CN109740848A - Geronto-therapeutics effect wire examination method, device, equipment and storage medium - Google Patents
Geronto-therapeutics effect wire examination method, device, equipment and storage medium Download PDFInfo
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Abstract
The present invention relates to big data processing field, a kind of geronto-therapeutics effect wire examination method, device, equipment and storage medium are disclosed, this method comprises: according to performance appraisal instruct in include identity determine target household doctor；The diagnosis and treatment data for reading target household doctor carry out screening to diagnosis and treatment data according to preconfigured disease of old people index screening strategy and obtain performance assessment criteria；Performance Rating is carried out to performance assessment criteria according to index standards of grading and obtains Performance Rating result, diagnosis and treatment data of family doctor during geronto-therapeutics are obtained on line by then passing through, then performance assessment criteria is filtered out from diagnosis and treatment data, Performance Rating is carried out to performance assessment criteria further according to preconfigured performance assessment criteria corresponding index standards of grading, obtain Performance Rating result, compared to Assessment under existing boostrap, simplify performance appraisal process, shorten the examination period, subjective factor influence caused by result of appraisal when avoiding artificial examination, it ensure that the accuracy of the result of appraisal.
Description
Technical field
The present invention relates to big data processing technology field more particularly to a kind of geronto-therapeutics effect wire examination method, device,
Equipment and storage medium.
Background technique
Currently, China's medical and health cause Aging of Population, urbanization and the lot of challenges such as disease of old people is high-incidence, with doctor
Medical and health services mode centered on institute and disease was difficult to meet the masses to long-term, continuous health the needs of looking after.Meanwhile it occupying
The people, which see a doctor, focuses on large hospital, is also unfavorable for improving Hospital environment, balanced medical resource, rationally control medical expense etc..
International experience and internal practice prove that promoting family doctor's subscribed services in base is to ensure and safeguard under the new situation health of the masses
Important channel.
Family doctor is human-centred, is mentioned towards family and community using safeguarding and promoting holistic health as direction for the masses
For formula service of contracting for a long time, is conducive to change medical and health services mode, push under medicine and health work decentralization, resource
It is heavy, it allows the masses to possess healthy porter, enhances the sense of access of the masses to reform, to realize that base head is examined, is classified diagnosis and treatment and establishes base
Plinth.
Currently, needing to examine people mostly when servicing the performance appraisal for carrying out therapeutic effect to family doctor's geronto-therapeutics
Diagnosis and treatment data when family doctor carries out geronto-therapeutics service are collected under member's line, are then carried out according to these data being collected into
Performance appraisal simultaneously takes according to the result of appraisal to family doctor's payment subscribed services, but Assessment under existing this boostrap
Defect is that entire assessment procedure is complex, and the examination period is long and can not effectively guarantee the accuracy of the result of appraisal.
Above content is only used to facilitate the understanding of the technical scheme, and is not represented and is recognized that above content is existing skill
Art.
Summary of the invention
The main purpose of the present invention is to provide a kind of geronto-therapeutics effect wire examination method, device, equipment and storages
Medium, it is intended to solve that process is complicated when the prior art carries out geronto-therapeutics performance appraisal to family doctor, the examination period is long and
The not high technical problem of accuracy.
To achieve the above object, the present invention provides a kind of geronto-therapeutics effect wire examination method, the method includes with
Lower step:
Performance appraisal instruction is received, reads the identity for including in the performance appraisal instruction, and according to the identity
Mark determines target household doctor to be examined；
Service diagnosis and treatment data of target household doctor during geronto-therapeutics, root are read from presetting database
The service diagnosis and treatment data are screened according to preconfigured disease of old people index screening strategy, obtain performance assessment criteria；
The corresponding index standards of grading of the performance assessment criteria are obtained, according to the index standards of grading to the performance assessment criteria
It scores, obtains the corresponding examination score value of the performance assessment criteria；
The corresponding index mark of the performance assessment criteria is obtained, the index mark is searched in the mapping relations pre-established
Corresponding target weight coefficient；
The corresponding performance of the target household doctor is obtained according to the target weight coefficient and the examination score value to comment
Divide result.
Preferably, the identity for including in the performance appraisal instruction, and root are read in the reception performance appraisal instruction
Before the step of determining target household doctor to be examined according to the identity, the method also includes:
Data scan instruction is received, data scanning is carried out to preset data source according to the data scan instruction, if obtaining
Dry initial diagnosis and treatment data of family doctor during geronto-therapeutics, the preset data source includes what old patient wore
Intelligent wearable device, resident's Electronic Health Record and/or hospital information system HIS；
Data desensitization is carried out to the initial diagnosis and treatment data and obtains service diagnosis and treatment data, and the service diagnosis and treatment data are protected
It deposits to presetting database.
Preferably, described data desensitization is carried out to the initial diagnosis and treatment data to obtain service diagnosis and treatment data, and by the clothes
Before the step of business diagnosis and treatment data are saved to presetting database, the method also includes:
The current data format for obtaining the initial diagnosis and treatment data, detects the current data format and preset data form
It is whether consistent；
If the current data format and the preset data form are inconsistent, lattice are carried out to the initial diagnosis and treatment data
Formula conversion, obtains diagnosis and treatment data to be desensitized；
It is described that the step of data desensitization obtains service diagnosis and treatment data is carried out to the initial diagnosis and treatment data, comprising:
The desensitization rule locally prestored is read, it is de- to carry out data to the diagnosis and treatment data to be desensitized according to the desensitization rule
It is quick, obtain service diagnosis and treatment data.
