic disease
Submitting an expense account for fund is affected, therefore pays close attention to high medical expense chronic disease crowd.
Step 103: server determines the corresponding therapy strategies of each chronic disease population.
In a possible example, server determines the corresponding therapy strategies of each chronic disease population, packet
It includes:
Server determines corresponding first doctor of each chronic disease population according to chronic disease title and therapy strategies
Strategy is treated, first therapy strategies include that dosage frequency, medication period, dosage and drug take sequence.
Wherein, server determines each chronic disease population couple according to the mapping relations of chronic disease title and therapy strategies
The first therapy strategies answered.
Further, server reflecting according to chronic disease title number, chronic disease title, chronic disease stage and therapy strategies
The relationship of penetrating determines that corresponding 4th therapy strategies of each chronic disease population, the 4th therapy strategies include dosage frequency, medication
Period, dosage and drug take sequence.
In a possible example, server determines the corresponding therapy strategies of each chronic disease population, packet
It includes:
Server determines corresponding second medical treatment of each chronic disease population according to numbers range and therapy strategies
Strategy, second therapy strategies include default physician office visits and consultation time interval.
In a possible example, server determines the corresponding therapy strategies of each chronic disease population, packet
It includes:
Server determines the corresponding third medical treatment of each chronic disease population according to cost range and therapy strategies
Strategy, the third therapy strategies include chronic disease title and medical institutions' title.
Wherein, multiple therapy strategies are stored in server, multiple therapy strategies include multiple first therapy strategies, multiple
Second therapy strategies, multiple third therapy strategies and multiple 4th therapy strategies, multiple first therapy strategies correspond to different slow
Venereal disease title number and different chronic disease titles, multiple second therapy strategies correspond to different numbers ranges, multiple third doctors
Treat the corresponding different cost range of strategy, multiple 4th therapy strategies correspond to different chronic disease title number, different chronic
Name of disease claims and the different chronic disease stages.
Step 104: for any chronic in the multiple chronic, server is to the chronic
Terminal push corresponding with the affiliated chronic disease population of chronic therapy strategies.
Specifically, server pushes corresponding to the affiliated chronic disease population of chronic to the terminal of chronic
Therapy strategies embodiment may is that the server of more medical institutions of objective area send it is multiple second request letter
Breath, each second solicited message are used to indicate all chronic in the first period of its storage of the server feedback of a medical institutions
The telephone number of patient；Receive multiple chronic diseases of objective area in the first period sent for multiple second solicited messages
The telephone number of patient；It is pushed and the affiliated chronic disease crowd of chronic according to the telephone number of chronic to its terminal
Gather corresponding therapy strategies.
In a possible example, server pushes and the chronic institute to the terminal of the chronic
Belong to the corresponding therapy strategies of chronic disease population, comprising:
In the case where chronic disease population is determined based on chronic disease title, server is to the chronic's
Terminal pushes first therapy strategies corresponding with the affiliated chronic disease population of the chronic.
In a possible example, server pushes and the chronic institute to the terminal of the chronic
Belong to the corresponding therapy strategies of chronic disease population, comprising:
In the case where chronic disease population is determined based on physician office visits, end of the server to the chronic
End pushes second therapy strategies corresponding with the affiliated chronic disease population of the chronic.
In a possible example, server pushes and the chronic institute to the terminal of the chronic
Belong to the corresponding therapy strategies of chronic disease population, comprising:
In the case where chronic disease population is determined based on medical expense, end of the server to the chronic
End pushes the third therapy strategies corresponding with the affiliated chronic disease population of the chronic.
As can be seen that in the embodiment of the present application, server obtains the multiple chronic of objective area in a certain period first
Then the diagnosis and treatment data of patient carry out cluster grouping according to the diagnosis and treatment data of multiple chronics, it is slow to obtain at least one
STD population group set, and then determine the corresponding therapy strategies of each chronic disease population, finally for multiple chronics
In any chronic, corresponding with the affiliated chronic disease population of chronic cured to the push of the terminal of chronic
Treat strategy.The chronic disease management efficiency for improving some area to a certain extent in this way helps to reduce medical insurance fund slow
Submitting an expense account in terms of venereal disease.
