CN109411082A - A kind of Evaluation of Medical Quality and medical recommended method - Google Patents

A kind of Evaluation of Medical Quality and medical recommended method Download PDF

Info

Publication number
CN109411082A
CN109411082A CN201811322329.4A CN201811322329A CN109411082A CN 109411082 A CN109411082 A CN 109411082A CN 201811322329 A CN201811322329 A CN 201811322329A CN 109411082 A CN109411082 A CN 109411082A
Authority
CN
China
Prior art keywords
medical
recommended
evaluation
case
patient
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
CN201811322329.4A
Other languages
Chinese (zh)
Other versions
CN109411082B (en
Inventor
刘兴伟
刘阳
陈琪琪
廖明阳
何意
牟峰
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Shenzhen Juyue Medical Technology Co.,Ltd.
Yami Technology Guangzhou Co ltd
Original Assignee
Xihua University
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Xihua University filed Critical Xihua University
Priority to CN201811322329.4A priority Critical patent/CN109411082B/en
Publication of CN109411082A publication Critical patent/CN109411082A/en
Application granted granted Critical
Publication of CN109411082B publication Critical patent/CN109411082B/en
Active legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Classifications

    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H50/00ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
    • G16H50/20ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for computer-aided diagnosis, e.g. based on medical expert systems
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/20ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H50/00ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
    • G16H50/70ICT 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

Landscapes

  • Engineering & Computer Science (AREA)
  • Health & Medical Sciences (AREA)
  • Medical Informatics (AREA)
  • Public Health (AREA)
  • Biomedical Technology (AREA)
  • General Health & Medical Sciences (AREA)
  • Epidemiology (AREA)
  • Data Mining & Analysis (AREA)
  • Primary Health Care (AREA)
  • Pathology (AREA)
  • Databases & Information Systems (AREA)
  • Business, Economics & Management (AREA)
  • General Business, Economics & Management (AREA)
  • Medical Treatment And Welfare Office Work (AREA)

Abstract

The invention discloses a kind of Evaluation of Medical Quality and medical recommended methods, which comprises step S1 obtains the data for evaluating quality of medical care;Step S2 evaluates the data prediction of quality of medical care;Step S3, case grouping;Step S4 segments group cluster by case and draws dendrogram;Step S5 calculates the Evaluation of Medical Quality point of case subdivision group according to dendrogram;Step S6 calculates the Evaluation of Medical Quality point of case rough segmentation group;Step S7, the final Evaluation of Medical Quality point of Calculation Estimation object;Step S8 obtains for training and tests the data set of medical recommended models;Step S9, building obtain the neural network model of patient characteristic vector;Step S10, building obtain the neural network model of recommended feature vector;Step S11 constructs medical recommendation neural network model;Step S12, model training;Step S13 generates medical recommendation list, recommends patient.