Preferably, described data desensitization is carried out to the initial diagnosis and treatment data to obtain service diagnosis and treatment data, and by the clothes
After the step of business diagnosis and treatment data are saved to presetting database, the method also includes:
The service diagnosis and treatment data stored in the presetting database are read, by pre-set level dimension from the service diagnosis and treatment number
According to middle several disease treatment indexs of selection；
The screening for carrying out default round to the disease treatment index using Delphi method, obtains efficiency index；
The configuration of index screening strategy is carried out according to the corresponding Index Content of the efficiency index, obtains disease of old people index screening
Strategy.
Preferably, the screening for being carried out default round to the disease treatment index using Delphi method, is obtained effective
After the step of index, the method also includes:
According to the efficiency index, with the corresponding judgment matrix of the analytic hierarchy process (AHP) construction efficiency index, and according to
The judgment matrix seeks the corresponding weight coefficient of the efficiency index；
The corresponding index mark of the efficiency index is obtained, by index mark and the efficiency index of the efficiency index
Corresponding weight coefficient is associated, and obtains the mapping relations between index mark and weight coefficient.
Preferably, the efficiency index includes patient health file point, patient's diagnosis index and case control's index；
It is described that the corresponding judgment matrix of the efficiency index is constructed with analytic hierarchy process (AHP) according to the efficiency index, and
The step of seeking the efficiency index corresponding weight coefficient according to the judgment matrix, comprising:
It extracts the patient for including in the patient health file point to file parameter, includes in patient's diagnosis index
The disease control parameter for including in medical diagnosis on disease parameter and case control's index；
The patient is filed parameter, the medical diagnosis on disease parameter and the disease control parameter with analytic hierarchy process (AHP)
It is divided into the evaluation index of default level；
The evaluation index of identical level is compared two-by-two, obtains each Hierarchy Evaluation index for each Hierarchy Evaluation index
The significance level of affiliated upper one layer of evaluation index；
According to the significance level Judgement Matricies, the corresponding weight of each evaluation index is obtained by the judgment matrix
Coefficient, and the weight coefficient that will acquire is as the corresponding weight coefficient of the efficiency index.
Preferably, described according to the significance level Judgement Matricies, each evaluation is obtained by the judgment matrix and is referred to
The step of marking corresponding weight coefficient, comprising:
According to the significance level Judgement Matricies, and calculate the Maximum characteristic root of the judgment matrix and described
The corresponding feature vector of Maximum characteristic root；
According to the Maximum characteristic root and described eigenvector, the judgment matrix is carried out by preset formula consistent
Property verifying；
Described eigenvector is normalized when being verified, each evaluation index pair is obtained according to processing result
The weight coefficient answered,
Wherein, the preset formula are as follows:
CI=(λmax-n)/(n-1)
In formula, CI is consistency, λmaxFor the Maximum characteristic root of judgment matrix, n is the rank of judgment matrix.
In addition, to achieve the above object, the present invention also proposes a kind of geronto-therapeutics effect checking device, described device packet
It includes:
Respond module is instructed, for receiving performance appraisal instruction, reads the identity mark for including in the performance appraisal instruction
Know, and target household doctor to be examined is determined according to the identity；
Index screening module, for reading the target household doctor from presetting database during geronto-therapeutics
Service diagnosis and treatment data, the service diagnosis and treatment data are screened according to preconfigured disease of old people index screening strategy, are obtained
Take performance assessment criteria；
Scoring obtains module, for obtaining the corresponding index standards of grading of the performance assessment criteria, is scored according to the index
Standard scores to the performance assessment criteria, obtains the corresponding examination score value of the performance assessment criteria；
Weight Acquisition module, for obtaining the corresponding index mark of the performance assessment criteria, in the mapping relations pre-established
It is middle to search the corresponding target weight coefficient of the index mark；
Performance Rating module, for obtaining the target household according to the target weight coefficient and the examination score value
The corresponding Performance Rating result of doctor.
In addition, to achieve the above object, the present invention also proposes a kind of geronto-therapeutics effect apparatus for checking, the equipment packet
It includes: memory, processor and being stored in the geronto-therapeutics effect that can be run on the memory and on the processor and examine
Core program, the geronto-therapeutics effect examination program are arranged for carrying out geronto-therapeutics effect wire examination method as described above
The step of.
In addition, to achieve the above object, the present invention also proposes a kind of storage medium, old age is stored on the storage medium
Sick therapeutic effect examines program, and the geronto-therapeutics effect examination program realizes as described above old when being executed by processor
The step of year disease therapeutic effect wire examination method.
The present invention reads the identity for including in performance appraisal instruction, and according to body by receiving performance appraisal instruction
Part mark determines target household doctor to be examined；Target household doctor is read from presetting database during geronto-therapeutics
Service diagnosis and treatment data, according to preconfigured disease of old people index screening strategy to service diagnosis and treatment data screen, acquisition is examined
Core index；Then the corresponding index standards of grading of performance assessment criteria are obtained, are scored according to index standards of grading performance assessment criteria
Obtain examination score value；The corresponding index mark of performance assessment criteria is obtained, index mark pair is searched in the mapping relations pre-established
The target weight coefficient answered；The corresponding Performance Rating knot of target household doctor is obtained according to target weight coefficient and examination score value
Fruit, since the present invention is by obtaining service diagnosis and treatment data of family doctor during geronto-therapeutics on line, then from clothes
Performance assessment criteria is filtered out in business diagnosis and treatment data, examination is referred to further according to preconfigured performance assessment criteria corresponding index standards of grading
Mark carries out Performance Rating, obtains Performance Rating as a result, simplifying performance appraisal stream compared to Assessment under existing boostrap
Journey shortens the examination period, and subjective factor influence caused by the result of appraisal, ensure that the result of appraisal when avoiding artificial examination
Accuracy.