In a possible example, the method also includes:
Server obtains first medical insurance of the multiple chronic within first period and submits an expense account；
Server obtains second medical insurance of the multiple chronic within the second period and submits an expense account, when described second
Section is two adjacent and duration identical periods with first period, and second period is later than first period；
In the case where second medical insurance submits an expense account and submits an expense account greater than first medical insurance, server is to medical insurance base
Gold management platform sends prompt information, and the prompt information is for prompting the medical insurance fund manager to adjust medical insurance fund reimbursement
Policy.
Specifically, server obtains the embodiment party that first medical insurance of multiple chronics within the first period is submitted an expense account
Formula, which may is that the server of more medical institutions of objective area, sends multiple third solicited messages, each third request letter
Breath is used to indicate the medicine information of all chronics in the first period of its storage of the server feedback of a medical institutions,
Medicine information includes nomenclature of drug, drug unit price and Quantity of drugs；When receiving first for the transmission of multiple third solicited messages
The medicine information of multiple chronics of objective area in section；It obtains medical insurance fund and submits an expense account policy information, medical insurance fund reimbursement
Policy information includes the reimbursement ratio of drug；Submitting an expense account for each chronic is determined according to formula of submitting an expense account；It will be more
The sum of submitting an expense account for a chronic is submitted an expense account as the first medical insurance.
Wherein, it submits an expense account formula are as follows:
S=A1×P1×T1+A2×P2×T2+…+An×Pn×Tn
Wherein, S is that the first medical insurance is submitted an expense account, A1For the drug unit price of drug 1, P1For the reimbursement ratio of drug 1, T1For
The Quantity of drugs of drug 1, A2For the drug unit price of drug 2, P2For the reimbursement ratio of drug 2, T2For the Quantity of drugs of drug 2, An
For the drug unit price of drug n, PnFor the reimbursement ratio of drug n, TnFor the Quantity of drugs of drug n.
Wherein, server obtains the embodiment that second medical insurance of multiple chronics within the second period is submitted an expense account
With server obtain the embodiment that first medical insurance of multiple chronics within the first period is submitted an expense account be it is identical,
This is no longer described.
Wherein, the reimbursement ratio of each drug is less than or equal to the doctor before adjustment in medical insurance fund reimbursement policy adjusted
Protect the reimbursement ratio of each drug in fund reimbursement policy.
In this example, policy is submitted an expense account by adjusting medical insurance fund, so that every in medical insurance fund reimbursement policy adjusted
The reimbursement ratio of a drug is less than or equal to the reimbursement ratio of each drug in the medical insurance fund reimbursement policy before adjustment, has in this way
Help reduce medical insurance fund submitting an expense account in terms of chronic disease.
Referring to Fig. 2, Fig. 2 is the flow diagram of second of chronic disease management method provided by the embodiments of the present application, it should
Chronic disease management method includes:
Step 201: server obtains the diagnosis and treatment data of multiple chronics of objective area in the first period, described to examine
Treating data includes chronic disease title, body index, medical expense and physician office visits.
Step 202: the identical chronic of chronic disease title is categorized into the same chronic disease population by server,
Obtain at least one chronic disease population.
Step 203: server determines that each chronic disease population is corresponding according to chronic disease title and therapy strategies
The first therapy strategies, first therapy strategies include that dosage frequency, medication period, dosage and drug take sequence.
Step 204: for any chronic in the multiple chronic, server is to the chronic
Terminal push corresponding with the affiliated chronic disease population of the chronic first therapy strategies.
Step 205: server obtains first medical insurance reimbursement expense of the multiple chronic within first period
With.
Step 206: server obtains second medical insurance of the multiple chronic within the second period and submits an expense account, institute
Stating the second period and first period is two adjacent and duration identical periods, when second period is later than described first
Section.
Step 207: in the case where second medical insurance submits an expense account and submits an expense account greater than first medical insurance, server
Prompt information is sent to medical insurance fund management platform, the prompt information is for prompting the medical insurance fund manager to adjust medical insurance
Fund submits an expense account policy.
It should be noted that the specific implementation process of each step of method shown in Fig. 2 can be found in described in the above method
Specific implementation process, no longer describe herein.