Description

A kind of Evaluation of Medical Quality and medical recommended method
Technical field
The present invention relates to medical big data fields, more particularly to a kind of Evaluation of Medical Quality and medical recommended method.
Background technique
Medical safety and quality of medical care are all the hot issue paid much attention to both at home and abroad for a long time.Doctor of the country to hospital Treatment level and criteria of quality evaluation are " three-level general hospital review standards of designing (version in 2011) ", and " three-level general hospital medical treatment Quality management and control standard (2011 editions) ", evaluating standard includes: Death class index, returns to class index, nosocomial infection class Index, postoperative complication class index, patient safety class index, medical institutions' Rational Use of Drug Index and hospital's operational management class refer to Mark.
Documents and materials show that common Evaluation of Medical Quality method can be summarized as Hospital Accreditation method, comprehensive evaluation and review technique, disease Kind quality evaluation and review technique and customer satisfaction evaluation and review technique etc..The common feature of these methods is that evaluation procedure requires manual intervention and sentences It is disconnected, depend on the experience of expert unduly;Meanwhile analysis and evaluation system is to be based on random sample rather than all data.Therefore, medical The defect in quality evaluation field first is that the evaluation of medical institutions, doctor etc. there are lacks objectivity, scientific insufficient ask Topic.Currently, generally there are no carry out objective comparison, nothing using medical method of the technological means such as big data analysis to doctor for hospital Method judges its superiority and inferiority, and the treatment method of the doctor caused cannot be promoted, and hospital quality management is caused to there is careless omission, reduces The efficiency of management and quality.Meanwhile in treatment process, patient selects the mode of department or doctor generally by kith and kin, hangs Number member or overt propaganda information, these channels lack the objective description and ratio to department's diagnosis and treatment characteristic and physician specialty speciality Compared with so as to cause hospital treatment services cannot be provided timely, high-qualityly for patient.
Summary of the invention
The technical problems to be solved by the present invention are: objective for current Evaluation of Medical Quality and medical recommended method shortage Property, scientific problem, be based on hospital journals big data, innovatively design a kind of Evaluation of Medical Quality and medical recommended method, So as to Comprehensive promote medical quality in hospital management level.
To solve the above-mentioned problems, the invention discloses a kind of Evaluation of Medical Quality and medical recommended method, technical sides Case the following steps are included:
Step S1, obtains the data for evaluating quality of medical care, including patient ID, Gender, patient age, department of being admitted to hospital, Attending physician, situation of being admitted to hospital, admission diagnosis code, therapeutic effect, treatment time and medical expense etc.;
Step S2 evaluates the data prediction of quality of medical care;
Step S3, case grouping carry out rough segmentation group to case according to admission diagnosis code first, then comprehensively consider the property of patient Not, age and situation of being admitted to hospital are finely divided group;
Step S4, for each case subdivision group, using treatment time, medical expense, therapeutic effect as evaluation index;First Evaluation index is standardized;Then the classification number k value of cluster is determined using error sum of squares SSE index;It is finally right Evaluation index is clustered, and case is sorted out, and draws dendrogram;
Step S5 calculates each evaluation object in the Evaluation of Medical Quality point of case subdivision group according to dendrogram;
Step S6 divides weighted sum to Evaluation of Medical Quality of each evaluation object in each case subdivision group, obtains each Case rough segmentation group is the Evaluation of Medical Quality point being grouped according to admission diagnosis code;
Step S7, by Evaluation of Medical Quality of each evaluation object in each case rough segmentation group point according to sorting from high to low, The case type that the case of n evaluation point is good at as the evaluation object before taking, to the doctor for the case type that evaluation object is good at It treats quality evaluation and divides weighted sum, obtain the final Evaluation of Medical Quality point of each evaluation object;
Step S8 obtains for training and tests the data set of medical recommended models;Data set is made of three files, is respectively Patient data files, recommended data file and score data file;Patient data files include patient's id field, sexual Malapropism section, patient age field and illness description field;Recommended data file includes recommended id field and recommendation pair As the case type field being good at;Score data file include patient's id field, recommended id field and scoring field, wherein The value for the field that scores is training and the target value for testing medical recommended models;
Step S9, building obtain the neural network model of patient characteristic vector;
Step S10, building obtain the neural network model of recommended feature vector;
Step S11 constructs medical recommendation neural network model;
Data set is divided into training set and test set by step S12, is lost using mean square error MSE index optimization, determines that training changes Generation number and learning rate carry out model training, obtain patient characteristic matrix and recommended eigenmatrix;
Step S13 calculates the score value of object to be recommended using recommended eigenmatrix described in the patient characteristic vector sum, It takes score value highest first n to generate medical recommendation list, recommends patient.
A kind of Evaluation of Medical Quality and medical recommended method, the step S5 further include:
Step S51, the evaluation object, including doctor, department;
Step S52 counts case number of each evaluation object in each cluster classification of case subdivision group, by what is selected The case number in classification is clustered divided by total case number, obtains each evaluation object in the quality of medical care of case subdivision group Evaluation point.
A kind of Evaluation of Medical Quality and medical recommended method, the step S8 further include:
Step S81, the recommended is consistent with evaluation object described in the step S51, including doctor, department;
Step S82, the illness description field carry out word segmentation processing to the text description in the illness description field first, Then word is established to the mapping dictionary of number, converts thereof into numerical listing, and the length of all numerical listings is unified;
Step S83, the value for the case type field that the recommended is good at can be obtained, it may be assumed that will be every by the step S7 Evaluation of Medical Quality of a evaluation object in each case rough segmentation group point according to sorting from high to low, and n evaluation divides before taking The case type that case is good at as the recommended;Establish the class malapropism in the case type field that the recommended is good at Symbol string converts thereof into numerical listing to the mapping dictionary of number, and the length of all numerical listings is unified;
Step S84, the value of the scoring field can be obtained, it may be assumed that thin according to case by the step S4 and the step S5 The result of grouping and clustering and selected cluster classification set 1 for the selected corresponding score value of cluster classification, remaining is 0.
A kind of Evaluation of Medical Quality and medical recommended method, the step S9 further include:
Step S91, the first layer of the neural network model are embeding layer, by patient's id field, Gender field, are suffered from Person's age field is passed to embeding layer as the index of embeded matrix, obtains the patient ID feature, Gender feature and patient Age characteristics;