Detailed description of the invention
Fig. 1 is the structure of the geronto-therapeutics effect apparatus for checking for the hardware running environment that the embodiment of the present invention is related to
Schematic diagram；
Fig. 2 is the flow diagram of geronto-therapeutics effect wire examination method first embodiment of the present invention；
Fig. 3 is the flow diagram of geronto-therapeutics effect wire examination method second embodiment of the present invention；
Fig. 4 is the flow diagram of geronto-therapeutics effect wire examination method 3rd embodiment of the present invention；
Fig. 5 is the structural block diagram of geronto-therapeutics effect checking device first embodiment of the present invention.
The embodiments will be further described with reference to the accompanying drawings for the realization, the function and the advantages of the object of the present invention.
Specific embodiment
It should be appreciated that described herein, specific examples are only used to explain the present invention, is not intended to limit the present invention.
Referring to Fig.1, Fig. 1 is that the geronto-therapeutics effect examination for the hardware running environment that the embodiment of the present invention is related to is set
Standby structural schematic diagram.
As shown in Figure 1, the geronto-therapeutics effect apparatus for checking may include: processor 1001, such as central processing unit
(Central Processing Unit, CPU), communication bus 1002, user interface 1003, network interface 1004, memory
1005.Wherein, communication bus 1002 is for realizing the connection communication between these components.User interface 1003 may include display
Shield (Display), input unit such as keyboard (Keyboard), optional user interface 1003 can also include that the wired of standard connects
Mouth, wireless interface.Network interface 1004 optionally may include standard wireline interface and wireless interface (such as Wireless Fidelity
(WIreless-FIdelity, WI-FI) interface).Memory 1005 can be the random access memory (Random of high speed
Access Memory, RAM) memory, be also possible to stable nonvolatile memory (Non-Volatile Memory,
), such as magnetic disk storage NVM.Memory 1005 optionally can also be the storage device independently of aforementioned processor 1001.
The examination of geronto-therapeutics effect is set it will be understood by those skilled in the art that structure shown in Fig. 1 is not constituted
Standby restriction may include perhaps combining certain components or different component layouts than illustrating more or fewer components.
As shown in Figure 1, as may include operating system, data storage mould in a kind of memory 1005 of storage medium
Block, network communication module, Subscriber Interface Module SIM and geronto-therapeutics effect examine program.
In geronto-therapeutics effect apparatus for checking shown in Fig. 1, network interface 1004 is mainly used for and network server
Carry out data communication；User interface 1003 is mainly used for carrying out data interaction with user；Geronto-therapeutics effect examination of the present invention
Processor 1001, memory 1005 in equipment can be set in geronto-therapeutics effect apparatus for checking, and the disease of old people is controlled
Therapeutic effect apparatus for checking calls the geronto-therapeutics effect stored in memory 1005 to examine program by processor 1001, and holds
Row geronto-therapeutics effect wire examination method provided in an embodiment of the present invention.
The embodiment of the invention provides a kind of geronto-therapeutics effect wire examination methods, are that the present invention is old referring to Fig. 2, Fig. 2
The flow diagram of sick therapeutic effect wire examination method first embodiment.
In the present embodiment, the geronto-therapeutics effect wire examination method the following steps are included:
Step S10: receiving performance appraisal instruction, reads the identity for including in performance appraisal instruction, and according to
The identity determines target household doctor to be examined；
It should be noted that the executing subject of the present embodiment method, which can be, is capable of providing family doctor's disease therapeuticing effect
The client of performance management service；And or the terminal device of the client is carried, such as mobile phone, tablet computer, personal electricity
Brain, notebook etc.；It can also be that the platform for carrying out performance appraisal to family doctor constructed in advance (is hereinafter referred to as examined flat
Platform), which includes client and background server.
It should be understood that the identity can be the identity characteristic information that can distinguish different home doctor, such as
Identification card number, work number or initials abbreviation of family doctor etc..Preferably, examine personnel can be in advance by family in the present embodiment
The name of the identity of chamber doctor and family doctor, job site, place the personal information such as department's outpatient service be associated, so
Association results are saved afterwards, are rapidly and accurately determined in order to which evaluating platform is subsequent according to the association results to be examined
Target household doctor.
In the concrete realization, evaluating platform parses the performance appraisal in the performance appraisal instruction for receiving user's input
The identity for including in instruction is extracted in instruction, according to the identity between the identity and personal information prestored
Corresponding personal information is searched in incidence relation, and target household doctor to be examined then is determined according to the personal information found
It is raw.