Referring to Fig. 3, Fig. 3 is the flow diagram of the third chronic disease management method provided by the embodiments of the present application, it should
Chronic disease management method includes:
Step 301: server obtains the diagnosis and treatment data of multiple chronics of objective area in the first period, described to examine
Treating data includes chronic disease title, body index, medical expense and physician office visits.
Step 302: the chronic that physician office visits are in same numbers range is categorized into same chronic by server
Sick population obtains at least one chronic disease population.
Step 303: server determines that each chronic disease population is corresponding according to numbers range and therapy strategies
Second therapy strategies, second therapy strategies include default physician office visits and medical interval time.
Step 304: for any chronic in the multiple chronic, server is to the chronic
Terminal push corresponding with the affiliated chronic disease population of the chronic second therapy strategies.
Step 305: server obtains first medical insurance reimbursement expense of the multiple chronic within first period
With.
Step 306: server obtains second medical insurance of the multiple chronic within the second period and submits an expense account, institute
Stating the second period and first period is two adjacent and duration identical periods, when second period is later than described first
Section.
Step 307: in the case where second medical insurance submits an expense account and submits an expense account greater than first medical insurance, server
Prompt information is sent to medical insurance fund management platform, the prompt information is for prompting the medical insurance fund manager to adjust medical insurance
Fund submits an expense account policy.
It should be noted that the specific implementation process of each step of method shown in Fig. 3 can be found in described in the above method
Specific implementation process, no longer describe herein.
Referring to Fig. 4, Fig. 4 is the flow diagram of the 4th kind of chronic disease management method provided by the embodiments of the present application, it should
Chronic disease management method includes:
Step 401: server obtains the diagnosis and treatment data of multiple chronics of objective area in the first period, described to examine
Treating data includes chronic disease title, body index, medical expense and physician office visits.
Step 402: the chronic that medical expense is in same cost range is categorized into same chronic by server
Sick population obtains at least one chronic disease population.
Step 403: determining that the corresponding third of each chronic patient realm type is cured according to cost range and therapy strategies
Strategy is treated, the third therapy strategies include chronic disease title and medical institutions' title.
Step 404: for any chronic in the multiple chronic, server is to the chronic
Terminal push corresponding with the affiliated chronic disease population of chronic third therapy strategies.
Step 405: server obtains first medical insurance reimbursement expense of the multiple chronic within first period
With.
Step 406: server obtains second medical insurance of the multiple chronic within the second period and submits an expense account, institute
Stating the second period and first period is two adjacent and duration identical periods, when second period is later than described first
Section.
Step 407: in the case where second medical insurance submits an expense account and submits an expense account greater than first medical insurance, server
Prompt information is sent to medical insurance fund management platform, the prompt information is for prompting the medical insurance fund manager to adjust medical insurance
Fund submits an expense account policy.
It should be noted that the specific implementation process of each step of method shown in Fig. 4 can be found in described in the above method
Specific implementation process, no longer describe herein.
It is above-mentioned that mainly the scheme of the embodiment of the present application is described from the angle of method side implementation procedure.It is understood that
, in order to realize the above functions, it comprises executing, each function is corresponding for the chronic disease management device based on artificial intelligence
Hardware configuration and/or software module.Those skilled in the art should be readily appreciated that, in conjunction with the embodiments described herein
Each exemplary unit and algorithm steps of description, the application can be come real with the combining form of hardware or hardware and computer software
It is existing.Some functions is executed in a manner of hardware or computer software driving hardware actually, depending on the specific of technical solution
Using and design constraint.Professional technician can to it is each specifically realized using distinct methods it is described
Function, but this realization is it is not considered that exceed scope of the present application.
The embodiment of the present application can carry out function to the chronic disease management device based on artificial intelligence according to above method example
The division of energy unit, for example, each functional unit of each function division can be corresponded to, it can also be by two or more function
It can be integrated in a processing unit.Above-mentioned integrated unit both can take the form of hardware realization, can also use software
The form of functional unit is realized.It should be noted that being schematically only one to the division of unit in the embodiment of the present application
Kind logical function partition, there may be another division manner in actual implementation.