Step S92 is handled for the illness description field using text convolutional neural networks;First from embeded matrix The insertion vector of the corresponding each word of the illness description field is obtained, then carries out convolution fortune using various sizes of convolution kernel Calculation, maximum pond and regularization operation, obtain the feature of the illness description field;
It is special to index out the patient ID feature, Gender feature and patient age from the neural network embeding layer by step S93 It levies and after the feature that text convolutional neural networks obtain the illness description field, each feature incoming one is connected entirely Layer is connect, outputs it and is passed to a full articulamentum again, to obtain the patient characteristic vector.
A kind of Evaluation of Medical Quality and medical recommended method, the step S10 further include:
The first layer of step S101, the neural network model are embeding layer, by the recommended id field and recommended The case type field being good at is passed to embeding layer as the index of embeded matrix, obtains the recommended ID feature and recommendation pair As the case type feature being good at;
Step S102 is further processed the case type feature that the recommended is good at, i.e., arrogates to oneself the recommended Multiple insertion vectors of long case type do adduction operation;
Step S103, from the neural network embeding layer indexes out the recommended ID feature and the recommended is good at Case type feature and after being further processed to the case type feature that recommended is good at, each feature is one incoming Full articulamentum outputs it and is passed to a full articulamentum again, obtains the recommended feature vector.
A kind of Evaluation of Medical Quality and medical recommended method, the step S11 further include:
Recommended feature vector described in the patient characteristic vector sum is done vector multiplication by step S111, by calculated result with True score value returns.
Compared with prior art, the invention has the following advantages that
(1) present invention can carry out objective ratio to the quality of medical care of different doctors, department using hospital's this case of bulk sample big data Compared with, quantify the level professional technology and medical service quality of doctor, department, it being capable of General Promotion medical quality in hospital management water Flat, evaluation result can be used as the decision-making foundation of patient assessment's selection.
(2) present invention can analyze doctor, the case type that department is good at, precise positioning doctor, the feature of department and thin Weak link improves medical level so that hospital can take specific aim measure.
(3) in daily treatment process, patient select department, doctor mode generally by kith and kin, Registrar or Overt propaganda information, these channels lack the objective description to department's diagnosis and treatment characteristic and physician specialty speciality and compare, thus Cause hospital that cannot provide treatment services timely, high-qualityly for patient.In addition to this, some documents are proposed through acquisition from mutual The evaluation information of networking recommends doctor, department, due to the subjectivity of evaluation, one-sidedness and the sparsity for evaluating data, meeting Seriously affect the effect of recommendation.The present invention uses big data analysis technology, objectively evaluates to the quality of medical care of doctor, department Marking, can obtain in time doctor, the case type that department is good at, objectively respond doctor, the case type that department is good at it is dynamic State variation realizes precisely medical recommend by deep neural network.
(4) document shows that medical recommender system generally uses collaborative filtering, the history that this method passes through acquisition patient The information such as record, personal preference are calculated the similarity with other patients, are recommended doctor, department using the evaluation of similar patients. In general, there is cold start-up in collaborative filtering.The present invention obtains the neural network mould of patient characteristic vector by building Type and building obtain the neural network model of recommended feature vector, recommend neural network model to realize and go to a doctor, and use Recommended eigenmatrix described in the patient characteristic vector sum calculates the score value of object to be recommended, realizes precisely medical push away It recommends.
Detailed description of the invention
Fig. 1 is the flow chart of a kind of Evaluation of Medical Quality and medical recommended method of the invention.
Specific embodiment
As shown in Fig. 1, the method for the present invention follows the steps below:
The present invention is described in detail with reference to the accompanying drawing.
Step S1 obtains the data for evaluating quality of medical care, including patient ID, Gender, patient age, section of being admitted to hospital Room, attending physician, situation of being admitted to hospital, admission diagnosis code, therapeutic effect, treatment time and medical expense etc.;
Since the 1990s, hospital has been gradually completing clinical treatment informationization, has built up HIS(with the stream of people, logistics, wealth Flow management is the hospital information system of core), EMRs(is for the purpose of the information collection of patient medical record, storage and centralized management Electronic medical record system), LIS(checking information system), PACS(medical image information system), NIS(nursing information system) etc..Cause This, for evaluating the patient ID of quality of medical care, Gender, patient age, department of being admitted to hospital, attending physician, situation of being admitted to hospital, being admitted to hospital The data such as diagnosis code, therapeutic effect, treatment time and medical expense can be extracted from above-mentioned medical information system.
Step S2 evaluates the data prediction of quality of medical care;
Since medical information system is gradually built by stages, in addition the reasons such as case database upgrading, there are data The problems such as Statistical Criteria is inconsistent, the overlapping of data format disunity, data information, noise data and data are omitted, it is necessary to logarithm According to the operation such as being cleaned, being extracted, being converted, being arranged and being filled, to realize the standardization and standardization of data format, such as: NaN Processing, the processing of 0 value of medical expense and type of name conversion of value etc..
Step S3, case grouping carry out rough segmentation group to case according to admission diagnosis code first, then comprehensively consider patient's Gender, age and situation of being admitted to hospital are finely divided group;
Rough segmentation group is carried out to case according to admission diagnosis code, to eliminate the influence of disease type difference bring.Then comprehensively consider Gender, age and the situation of being admitted to hospital of patient is finely divided group, is brought with eliminating the differences such as case personal feature and medical history Influence so that quantizing process can, resource consumption comparable case close to clinical process evaluate.
Step S4, for each case subdivision group, using treatment time, medical expense, therapeutic effect as evaluation index; Evaluation index is standardized first;Then the classification number k value of cluster is determined using error sum of squares SSE index;Most Evaluation index is clustered afterwards, case is sorted out, and draws dendrogram;
Using treatment time, medical expense, therapeutic effect as quality of medical care quantizating index, sufferer is not only reflected jointly because for the treatment of And " cost " is paid, and largely reflect the height for the treatment of level, so as to fully demonstrate quality of medical care Superiority and inferiority;
Since the magnitude differences between each evaluation index are larger, cluster effect is influenced in order to avoid the value of single feature is excessive Fruit needs to be standardized before being clustered;
After calculating error sum of squares SSE and determining the classification number k value clustered, is clustered, case is sorted out.Meanwhile for poly- Class result is by the different classes of line chart for drawing feature.