Step S20: service of target household doctor during geronto-therapeutics is read from presetting database and is examined
Data are treated, the service diagnosis and treatment data are screened according to preconfigured disease of old people index screening strategy, examination is obtained and refers to
Mark；
It should be noted that the service diagnosis and treatment data can be family doctor during providing medical services for patient
Treatment services data, for example, patient establishes the record of health account, patient checks test rating and compliance rate, follow-up number
According to, patient education data, disease control data, medical expense etc., the intelligence that these data can be worn by patient is wearable to be set
Standby (such as Intelligent bracelet with disease surveillance and diagnostic function) is uploaded to evaluating platform；Or evaluating platform passes through scanning city
Electronic Health Record, city are defended a kind of corresponding database of strong cloud platform (platform that can be achieved to change the place of examination up and down and prescription transmits) and are obtained
?；Can also be by network interface call hospital hospital information system (Hospital Information System,
HIS it) obtains, specific data acquiring mode the present embodiment is without restriction.
It will be appreciated that service procedure data class that family doctor is related to during medical services is more, range is wide,
And in these data and not all data are all related to performance appraisal, therefore evaluating platform is getting target household doctor's
It needs to screen it after service diagnosis and treatment data, to obtain performance assessment criteria relevant to performance appraisal.
Further, it can be treated in the present embodiment according to various disease to realize to the quick obtaining of performance assessment criteria
Therapeutic modality involved in journey or means combine practical examination demand, configure corresponding index screening rule for different diseases
(the i.e. described index screening strategy), then by these index screening strategies by affiliated disease category (such as disease of old people, asthma,
Heart disease) it is respectively written into correspond in the labeled configuration file of disease category and be saved, in order to which evaluating platform is subsequent logical
It crosses and parses the corresponding index screening strategy of configuration file acquisition.Performance assessment criteria described in the present embodiment includes patient health archives
Index, patient's diagnosis index and case control's index.
In the concrete realization, evaluating platform can determine target household doctor just according to the personal information of target household doctor
Then the disease category examined is searched in the database and parses the corresponding configuration file acquisition index screening plan of the disease category
Slightly, then based on the index screening strategy to service diagnosis and treatment data it screens, obtains the corresponding performance assessment criteria of target household doctor.
Further, it can established in evaluating platform between a disease type and index screening strategy in the present embodiment
Mapping relations so that evaluating platform after the disease type for determining target household medical treatment according to the mapping relations realize
To the quick obtaining of corresponding index screening strategy, performance appraisal efficiency is further increased, shortens assessment procedure.
Step S30: the corresponding index standards of grading of the performance assessment criteria are obtained, according to the index standards of grading to described
Performance assessment criteria scores, and obtains the corresponding examination score value of the performance assessment criteria；
It should be noted that the index standards of grading can be formulate according to the actual situation to different performance assessment criteria into
The score basis of row scoring, the score basis are deposited in evaluating platform after the completion of being formulated by examination personnel.Such as, it is specified that tool
Specific gravity must not can then be equal to pre- by the specific gravity that the old patient of unsoundness archives accounts for the old patient that puts on record lower than preset threshold
If the examination score value of threshold value is set as 60, specific gravity often increases or decreases 1% and increases or deduct corresponding score value；Provide disease of old people
The control rate of patient should be at 40%~80%, then the corresponding index standards of grading of control rate can be arranged are as follows: control rate is in
It is 50 that score value is examined when 40%~50%, and examination score value is 60 when being in 50%~60%, examination point when being in 60%~70%
Value be 70, be in 70%~80% when examination score value be 80, be not in 40%~80% range risk control rate it is every increase or
It reduces 10% and then increases or deduct corresponding score value, the examination score value upper limit of each index is 100, lower limit 0.
In the concrete realization, evaluating platform can obtain the corresponding index standards of grading of performance assessment criteria, then be commented according to index
Minute mark standard scores to performance assessment criteria, obtains examination score value.
Step S40: the corresponding index mark of the performance assessment criteria is obtained, in the mapping relations pre-established described in lookup
Index identifies corresponding target weight coefficient；
It should be noted that index mark can be the identification information that can characterize or distinguish different performance assessment criteria or
Character, concrete form is with no restrictions.The mapping relations are the index that the storage that examination personnel pre-establish has performance assessment criteria
The data of incidence relation between mark and the weight coefficient of the performance assessment criteria.
It will be appreciated that traditional performance appraisal mode often first calculates the score value of different performance assessment criteria, then seek
The sum of the score value of all performance assessment criteria, then final Performance Rating is obtained by calculating average value.But the defect of this mode
It is not fully consider influence of individual performance assessment criteria to the result of appraisal, has ignored the significance level of certain performance assessment criteria, in turn
Lead to that the result of appraisal are not accurate enough, reliability reduces.To overcome such defect, the present embodiment geronto-therapeutics effect wire examination method
Before carrying out Performance Rating to performance assessment criteria, evaluating platform can first obtain the corresponding weight coefficient of performance assessment criteria, then basis
Index standards of grading carry out Performance Rating to performance assessment criteria and obtain examination score value, calculate further according to weight coefficient and examination score value
Obtain Performance Rating result.
In the present embodiment, the corresponding weight coefficient of the performance assessment criteria can be by examination personnel to where target household doctor
Area carry out the investigation of primary care system after configured, analytic hierarchy process (AHP) (Analytic Hierarchy can also be used
Process, AHP) weight coefficient of performance assessment criteria is determined by way of Judgement Matricies, the present embodiment, which does not do this, to be had
Body limitation.
Step S50: it is corresponding that the target household doctor is obtained according to the target weight coefficient and the examination score value
Performance Rating result.