Referring to Fig. 5, Fig. 5 is a kind of knot of chronic disease management device based on artificial intelligence provided by the embodiments of the present application
Structure schematic diagram should include processing unit 501, storage unit 502 and communication unit based on the chronic disease management device 500 of artificial intelligence
Member 503, processing unit 501 include acquiring unit, taxon, determination unit and push unit, in which:
Acquiring unit, it is described to examine for obtaining the diagnosis and treatment data of multiple chronics of objective area in the first period
Treating data includes chronic disease title, body index, medical expense and physician office visits；
Taxon obtains at least one for carrying out cluster grouping according to the diagnosis and treatment data of the multiple chronic
A chronic disease population, each chronic disease population correspond at least one chronic disease title；
Determination unit, for determining the corresponding therapy strategies of each chronic disease population；
Push unit is used for for any chronic in the multiple chronic, to the chronic
Terminal push corresponding with the affiliated chronic disease population of chronic therapy strategies.
As can be seen that in this example, server obtains multiple chronics of objective area in a certain period first
Diagnosis and treatment data, then according to the diagnosis and treatment data of multiple chronics carry out cluster grouping, obtain at least one chronic patient
Cluster is closed, and then determines the corresponding therapy strategies of each chronic disease population, finally for any in multiple chronics
Chronic, to the terminal of chronic push medical plan corresponding with the affiliated chronic disease population of chronic
Slightly.The chronic disease management efficiency for improving some area to a certain extent in this way helps to reduce medical insurance fund in chronic disease
Aspect is submitted an expense account.
In a possible example, cluster grouping is being carried out according to the diagnosis and treatment data of the multiple chronic, is being obtained
In terms of at least one chronic disease population, above-mentioned taxon is specifically used for:
The identical chronic of chronic disease title is categorized into the same chronic disease population, it is slow to obtain at least one
STD population group set.
In a possible example, cluster grouping is being carried out according to the diagnosis and treatment data of the multiple chronic, is being obtained
In terms of at least one chronic disease population, above-mentioned taxon is specifically used for:
The chronic that physician office visits are in same numbers range is categorized into the same chronic disease population, is obtained
At least one chronic disease population.
In a possible example, cluster grouping is being carried out according to the diagnosis and treatment data of the multiple chronic, is being obtained
In terms of at least one chronic disease population, above-mentioned taxon is specifically used for:
The chronic that medical expense is in same cost range is categorized into the same chronic disease population, is obtained
At least one chronic disease population.
In a possible example, in terms of determining the corresponding therapy strategies of each chronic disease population, on
Determination unit is stated to be specifically used for:
Corresponding first therapy strategies of each chronic disease population are determined according to chronic disease title and therapy strategies,
First therapy strategies include that dosage frequency, medication period, dosage and drug take sequence；
It is corresponding with the affiliated chronic disease population of the chronic being pushed to the terminal of the chronic
In terms of therapy strategies, above-mentioned push unit is specifically used for:
Institute corresponding with the affiliated chronic disease population of the chronic is pushed to the terminal of the chronic
State the first therapy strategies.
In a possible example, in terms of determining the corresponding therapy strategies of each chronic disease population, on
Determination unit is stated to be specifically used for:
Corresponding second therapy strategies of each chronic disease population, institute are determined according to numbers range and therapy strategies
Stating the second therapy strategies includes default physician office visits and medical interval time；
It is corresponding with the affiliated chronic disease population of the chronic being pushed to the terminal of the chronic
In terms of therapy strategies, above-mentioned push unit is specifically used for:
Institute corresponding with the affiliated chronic disease population of the chronic is pushed to the terminal of the chronic
State the second therapy strategies.
In a possible example, above-mentioned processing unit 501 further include:
Acquiring unit submits an expense account expense for obtaining first medical insurance of the multiple chronic within first period
With；
The acquiring unit is also used to obtain second medical insurance reimbursement expense of the multiple chronic within the second period
With second period and first period are two adjacent and duration identical periods, and second period is later than described
First period；
Prompt unit, in the case where second medical insurance submits an expense account and submits an expense account greater than first medical insurance,
Prompt information is sent to medical insurance fund management platform, the prompt information is for prompting the medical insurance fund manager to adjust medical insurance
Fund submits an expense account policy.