Step S5 calculates each evaluation object in the Evaluation of Medical Quality point of case subdivision group according to dendrogram;
The evaluation object, including doctor, department;
Case number of each evaluation object in each cluster classification of case subdivision group is counted, by selected cluster classification In case number divided by total case number, obtain each evaluation object in the Evaluation of Medical Quality point of case subdivision group;
For the specific embodiment that the present invention will be described in detail, be exemplified below: hypothesis evaluation object 1 is in treatment case subdivision There are 91,1031 and 9 cases respectively in 3 cluster classifications 0,1,2 of group G, by the characteristic folding lines for analyzing different cluster classifications Figure wherein cluster classification 1 is the cluster classification that therapeutic effect is good, treatment time is short, medical expense is low, therefore selects cluster classification 1 for calculating Evaluation of Medical Quality point, then evaluation object 1 is divided into 1031/ in the Evaluation of Medical Quality for the treatment of case subdivision group G (91+1031+9)=91.2%。
Step S6 divides weighted sum to Evaluation of Medical Quality of each evaluation object in each case subdivision group, obtains Each case rough segmentation group is the Evaluation of Medical Quality point being grouped according to admission diagnosis code;
For the specific embodiment that the present invention will be described in detail, be exemplified below: hypothesis evaluation object 1 is segmented in i case Evaluation of Medical Quality point in group is respectively s1, s2 ..., si, then evaluation object 1 is commented in the quality of medical care of some case rough segmentation group Valence is divided into r=w1*s1+w2*s2+ ...+wi*si, wherein w1, w2 ..., wi are weight, are met: 0 < w1 < 1,0 < w2 < 1 ..., 0 < wi < 1, and w1+w2+ ...+wi=1.
Step S7, by Evaluation of Medical Quality of each evaluation object in each case rough segmentation group point according to arranging from high to low Sequence, the case type be good at as the evaluation object of case that n evaluation divides before taking, the case type that evaluation object is good at Evaluation of Medical Quality divides weighted sum, obtains the final Evaluation of Medical Quality point of each evaluation object;
For the specific embodiment that the present invention will be described in detail, be exemplified below: hypothesis evaluation object 1 is in j case rough segmentation Evaluation of Medical Quality point in group by r1, r2 ..., rj is ordered as from high to low, the n disease being good at as evaluation object before taking Example type, then the final Evaluation of Medical Quality of evaluation object 1 is divided into q=w1*r1+w2*r2+ ...+wn*rn, wherein w1, w2 ..., Wn is weight, is met: 0<w1<1,0<w2<1 ..., 0<wn<1, and w1>w2>...+wn=1>wn, w1+w2+ ....
Step S8 obtains for training and tests the data set of medical recommended models;Data set is made of three files, point It is not patient data files, recommended data file and score data file;Patient data files include patient's id field, suffer from Person's gender field, patient age field and illness description field;Recommended data file includes recommended id field and pushes away Recommend the case type field that object is good at;Score data file include patient's id field, recommended id field and scoring field, The value for the field that wherein scores is training and the target value for testing medical recommended models;
The recommended, it is consistent with the evaluation object, including doctor, department;
The illness description field carries out word segmentation processing to the text description in the illness description field first, then establishes Word converts thereof into numerical listing to the mapping dictionary of number, and the length of all numerical listings is unified;
The value for the case type field that the recommended is good at can be obtained by the step S7, it may be assumed that by each evaluation pair As the case conduct that the Evaluation of Medical Quality in each case rough segmentation group point according to sorting from high to low, and n evaluation divides before taking The case type that the recommended is good at;Classification character string in the case type field that the recommended is good at is established to number The mapping dictionary of word converts thereof into numerical listing, and the length of all numerical listings is unified;
The value of the scoring field, can be obtained by the step S4 and the step S5, it may be assumed that segment group cluster according to case Result and selected cluster classification, set 1 for the selected corresponding score value of cluster classification, remaining is 0, wherein 1 indicates Scoring of the patient that therapeutic effect is good in case subdivision group, treatment time is short, medical expense is low to recommended.
Step S9, building obtain the neural network model of patient characteristic vector;
The first layer of the neural network model is embeding layer, by patient's id field, Gender field, patient age word The index of Duan Dangzuo embeded matrix is passed to embeding layer, obtains the patient ID feature, Gender feature and patient age feature;
It is handled for the illness description field using text convolutional neural networks;It is obtained from embeded matrix first described Then the insertion vector of the corresponding each word of illness description field carries out convolution algorithm, maximum using various sizes of convolution kernel Pondization and regularization operate, and obtain the feature of the illness description field;
From the neural network embeding layer index out the patient ID feature, Gender feature and patient age feature and from After text convolutional neural networks obtain the feature of the illness description field, each feature is passed to a full articulamentum, it will It is exported is passed to a full articulamentum again, to obtain the patient characteristic vector.
Step S10, building obtain the neural network model of recommended feature vector;
The first layer of the neural network model is embeding layer, the case that the recommended id field and recommended are good at Type field is passed to embeding layer as the index of embeded matrix, obtains the disease that the recommended ID feature and recommended are good at Example type feature;
The case type feature that the recommended is good at is further processed, i.e., the case class recommended being good at Multiple insertion vectors of type do adduction operation;
The case type that the recommended ID feature and the recommended are good at is indexed out from the neural network embeding layer Feature and after being further processed to the case type feature that recommended is good at, by the incoming one full connection of each feature Layer outputs it and is passed to a full articulamentum again, obtains the recommended feature vector.
Step S11 constructs medical recommendation neural network model;
Recommended feature vector described in the patient characteristic vector sum is done into vector multiplication, by calculated result and true scoring Value returns.
Data set is divided into training set and test set by step S12, is lost using mean square error MSE index optimization, determines instruction Practice the number of iterations and learning rate, carries out model training, obtain patient characteristic matrix and recommended eigenmatrix;
For training pattern, it is necessary first to define cost or loss function carrys out assessment models, be referred to here using mean square error MSE Mark;Then it needs to be determined that training the number of iterations and learning rate;Trained process is exactly continuous adjustment model parameter, is minimized equal Square error MSE index.
Step S13 calculates commenting for object to be recommended using recommended eigenmatrix described in the patient characteristic vector sum Score value takes score value highest first n to generate medical recommendation list, recommends patient.
Particular embodiments described above has carried out further in detail the purpose of the present invention, technical scheme and beneficial effects It describes in detail bright.Those skilled in the art is not under conditions of departing from the spirit and scope of the present invention that claims determine, also Various modifications can be carried out to the above content.Therefore, the scope of the present invention is not limited in above explanation, but by The range of claims determines.