In the concrete realization, evaluating platform can be according to the target weight coefficient and the examination score value, by default
Formula calculates the corresponding Performance Rating result of the target household doctor；Wherein, the preset formula are as follows:
In formula, S is Performance Rating as a result, i is performance assessment criteria, YiFor the corresponding examination score value of performance assessment criteria i, XiFor examination
The corresponding weight coefficient of index i.
The present embodiment is by obtaining diagnosis and treatment data of family doctor during geronto-therapeutics on line, then from diagnosis and treatment number
Performance assessment criteria is filtered out in, and achievement is carried out to performance assessment criteria further according to preconfigured performance assessment criteria corresponding index standards of grading
Effect scoring obtains Performance Rating as a result, simplifying performance appraisal process compared to Assessment under existing boostrap, shortens
Examination period, subjective factor influence caused by result of appraisal when avoiding artificial examination ensure that the accurate of the result of appraisal
Property.
With reference to Fig. 3, Fig. 3 is the flow diagram of geronto-therapeutics effect wire examination method second embodiment of the present invention.
Based on above-mentioned first embodiment, the present embodiment geronto-therapeutics effect wire examination method is before the step S10, also
Include:
Step S01: receiving data scan instruction, carries out data to preset data source according to the data scan instruction and sweeps
It retouches, obtains initial diagnosis and treatment data of several family doctors during geronto-therapeutics, the preset data source includes disease of old people
Intelligent wearable device, resident's Electronic Health Record and/or the hospital information system HIS that patient wears；
It should be noted that the intelligent wearable device, which can be one kind, to carry out real-time monitoring to user health data
Wearable monitoring device, such as Portable blood pressure monitor, blood glucose meter are capable of the intelligent monitoring hand of monitor heart rate, blood glucose or body temperature
Ring, wrist-watch or waistband etc.；Resident's Electronic Health Record (Electronic Health Records, EHR) is user strong
What is directly formed in health correlated activation has the electronic historical record for saving value for future reference, including essential information, principal disease
With health problem abstract, Major health service log etc.；The hospital information system HIS is all business of covering hospital and business
The information management system of overall process is a kind of using electronic computer and communication apparatus, provides patient for component commands, hospital door
The collection of medical information and administration information, storage, processing, extraction and data exchange ability and meet the function of authorized user
The platform of energy demand.
It should be understood that the data scan instruction can be by examination personnel by evaluating platform input to present count
The request that data scanning is carried out according to source, the data for being also possible to the timed task triggering by being preset in evaluating platform and generating are swept
Retouch request.
In the concrete realization, evaluating platform sets intelligence wearing in response to the instruction when receiving data scan instruction
The preset datas source such as standby, resident's Electronic Health Record and/or hospital information system carries out data scanning, to obtain several family doctors
Raw initial diagnosis and treatment data during geronto-therapeutics.
Step S02: data desensitization is carried out to the initial diagnosis and treatment data and obtains service diagnosis and treatment data, and the service is examined
Data are treated to save to presetting database.
It should be understood that the initial diagnosis and treatment data, that is, evaluating platform scans directly from preset data source and obtains original number
According to, it is generally the case that certain privacy informations of patient may be carried in these data, in order to guarantee the information security of patient,
In the present embodiment, evaluating platform will also carry out data desensitization process after getting initial diagnosis and treatment data to it, and so-called data are de-
It is quick to refer to the deformation that certain sensitive informations are carried out with data by desensitization rule, realize the reliably protecting of privacy-sensitive data.This
Desensitization rule described in embodiment can be configured according to the actual situation by examination personnel, be not specifically limited to this.
Further, for the secure context of data information the considerations of, different equipment or system are in storing data when institute
The data memory format of use might not be identical, therefore the data that evaluating platform is read from preset data source need first to it
It just can be carried out corresponding data operation after being formatted.
Specifically, evaluating platform can obtain the current data format of the initial diagnosis and treatment data, the current data is detected
Whether format is consistent with preset data form；If the current data format and the preset data form are inconsistent, to institute
It states initial diagnosis and treatment data to format, obtains diagnosis and treatment data to be desensitized, then read the desensitization rule locally prestored, according to
The desensitization rule carries out data desensitization to the diagnosis and treatment data to be desensitized and obtains service diagnosis and treatment data, then will service diagnosis and treatment data
It saves to presetting database.
It should be understood that so-called data format, i.e. data are stored in the formatting in file or record.Can for numerical value,
The forms such as character or binary number, are described by data type and data length.The preset data form, i.e., it is pre-set
Used data format when evaluating platform analysis or processing data.
Further, in order to realize the accurate configuration to disease of old people index screening strategy, the present embodiment geronto-therapeutics effect
Fruit wire examination method is after the step S02, further includes:
Step S03: reading the service diagnosis and treatment data stored in the presetting database, by pre-set level dimension from the clothes
Several disease treatment indexs are chosen in business diagnosis and treatment data；
It should be noted that the service diagnosis and treatment data include but is not limited to family doctor's signing, community is medical, is classified and examines
It treats, disease control controls the service datas such as compliance rate, patient compliance, satisfaction evaluation.The pre-set level dimension includes: to examine
Treat index (such as patient health archives establish situation, signing resident goes to a doctor number, physician office visits), signing index (such as has been signed
About resident's number, key population contract number), health control index (such as signing residents ' health management, key population health control,
Health education), effectiveness indicator (such as therapeutic effect, medical effect, medical expense), tissue markers (such as the group of family doctor
Team training record, family doctor's policy propaganda training record), know with Satisfaction index (such as signing resident to family doctor
Contact method and service content-aware situation, signing resident's satisfaction situation) etc. six dimensions.