Wherein, processing unit 501 can be processor or controller, (such as can be central processing unit (Central
Processing Unit, CPU), general processor, digital signal processor (Digital Signal Processor, DSP),
Dedicated integrated manipulator (Application-Specific Integrated Circuit, ASIC), field programmable gate array
It is (Field Programmable Gate Array, FPGA) or other programmable logic device, transistor logic, hard
Part component or any combination thereof.Storage unit 502 can be memory, and communication unit 503 can be transceiver, transmitting-receiving control
Device, radio frequency chip, communication interface etc..
It is consistent with above-mentioned Figure 1A, Fig. 2, Fig. 3 and embodiment shown in Fig. 4, referring to Fig. 6, Fig. 6 is the embodiment of the present application
A kind of structural schematic diagram of the server provided, which includes processor, memory, communication interface and one or more
Program, wherein said one or multiple programs are stored in above-mentioned memory, and are configured to be executed by above-mentioned processor,
Above procedure includes the instruction for executing following steps:
The diagnosis and treatment data of multiple chronics of objective area in the first period are obtained, the diagnosis and treatment data include chronic
Name of disease claims, body index, medical expense and physician office visits；
Cluster grouping is carried out according to the diagnosis and treatment data of the multiple chronic, obtains at least one chronic patient cluster
It closes, each chronic disease population corresponds at least one chronic disease title；
Determine the corresponding therapy strategies of each chronic disease population；
For any chronic in the multiple chronic, to the push of the terminal of the chronic and institute
State the affiliated corresponding therapy strategies of chronic disease population of chronic.
As can be seen that in this example, server obtains multiple chronics of objective area in a certain period first
Diagnosis and treatment data, then according to the diagnosis and treatment data of multiple chronics carry out cluster grouping, obtain at least one chronic patient
Cluster is closed, and then determines the corresponding therapy strategies of each chronic disease population, finally for any in multiple chronics
Chronic, to the terminal of chronic push medical plan corresponding with the affiliated chronic disease population of chronic
Slightly.The chronic disease management efficiency for improving some area to a certain extent in this way helps to reduce medical insurance fund in chronic disease
Aspect is submitted an expense account.
In a possible example, cluster grouping is being carried out according to the diagnosis and treatment data of the multiple chronic, is being obtained
In terms of at least one chronic disease population, above procedure includes the instruction specifically for executing following steps:
The identical chronic of chronic disease title is categorized into the same chronic disease population, it is slow to obtain at least one
STD population group set.
In a possible example, cluster grouping is being carried out according to the diagnosis and treatment data of the multiple chronic, is being obtained
In terms of at least one chronic disease population, above procedure includes the instruction specifically for executing following steps:
The chronic that physician office visits are in same numbers range is categorized into the same chronic disease population, is obtained
At least one chronic disease population.
In a possible example, cluster grouping is being carried out according to the diagnosis and treatment data of the multiple chronic, is being obtained
In terms of at least one chronic disease population, above procedure includes the instruction specifically for executing following steps:
The chronic that medical expense is in same cost range is categorized into the same chronic disease population, is obtained
At least one chronic disease population.
In a possible example, in terms of determining the corresponding therapy strategies of each chronic disease population, on
Stating program includes the instruction specifically for following steps:
Corresponding first therapy strategies of each chronic disease population are determined according to chronic disease title and therapy strategies,
First therapy strategies include that dosage frequency, medication period, dosage and drug take sequence；
It is corresponding with the affiliated chronic disease population of the chronic being pushed to the terminal of the chronic
In terms of therapy strategies, above procedure includes the instruction specifically for following steps:
Institute corresponding with the affiliated chronic disease population of the chronic is pushed to the terminal of the chronic
State the first therapy strategies.
In a possible example, in terms of determining the corresponding therapy strategies of each chronic disease population, on
Stating program includes the instruction specifically for following steps:
Corresponding second therapy strategies of each chronic disease population, institute are determined according to numbers range and therapy strategies
Stating the second therapy strategies includes default physician office visits and medical interval time；
It is corresponding with the affiliated chronic disease population of the chronic being pushed to the terminal of the chronic
In terms of therapy strategies, above procedure includes the instruction specifically for following steps:
Institute corresponding with the affiliated chronic disease population of the chronic is pushed to the terminal of the chronic
State the second therapy strategies.