Claims (6)

1. a kind of Evaluation of Medical Quality and medical recommended method characterized by comprising
Step S1, obtains the data for evaluating quality of medical care, including patient ID, Gender, patient age, department of being admitted to hospital, Attending physician, situation of being admitted to hospital, admission diagnosis code, therapeutic effect, treatment time and medical expense etc.;
Step S2 evaluates the data prediction of quality of medical care;
Step S3, case grouping carry out rough segmentation group to case according to admission diagnosis code first, then comprehensively consider the property of patient Not, age and situation of being admitted to hospital are finely divided group;
Step S4, for each case subdivision group, using treatment time, medical expense, therapeutic effect as evaluation index;First Evaluation index is standardized;Then the classification number k value of cluster is determined using error sum of squares SSE index;It is finally right Evaluation index is clustered, and case is sorted out, and draws dendrogram;
Step S5 calculates each evaluation object in the Evaluation of Medical Quality point of case subdivision group according to dendrogram;
Step S6 divides weighted sum to Evaluation of Medical Quality of each evaluation object in each case subdivision group, obtains each Case rough segmentation group is the Evaluation of Medical Quality point being grouped according to admission diagnosis code;
Step S7, by Evaluation of Medical Quality of each evaluation object in each case rough segmentation group point according to sorting from high to low, The case type that the case of n evaluation point is good at as the evaluation object before taking, to the doctor for the case type that evaluation object is good at It treats quality evaluation and divides weighted sum, obtain the final Evaluation of Medical Quality point of each evaluation object;
Step S8 obtains for training and tests the data set of medical recommended models;Data set is made of three files, is respectively Patient data files, recommended data file and score data file;Patient data files include patient's id field, sexual Malapropism section, patient age field and illness description field;Recommended data file includes recommended id field and recommendation pair As the case type field being good at;Score data file include patient's id field, recommended id field and scoring field, wherein The value for the field that scores is training and the target value for testing medical recommended models;
Step S9, building obtain the neural network model of patient characteristic vector;
Step S10, building obtain the neural network model of recommended feature vector;
Step S11 constructs medical recommendation neural network model;
Data set is divided into training set and test set by step S12, is lost using mean square error MSE index optimization, determines that training changes Generation number and learning rate carry out model training, obtain patient characteristic matrix and recommended eigenmatrix;
Step S13 calculates the score value of object to be recommended using recommended eigenmatrix described in the patient characteristic vector sum, It takes score value highest first n to generate medical recommendation list, recommends patient.
2. Evaluation of Medical Quality according to claim 1 and medical recommended method, which is characterized in that the step S5 is also wrapped It includes:
Step S51, the evaluation object, including doctor, department;
Step S52 counts case number of each evaluation object in each cluster classification of case subdivision group, by what is selected The case number in classification is clustered divided by total case number, obtains each evaluation object in the quality of medical care of case subdivision group Evaluation point.
3. Evaluation of Medical Quality according to claim 1 and medical recommended method, which is characterized in that the step S8 is also wrapped It includes:
Step S81, the recommended is consistent with evaluation object described in the step S51, including doctor, department;
Step S82, the illness description field carry out word segmentation processing to the text description in the illness description field first, Then word is established to the mapping dictionary of number, converts thereof into numerical listing, and the length of all numerical listings is unified;
Step S83, the value for the case type field that the recommended is good at can be obtained, it may be assumed that will be every by the step S7 Evaluation of Medical Quality of a evaluation object in each case rough segmentation group point according to sorting from high to low, and n evaluation divides before taking The case type that case is good at as the recommended;Establish the class malapropism in the case type field that the recommended is good at Symbol string converts thereof into numerical listing to the mapping dictionary of number, and the length of all numerical listings is unified;
Step S84, the value of the scoring field can be obtained, it may be assumed that thin according to case by the step S4 and the step S5 The result of grouping and clustering and selected cluster classification set 1 for the selected corresponding score value of cluster classification, remaining is 0.
4. Evaluation of Medical Quality according to claim 1 and medical recommended method, which is characterized in that the step S9 is also wrapped It includes:
Step S91, the first layer of the neural network model are embeding layer, by patient's id field, Gender field, are suffered from Person's age field is passed to embeding layer as the index of embeded matrix, obtains the patient ID feature, Gender feature and patient Age characteristics;
Step S92 is handled for the illness description field using text convolutional neural networks;First from embeded matrix The insertion vector of the corresponding each word of the illness description field is obtained, then carries out convolution fortune using various sizes of convolution kernel Calculation, maximum pond and regularization operation, obtain the feature of the illness description field;
It is special to index out the patient ID feature, Gender feature and patient age from the neural network embeding layer by step S93 It levies and after the feature that text convolutional neural networks obtain the illness description field, each feature incoming one is connected entirely Layer is connect, outputs it and is passed to a full articulamentum again, to obtain the patient characteristic vector.
5. Evaluation of Medical Quality according to claim 1 and medical recommended method, which is characterized in that the step S10 is also Include:
The first layer of step S101, the neural network model are embeding layer, by the recommended id field and recommended The case type field being good at is passed to embeding layer as the index of embeded matrix, obtains the recommended ID feature and recommendation pair As the case type feature being good at;
Step S102 is further processed the case type feature that the recommended is good at, i.e., arrogates to oneself the recommended Multiple insertion vectors of long case type do adduction operation;
Step S103, from the neural network embeding layer indexes out the recommended ID feature and the recommended is good at Case type feature and after being further processed to the case type feature that recommended is good at, each feature is one incoming Full articulamentum outputs it and is passed to a full articulamentum again, obtains the recommended feature vector.
6. Evaluation of Medical Quality according to claim 1 and medical recommended method, which is characterized in that the step S11 is also Include:
Recommended feature vector described in the patient characteristic vector sum is done vector multiplication by step S111, by calculated result with True score value returns.
CN201811322329.4A 2018-11-08 2018-11-08 Medical quality evaluation and treatment recommendation method Active CN109411082B (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201811322329.4A CN109411082B (en) 2018-11-08 2018-11-08 Medical quality evaluation and treatment recommendation method