In the concrete realization, evaluating platform can read pre-stored service diagnosis and treatment data from presetting database, then
Several disease treatment indexs are chosen from service diagnosis and treatment data by pre-set level dimension.
Step S04: the screening of default round is carried out to the disease treatment index using Delphi method, obtains and effectively refers to
Mark；
It should be understood that the Delphi method is also referred to as expert survey, this method by enterprise form one it is special pre-
It surveys mechanism and, according to the program of regulation, will consult expert back-to-back to future including several experts and business forcast organizer
The opinion or judgement in market, the method then predicted.Evaluating platform can be by disease treatment to be screened in the present embodiment
Index is supplied to panel member, is screened, is had to disease treatment index by evaluating platform by panel member
Imitate index.
In a practical situation, evaluating platform can choose several diseases from service diagnosis and treatment data by pre-set level dimension and control
Index is treated, two round screenings then are carried out to these disease treatment indexs with Delphi method, acquisition is a certain number of formally to be commented
Index (the i.e. described efficiency index) is estimated, so that reliability (the i.e. consistency, stability and reliable of the efficiency index filtered out
Property) and validity (i.e. validity) all reach preferable level.
In the concrete realization, the screening that Delphi method carries out two rounds to disease treatment index can be used in evaluating platform, obtains
Obtain reliability and several all higher efficiency indexs of validity.
Step S05: the configuration of index screening strategy is carried out according to the corresponding Index Content of the efficiency index, obtains disease of old people
Index screening strategy.
It should be understood that realize that the quick obtaining to performance assessment criteria, evaluating platform can be read after getting efficiency index
Take the corresponding Index Content of efficiency index；Then the configuration of index screening strategy is carried out using Index Content as index screening foundation,
Obtain disease of old people index screening strategy.Wherein, the Index Content can be the keyword for including in index or can characterize and refers to
Mark the data information of feature.
For example, evaluating platform can configure corresponding index screening strategy according to efficiency index " patient health file point "
Are as follows: it obtains target household doctor and services the number of regional subscription resident, the number for the resident person in middle and old age patient that contracts, old sufferer
The number etc. of health account has been established in person.Certainly, it should be noted that not according to the index of index screening Policy Filtering out
It must be final performance assessment criteria, part index number, which carries out processing, could be used as performance assessment criteria, such as health account is filed rate
It needs to be calculated and obtained by the number of health account has been established in the number for the resident person in middle and old age patient that contracts and old patient.
In the concrete realization, evaluating platform can match according to the corresponding Index Content progress index screening strategy of efficiency index
It sets, obtains disease of old people index screening strategy.
The present embodiment evaluating platform obtains several family doctors examining in the course of disease treatment from multiple data sources
Data are treated, diagnosis and treatment data are formatted when the current data format of diagnosis and treatment data is inconsistent with preset data form,
Then to after conversion diagnosis and treatment data carry out desensitization process ensure that patient privacy information safety, while using Delphi method from
It filters out several all higher efficiency indexs of reliability and validity in disease treatment index, recycles analytic hierarchy process (AHP) to filtering out
Efficiency index carry out weight calculation, so as to accurately obtain the corresponding weight coefficient of different indexs, compared to by examining
Personnel carry out the mode of progress weighted value configuration after the investigation of primary care system to the area where target doctor, with higher
Accuracy and reliability.
With reference to Fig. 4, Fig. 4 is the flow diagram of geronto-therapeutics effect wire examination method 3rd embodiment of the present invention.
Based on the various embodiments described above, in the present embodiment, after the step S04, the method also includes:
Step S06: according to the efficiency index, the corresponding judgement square of the efficiency index is constructed with analytic hierarchy process (AHP)
Battle array, and the corresponding weight coefficient of the efficiency index is sought according to the judgment matrix；
It will be appreciated that its main thought of analytic hierarchy process (AHP) is the general objective reached according to the property and requirement of problem, it will
Problem according to hierachical decomposition at different factors, the weight (i.e. significance level) of each different factors, Ke Yitong in same level
Them are crossed to carry out judging in pairs to obtain between any two.
Specifically, the efficiency index can be divided into according to the efficiency index using analytic hierarchy process (AHP) by evaluating platform
The evaluation index of default level；The evaluation index of identical level is compared two-by-two, obtains each Hierarchy Evaluation index for each
The significance level of upper one layer of evaluation index belonging to Hierarchy Evaluation index；According to the significance level Judgement Matricies, and calculate
The corresponding feature vector of the Maximum characteristic root of the judgment matrix；According to the Maximum characteristic root and described eigenvector to institute
It states judgment matrix and carries out consistency checking；Described eigenvector is normalized when being verified, is tied according to processing
Fruit obtains the corresponding weight coefficient of each evaluation index in the judgment matrix.