In a possible example, above procedure further includes the instruction for executing following steps:
First medical insurance of the multiple chronic within first period is obtained to submit an expense account；
Second medical insurance of the multiple chronic within the second period is obtained to submit an expense account；
In the case where second medical insurance submits an expense account and submits an expense account greater than first medical insurance, to medical insurance fund management
Platform sends prompt information, and the prompt information is for prompting the medical insurance fund manager to adjust medical insurance fund reimbursement policy.
The embodiment of the present application also provides a kind of computer storage medium, and the computer storage medium is for storing electronic data
The computer program of exchange, wherein the computer program makes computer execute any as recorded in above method embodiment
Some or all of method step.
The embodiment of the present application also provides a kind of computer program product, and above-mentioned computer program product includes storing calculating
The non-transient computer readable storage medium of machine program, above-mentioned computer program are operable to that computer is made to execute such as above-mentioned side
Some or all of either record method step in method embodiment.The computer program product can be a software installation
Packet.
It should be noted that for the various method embodiments described above, for simple description, therefore, it is stated as a series of
Combination of actions, but those skilled in the art should understand that, the application is not limited by the described action sequence because
According to the application, some steps may be performed in other sequences or simultaneously.Secondly, those skilled in the art should also know
It knows, the embodiments described in the specification are all preferred embodiments, related actions and modules not necessarily the application
It is necessary.
In the above-described embodiments, it all emphasizes particularly on different fields to the description of each embodiment, there is no the portion being described in detail in some embodiment
Point, reference can be made to the related descriptions of other embodiments.
In several embodiments provided herein, it should be understood that disclosed device, it can be by another way
It realizes.For example, the apparatus embodiments described above are merely exemplary, such as the division of said units, it is only a kind of
Logical function partition, there may be another division manner in actual implementation, such as multiple units or components can combine or can
To be integrated into another system, or some features can be ignored or not executed.Another point, shown or discussed is mutual
Coupling, direct-coupling or communication connection can be through some interfaces, the indirect coupling or communication connection of device or unit,
It can be electrical or other forms.
Above-mentioned unit as illustrated by the separation member may or may not be physically separated, aobvious as unit
The component shown may or may not be physical unit, it can and it is in one place, or may be distributed over multiple
In network unit.It can select some or all of unit therein according to the actual needs to realize the mesh of this embodiment scheme
's.
It, can also be in addition, each functional unit in each embodiment of the application can integrate in one processing unit
It is that each unit physically exists alone, can also be integrated in one unit with two or more units.Above-mentioned integrated list
Member both can take the form of hardware realization, can also realize in the form of software functional units.
If above-mentioned integrated unit is realized in the form of SFU software functional unit and sells or use as independent product
When, it can store in a computer-readable access to memory.Based on this understanding, the technical solution of the application substantially or
Person says that all or part of the part that contributes to existing technology or the technical solution can body in the form of software products
Reveal and, which is stored in a memory, including some instructions are used so that a computer equipment
(can be personal computer, server or network equipment etc.) executes all or part of each embodiment above method of the application
Step.And memory above-mentioned includes: USB flash disk, read-only memory (ROM, Read-Only Memory), random access memory
The various media that can store program code such as (RAM, Random Access Memory), mobile hard disk, magnetic or disk.
Those of ordinary skill in the art will appreciate that all or part of the steps in the various methods of above-described embodiment is can
It is completed with instructing relevant hardware by program, which can store in a computer-readable memory, memory
May include: flash disk, read-only memory (English: Read-Only Memory, referred to as: ROM), random access device (English:
Random Access Memory, referred to as: RAM), disk or CD etc..
The embodiment of the present application is described in detail above, specific case used herein to the principle of the application and
Embodiment is expounded, the description of the example is only used to help understand the method for the present application and its core ideas；
At the same time, for those skilled in the art can in specific implementation and application range according to the thought of the application
There is change place, to sum up above-mentioned, the contents of this specification should not be construed as limiting the present application.