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201811322329.4A CN109411082B (en) 2018-11-08 2018-11-08 Medical quality evaluation and treatment recommendation method

Publications (2)

Publication Number Publication Date
CN109411082A true CN109411082A (en) 2019-03-01
CN109411082B CN109411082B (en) 2022-01-04

Family

ID=65472262

Family Applications (1)

Application Number Title Priority Date Filing Date
CN201811322329.4A Active CN109411082B (en) 2018-11-08 2018-11-08 Medical quality evaluation and treatment recommendation method

Country Status (1)

Country Link
CN (1) CN109411082B (en)

Cited By (18)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110310745A (en) * 2019-05-21 2019-10-08 上海交通大学医学院附属瑞金医院 The therapeutic scheme recommender system that medical guide and data-driven combine
CN110322959A (en) * 2019-05-24 2019-10-11 山东大学 A kind of Knowledge based engineering depth medical care problem method for routing and system
CN110516040A (en) * 2019-08-14 2019-11-29 出门问问(武汉)信息科技有限公司 Semantic Similarity comparative approach, equipment and computer storage medium between text
CN110752017A (en) * 2019-09-04 2020-02-04 重庆特斯联智慧科技股份有限公司 Community doctor scheduling method and system based on deep learning
CN110888887A (en) * 2019-12-09 2020-03-17 湖南新云医疗装备工业有限公司 Intelligent display method and system for medical care information
CN111048213A (en) * 2019-12-06 2020-04-21 张彩东 Emergency call quality assessment management system
CN111091898A (en) * 2019-11-14 2020-05-01 泰康保险集团股份有限公司 Medical institution evaluation system, method, device, storage medium and electronic equipment
CN111161814A (en) * 2019-12-18 2020-05-15 浙江大学 DRGs automatic grouping method based on convolutional neural network
CN111507414A (en) * 2020-04-20 2020-08-07 安徽中科首脑智能医疗研究院有限公司 Deep learning skin disease picture comparison and classification method, storage medium and robot
CN112035741A (en) * 2020-08-28 2020-12-04 康键信息技术(深圳)有限公司 Reservation method, device, equipment and storage medium based on user physical examination data
CN113539460A (en) * 2021-07-29 2021-10-22 深圳万海思数字医疗有限公司 Intelligent diagnosis guiding method and device for remote medical platform
CN113555094A (en) * 2020-04-24 2021-10-26 安徽科大讯飞医疗信息技术有限公司 Hospital evaluation method, device, equipment and medium
CN114334176A (en) * 2020-09-30 2022-04-12 西门子医疗有限公司 Computer-implemented method, device and medical system
CN114722977A (en) * 2022-06-10 2022-07-08 四川大学 Medical object classification method and device, electronic equipment and storage medium
CN116386856A (en) * 2023-06-05 2023-07-04 之江实验室 Multi-label disease auxiliary diagnosis system based on doctor decision mode identification
CN116434954A (en) * 2023-03-08 2023-07-14 绍兴珂西生物科技有限公司 Evaluation method of clinical treatment effect
EP4038617A4 (en) * 2019-10-02 2023-11-29 Endpoint Health Inc. Directing medical diagnosis and intervention recommendations
CN117558461A (en) * 2024-01-12 2024-02-13 四川互慧软件有限公司 Similar snake bite medical scheme selection method and device in different regions and electronic equipment