It should be noted that efficiency index described in the present embodiment includes patient health file point, patient's diagnosis index
And case control's index；Correspondingly, the step S05 may particularly include: extracting in the patient health file point and includes
Patient file parameter, the medical diagnosis on disease parameter for including in patient's diagnosis index and wrapped in case control's index
The disease control parameter contained；The patient is filed parameter, the medical diagnosis on disease parameter and the disease with analytic hierarchy process (AHP)
Sick management parameters are divided into the evaluation index of default level；The evaluation index of identical level is compared two-by-two, obtains each layer
Significance level of the secondary evaluation index for upper one layer of evaluation index belonging to each Hierarchy Evaluation index；It is constructed according to the significance level
Judgment matrix obtains the corresponding weight coefficient of each evaluation index by the judgment matrix, and the weight coefficient that will acquire is made
For the corresponding weight coefficient of the efficiency index.
In the concrete realization, evaluating platform can first by the efficiency index be divided into default level (destination layer, rule layer with
And indicator layer) evaluation index, wherein the evaluation index of destination layer refers to the purpose of decision, to solve the problems, such as, rule layer
Evaluation index refers to factor in need of consideration, the criterion of decision, evaluation index, that is, decision object of indicator layer.
By taking the examination of geronto-therapeutics effectiveness indicator as an example, the evaluation index of destination layer in the present embodiment are as follows: geronto-therapeutics
The therapeutic effect of family doctor is examined；The evaluation index of rule layer are as follows: patient health file point, patient's diagnosis index and trouble
Person's level of control；The evaluation index of indicator layer are as follows: family doctor is the record of old patient foundation and maintaining healthy archives；For
Old patient carry out disease it is medical when diagnosis and treatment situation (for example, old patient is assisted to carry out work of changing the place of examination, to before changing the place of examination,
In a series of processes have detailed illness description)；Health evaluating is carried out to old patient, provides analysis and assessment report；According to body
The results such as inspection, health evaluating or disorder in screening are that signing resident formulates specific aim health management scheme etc..
Further, after marking off the evaluation index of different levels, evaluating platform can pass through commenting identical level
Valence index is compared two-by-two, obtains each Hierarchy Evaluation index for the weight of upper one layer of evaluation index belonging to each Hierarchy Evaluation index
Degree is wanted, then according to significance level Judgement Matricies A=(aij), wherein the aij, that is, significance level.
Evaluating platform can first solve the Maximum characteristic root λ max of judgment matrix A after obtaining judgment matrix A, and most
Then the corresponding characteristic vector W of characteristic root λ max greatly passes through the first default public affairs according to Maximum characteristic root λ max and characteristic vector W
Formula " CI=(λ max-n)/(n-1) " (CI is consistency, and n is the rank of judgment matrix A) carries out consistency checking to judgment matrix A,
If CI=0, judgment matrix A has complete consistency；For CI close to 0, judgment matrix A has satisfied consistency；CI is bigger, sentences
Disconnected matrix A is inconsistent more serious.In the present embodiment, a threshold value can be preset, so that evaluating platform is detecting that CI is less than
When the threshold value, determine that consistency checking passes through.
In the concrete realization, evaluating platform can also be normalized described eigenvector when being verified, and
According to the corresponding weight coefficient of index each in the processing result acquisition judgment matrix.The normalized, though feature to
The sum of each element is equal to 1 in amount.
Step S07: obtaining the efficiency index corresponding index mark, by the index mark of the efficiency index with it is described
The corresponding weight coefficient of efficiency index is associated, and obtains the mapping relations between index mark and weight coefficient.
In the concrete realization, evaluating platform obtains the corresponding index mark of efficiency index, the index mark that then will acquire
Knowledge be associated with corresponding weight coefficient, obtain index identify weight coefficient between mapping relations, in order to it is subsequent
When inquiring the corresponding weight coefficient of performance assessment criteria, it can be realized by inquiring the mapping relations.
It certainly, can also be by examination personnel to mesh when being configured in the present embodiment to the weight coefficient of efficiency index
It after area where marking family doctor carries out the investigation of primary care system, is realized in a manner of human configuration, specifically, examination
Platform can receive the weight configuration-direct that examination personnel are inputted based on the efficiency index, extracts and wraps in the weight configuration-direct
The target indicator mark contained and the target indicator identify corresponding weight coefficient；Then by the target indicator mark and
The target indicator identifies corresponding weight coefficient and is associated, and obtains the mapping relations between index mark and weight coefficient.
The present embodiment is by carrying out weight calculation to the efficiency index filtered out using analytic hierarchy process (AHP), so as to accurate
The corresponding weight coefficient of the different indexs of ground acquisition carries out primary care to the area where target doctor compared to as examination personnel
The mode of weighted value configuration, accuracy and reliability with higher are carried out after system investigation.
In addition, the embodiment of the present invention also proposes a kind of storage medium, geronto-therapeutics effect is stored on the storage medium
Fruit examines program, and the geronto-therapeutics effect examination program realizes geronto-therapeutics as described above when being executed by processor
The step of effect wire examination method.
It is the structural block diagram of geronto-therapeutics effect checking device first embodiment of the present invention referring to Fig. 5, Fig. 5.
As shown in figure 5, the geronto-therapeutics effect checking device that the embodiment of the present invention proposes includes:
Respond module 501 is instructed, for receiving performance appraisal instruction, reads the identity for including in the performance appraisal instruction
Mark, and target household doctor to be examined is determined according to the identity；
Index screening module 502, for reading the target household doctor from presetting database in geronto-therapeutics
Service diagnosis and treatment data in journey sieve the service diagnosis and treatment data according to preconfigured disease of old people index screening strategy
Choosing obtains performance assessment criteria；
Scoring obtains module 503 and is commented for obtaining the corresponding index standards of grading of the performance assessment criteria according to the index
Minute mark standard scores to the performance assessment criteria, obtains the corresponding examination score value of the performance assessment criteria；
Weight Acquisition module 504 searches institute for obtaining the corresponding index mark of the performance assessment criteria in mapping relations
It states index and identifies corresponding target weight coefficient；
Performance Rating module 505, for obtaining the target according to the target weight coefficient and the examination score value
The corresponding Performance Rating result of family doctor.