Claims (10)
1. a kind of chronic disease management method based on artificial intelligence characterized by comprising
The diagnosis and treatment data of multiple chronics of objective area in the first period are obtained, the diagnosis and treatment data include chronic disease name
Title, body index, medical expense and physician office visits；
Cluster grouping is carried out according to the diagnosis and treatment data of the multiple chronic, obtains at least one chronic disease population,
Each chronic disease population corresponds at least one chronic disease title；
Determine the corresponding therapy strategies of each chronic disease population；
For any chronic in the multiple chronic, pushed to the terminal of the chronic and described slow
The affiliated corresponding therapy strategies of chronic disease population of std patient.
2. the method according to claim 1, wherein the diagnosis and treatment data according to the multiple chronic
Cluster grouping is carried out, at least one chronic disease population is obtained, comprising:
The identical chronic of chronic disease title is categorized into the same chronic disease population, obtains at least one chronic disease
Population.
3. the method according to claim 1, wherein the diagnosis and treatment data according to the multiple chronic
Cluster grouping is carried out, at least one chronic disease population is obtained, comprising:
The chronic that physician office visits are in same numbers range is categorized into the same chronic disease population, is obtained at least
One chronic disease population.
4. the method according to claim 1, wherein the diagnosis and treatment data according to the multiple chronic
Cluster grouping is carried out, at least one chronic disease population is obtained, comprising:
The chronic that medical expense is in same cost range is categorized into the same chronic disease population, is obtained at least
One chronic disease population.
5. according to the method described in claim 2, it is characterized in that, each chronic disease population of the determination is corresponding
Therapy strategies, comprising:
Corresponding first therapy strategies of each chronic disease population are determined according to chronic disease title and therapy strategies, it is described
First therapy strategies include that dosage frequency, medication period, dosage and drug take sequence；
It is described to be cured to the push of the terminal of the chronic is corresponding with the affiliated chronic disease population of the chronic
Treat strategy, comprising:
To the terminal of chronic push corresponding with the affiliated chronic disease population of the chronic described the
One therapy strategies.
6. according to the method described in claim 3, it is characterized in that, each chronic disease population of the determination is corresponding
Therapy strategies, comprising:
Corresponding second therapy strategies of each chronic disease population are determined according to numbers range and therapy strategies, described
Two therapy strategies include default physician office visits and medical interval time；
It is described to be cured to the push of the terminal of the chronic is corresponding with the affiliated chronic disease population of the chronic
Treat strategy, comprising:
To the terminal of chronic push corresponding with the affiliated chronic disease population of the chronic described the
Two therapy strategies.
7. method according to claim 5 or 6, which is characterized in that the method also includes:
First medical insurance of the multiple chronic within first period is obtained to submit an expense account；
It obtains second medical insurance of the multiple chronic within the second period to submit an expense account, second period and described the
One period was two adjacent and duration identical periods, and second period is later than first period；
In the case where second medical insurance submits an expense account and submits an expense account greater than first medical insurance, platform is managed to medical insurance fund
Prompt information is sent, the prompt information is for prompting the medical insurance fund manager to adjust medical insurance fund reimbursement policy.
8. a kind of chronic disease management device based on artificial intelligence characterized by comprising
Acquiring unit, for obtaining the diagnosis and treatment data of multiple chronics of objective area in the first period, the diagnosis and treatment number
According to including chronic disease title, body index, medical expense and physician office visits；
It is slow to obtain at least one for carrying out cluster grouping according to the diagnosis and treatment data of the multiple chronic for taxon
STD population group set, each chronic disease population correspond at least one chronic disease title；
Determination unit, for determining the corresponding therapy strategies of each chronic disease population；
Push unit is used for for any chronic in the multiple chronic, to the end of the chronic
End pushes therapy strategies corresponding with the affiliated chronic disease population of the chronic.
9. a kind of server, which is characterized in that described including processor, memory, communication interface and one or more programs
One or more programs are stored in the memory, and are configured to be executed by the processor, and described program includes using
In the instruction for executing the step in the method according to claim 1 to 7.
10. a kind of computer readable storage medium, which is characterized in that the computer readable storage medium is for storing electron number
According to the computer program of exchange, wherein the computer program executes computer as claim 1-7 is described in any item
Method.
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