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN202306554U (en) * 2011-07-22 2012-07-04 大连亿创天地科技发展有限公司 Doctor evaluation grading system based on network
CN106202891A (en) * 2016-06-30 2016-12-07 电子科技大学 A kind of big data digging method towards Evaluation of Medical Quality
CN106934018A (en) * 2017-03-11 2017-07-07 广东省中医院 A kind of doctor's commending system based on collaborative filtering
CN107436933A (en) * 2017-07-20 2017-12-05 广州慧扬健康科技有限公司 The hierarchical clustering system arranged for case history archive
CN107463770A (en) * 2017-07-11 2017-12-12 武汉金豆医疗数据科技有限公司 A kind of evaluation method and system based on medical diagnosis on disease associated packets
US20170372028A1 (en) * 2016-06-22 2017-12-28 Xerox Corporation System and method for scoring the performance of healthcare organizations

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN202306554U (en) * 2011-07-22 2012-07-04 大连亿创天地科技发展有限公司 Doctor evaluation grading system based on network
US20170372028A1 (en) * 2016-06-22 2017-12-28 Xerox Corporation System and method for scoring the performance of healthcare organizations
CN106202891A (en) * 2016-06-30 2016-12-07 电子科技大学 A kind of big data digging method towards Evaluation of Medical Quality
CN106934018A (en) * 2017-03-11 2017-07-07 广东省中医院 A kind of doctor's commending system based on collaborative filtering
CN107463770A (en) * 2017-07-11 2017-12-12 武汉金豆医疗数据科技有限公司 A kind of evaluation method and system based on medical diagnosis on disease associated packets
CN107436933A (en) * 2017-07-20 2017-12-05 广州慧扬健康科技有限公司 The hierarchical clustering system arranged for case history archive

Non-Patent Citations (2)

* Cited by examiner, † Cited by third party
Title
李娟: "面向临床路径的常用数据挖掘方法概述", 《中国卫生产业》 *
莫春梅 等: "医疗质量及其评价", 《中国医院统计》 *

Cited By (29)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110310745A (en) * 2019-05-21 2019-10-08 上海交通大学医学院附属瑞金医院 The therapeutic scheme recommender system that medical guide and data-driven combine
CN110310745B (en) * 2019-05-21 2021-12-03 上海交通大学医学院附属瑞金医院 Treatment plan recommendation system combining medical guide and data drive
CN110322959A (en) * 2019-05-24 2019-10-11 山东大学 A kind of Knowledge based engineering depth medical care problem method for routing and system
CN110322959B (en) * 2019-05-24 2021-09-28 山东大学 Deep medical problem routing method and system based on knowledge
CN110516040A (en) * 2019-08-14 2019-11-29 出门问问(武汉)信息科技有限公司 Semantic Similarity comparative approach, equipment and computer storage medium between text
CN110752017B (en) * 2019-09-04 2020-12-18 重庆特斯联智慧科技股份有限公司 Community doctor scheduling method and system based on deep learning
CN110752017A (en) * 2019-09-04 2020-02-04 重庆特斯联智慧科技股份有限公司 Community doctor scheduling method and system based on deep learning
EP4038617A4 (en) * 2019-10-02 2023-11-29 Endpoint Health Inc. Directing medical diagnosis and intervention recommendations
CN111091898B (en) * 2019-11-14 2023-08-22 泰康保险集团股份有限公司 Medical institution evaluation system, method, device, storage medium and electronic apparatus
CN111091898A (en) * 2019-11-14 2020-05-01 泰康保险集团股份有限公司 Medical institution evaluation system, method, device, storage medium and electronic equipment
CN111048213A (en) * 2019-12-06 2020-04-21 张彩东 Emergency call quality assessment management system
CN110888887A (en) * 2019-12-09 2020-03-17 湖南新云医疗装备工业有限公司 Intelligent display method and system for medical care information
CN111161814A (en) * 2019-12-18 2020-05-15 浙江大学 DRGs automatic grouping method based on convolutional neural network
CN111507414A (en) * 2020-04-20 2020-08-07 安徽中科首脑智能医疗研究院有限公司 Deep learning skin disease picture comparison and classification method, storage medium and robot
CN113555094A (en) * 2020-04-24 2021-10-26 安徽科大讯飞医疗信息技术有限公司 Hospital evaluation method, device, equipment and medium
CN113555094B (en) * 2020-04-24 2024-04-09 讯飞医疗科技股份有限公司 Hospital assessment method, device, equipment and medium
CN112035741B (en) * 2020-08-28 2022-08-30 康键信息技术(深圳)有限公司 Reservation method, device, equipment and storage medium based on user physical examination data
CN112035741A (en) * 2020-08-28 2020-12-04 康键信息技术(深圳)有限公司 Reservation method, device, equipment and storage medium based on user physical examination data
CN114334176A (en) * 2020-09-30 2022-04-12 西门子医疗有限公司 Computer-implemented method, device and medical system
CN113539460A (en) * 2021-07-29 2021-10-22 深圳万海思数字医疗有限公司 Intelligent diagnosis guiding method and device for remote medical platform
CN114722977A (en) * 2022-06-10 2022-07-08 四川大学 Medical object classification method and device, electronic equipment and storage medium
CN114722977B (en) * 2022-06-10 2022-09-02 四川大学 Medical object classification method and device, electronic equipment and storage medium
CN116434954A (en) * 2023-03-08 2023-07-14 绍兴珂西生物科技有限公司 Evaluation method of clinical treatment effect
CN116434954B (en) * 2023-03-08 2023-11-28 绍兴珂西生物科技有限公司 Evaluation method of clinical treatment effect
CN116434954B8 (en) * 2023-03-08 2023-12-22 绍兴珂西生物科技有限公司 Evaluation method of clinical treatment effect
CN116386856B (en) * 2023-06-05 2023-10-20 之江实验室 Multi-label disease auxiliary diagnosis system based on doctor decision mode identification
CN116386856A (en) * 2023-06-05 2023-07-04 之江实验室 Multi-label disease auxiliary diagnosis system based on doctor decision mode identification
CN117558461A (en) * 2024-01-12 2024-02-13 四川互慧软件有限公司 Similar snake bite medical scheme selection method and device in different regions and electronic equipment
CN117558461B (en) * 2024-01-12 2024-03-29 四川互慧软件有限公司 Similar snake bite medical scheme selection method and device in different regions and electronic equipment

Also Published As

Publication number Publication date
CN109411082B (en) 2022-01-04

Similar Documents

Publication Publication Date Title
CN109411082A (en) A kind of Evaluation of Medical Quality and medical recommended method
US20240203599A1 (en) Method and system of for predicting disease risk based on multimodal fusion
CN108648827B (en) Cardiovascular and cerebrovascular disease risk prediction method and device
CN109086805B (en) Clustering method based on deep neural network and pairwise constraints
WO2016192612A1 (en) Method for analysing medical treatment data based on deep learning, and intelligent analyser thereof
Chattopadhyay et al. A Case‐Based Reasoning system for complex medical diagnosis
WO2021120934A1 (en) Convolutional neural network-based method for automatically grouping drgs
Liu et al. Deep learning based syndrome diagnosis of chronic gastritis
Baker et al. Continuous and automatic mortality risk prediction using vital signs in the intensive care unit: a hybrid neural network approach
CN109378066A (en) A kind of control method and control device for realizing disease forecasting based on feature vector
CN108280149A (en) A kind of doctor-patient dispute class case recommendation method based on various dimensions tag along sort
CN109994216A (en) A kind of ICD intelligent diagnostics coding method based on machine learning
CN110838368A (en) Robot active inquiry method based on traditional Chinese medicine clinical knowledge graph
CN108511056A (en) Therapeutic scheme based on patients with cerebral apoplexy similarity analysis recommends method and system
CN117271804B (en) Method, device, equipment and medium for generating common disease feature knowledge base
CN113539460A (en) Intelligent diagnosis guiding method and device for remote medical platform
Johnson et al. Encoding high-dimensional procedure codes for healthcare fraud detection
CN114511759A (en) Method and system for identifying categories and determining characteristics of skin state images
WO2023217737A1 (en) Health data enrichment for improved medical diagnostics
CN109859813A (en) A kind of entity modification word recognition method and device
Chantamit-O-Pas et al. A case-based reasoning framework for prediction of stroke
Harnsomburana et al. Computable visually observed phenotype ontological framework for plants
CN112309519A (en) Electronic medical record medication structured processing system based on multiple models
CN113688854A (en) Data processing method and device and computing equipment
CN109036587A (en) A kind of Community mental health services quality control system based on big data analysis

Legal Events

Date Code Title Description
PB01 Publication
PB01 Publication
SE01 Entry into force of request for substantive examination
SE01 Entry into force of request for substantive examination
CB03 Change of inventor or designer information
CB03 Change of inventor or designer information

Inventor after: Liu Xingwei

Inventor after: Zhu Ke

Inventor after: Liu Yang

Inventor after: Chen Qiqi

Inventor after: Liao Mingyang

Inventor after: Mou Feng

Inventor before: Liu Xingwei

Inventor before: Liu Yang

Inventor before: Chen Qiqi

Inventor before: Liao Mingyang

Inventor before: He Yi

Inventor before: Mou Feng

GR01 Patent grant
GR01 Patent grant
TR01 Transfer of patent right
TR01 Transfer of patent right

Effective date of registration: 20230301

Address after: Room 801, 85 Kefeng Road, Huangpu District, Guangzhou City, Guangdong Province

Patentee after: Yami Technology (Guangzhou) Co.,Ltd.

Address before: 610039, No. 999, Jin Zhou road, Jinniu District, Sichuan, Chengdu

Patentee before: XIHUA University

Effective date of registration: 20230301

Address after: 518000 1106, Building 8, Huali Business Center, Labor Community, Xixiang Street, Bao'an District, Shenzhen, Guangdong Province

Patentee after: Shenzhen Juyue Medical Technology Co.,Ltd.

Address before: Room 801, 85 Kefeng Road, Huangpu District, Guangzhou City, Guangdong Province

Patentee before: Yami Technology (Guangzhou) Co.,Ltd.