The present embodiment is by obtaining diagnosis and treatment data of family doctor during geronto-therapeutics on line, then from diagnosis and treatment number
Performance assessment criteria is filtered out in, and achievement is carried out to performance assessment criteria further according to preconfigured performance assessment criteria corresponding index standards of grading
Effect scoring obtains Performance Rating as a result, simplifying performance appraisal process compared to Assessment under existing boostrap, shortens
Examination period, subjective factor influence caused by result of appraisal when avoiding artificial examination ensure that the accurate of the result of appraisal
Property.
Based on the above-mentioned geronto-therapeutics effect checking device first embodiment of the present invention, geronto-therapeutics effect of the present invention is proposed
The second embodiment of fruit checking device.
In the present embodiment, the geronto-therapeutics effect checking device further include: data processing module, for receiving number
According to scan instruction, data scanning is carried out to preset data source according to the data scan instruction, obtains several family doctors old
Initial diagnosis and treatment data in year sick therapeutic process；Data desensitization is carried out to the initial diagnosis and treatment data and obtains service diagnosis and treatment data,
And the service diagnosis and treatment data are saved to presetting database.
Further, the data processing module is also used to obtain the current data format of the initial diagnosis and treatment data, inspection
It is whether consistent with preset data form to survey the current data format；If the current data format and the preset data form
It is inconsistent, then the initial diagnosis and treatment data are formatted, obtains diagnosis and treatment data to be desensitized；Read the desensitization locally prestored
Rule carries out data desensitization to the diagnosis and treatment data to be desensitized according to the desensitization rule, obtains service diagnosis and treatment data.
Further, the geronto-therapeutics effect checking device further include: tactful configuration module, it is described pre- for reading
If the service diagnosis and treatment data stored in database, several diseases are chosen from the service diagnosis and treatment data by pre-set level dimension
Treat index；The screening for carrying out default round to the disease treatment index using Delphi method, obtains efficiency index；According to institute
It states the corresponding Index Content of efficiency index and carries out the configuration of index screening strategy, obtain disease of old people index screening strategy.
Further, the tactful configuration module, is also used to according to the efficiency index, constructs institute with analytic hierarchy process (AHP)
The corresponding judgment matrix of efficiency index is stated, and the corresponding weight coefficient of the efficiency index is sought according to the judgment matrix；It obtains
The corresponding index mark of the efficiency index is taken, the index of the efficiency index is identified into weight corresponding with the efficiency index
Coefficient is associated, and obtains the mapping relations between index mark and weight coefficient.
Further, the tactful configuration module, is also used to extract the patient in the patient health file point included
It files parameter, the medical diagnosis on disease parameter for including in patient's diagnosis index and the disease for including in case control's index
Sick management parameters；The patient is filed parameter, the medical diagnosis on disease parameter and the disease control with analytic hierarchy process (AHP)
Parameter is divided into the evaluation index of default level；The evaluation index of identical level is compared two-by-two, obtains each Hierarchy Evaluation
Significance level of the index for upper one layer of evaluation index belonging to each Hierarchy Evaluation index；Square is judged according to significance level construction
Described in the weight coefficient conduct that battle array obtains the corresponding weight coefficient of each evaluation index by the judgment matrix, and will acquire
The corresponding weight coefficient of efficiency index.
Further, the tactful configuration module, is also used to according to the significance level Judgement Matricies, and calculate institute
State the Maximum characteristic root and the corresponding feature vector of the Maximum characteristic root of judgment matrix；According to the Maximum characteristic root with
And described eigenvector, consistency checking is carried out to the judgment matrix by preset formula；When being verified to the spy
Sign vector is normalized, and obtains the corresponding weight coefficient of each evaluation index according to processing result, wherein the default public affairs
Formula are as follows:
CI=(λmax-n)/(n-1)
In formula, CI is consistency, λmaxFor the Maximum characteristic root of judgment matrix, n is the rank of judgment matrix.
The other embodiments or specific implementation of geronto-therapeutics effect checking device of the present invention can refer to above-mentioned each side
Method embodiment, details are not described herein again.
It should be noted that, in this document, the terms "include", "comprise" or its any other variant are intended to non-row
His property includes, so that the process, method, article or the system that include a series of elements not only include those elements, and
And further include other elements that are not explicitly listed, or further include for this process, method, article or system institute it is intrinsic
Element.In the absence of more restrictions, the element limited by sentence "including a ...", it is not excluded that including being somebody's turn to do
There is also other identical elements in the process, method of element, article or system.
The serial number of the above embodiments of the invention is only for description, does not represent the advantages or disadvantages of the embodiments.
Through the above description of the embodiments, those skilled in the art can be understood that above-described embodiment side
Method can be realized by means of software and necessary general hardware platform, naturally it is also possible to by hardware, but in many cases
The former is more preferably embodiment.Based on this understanding, technical solution of the present invention substantially in other words does the prior art
The part contributed out can be embodied in the form of software products, which is stored in a storage medium
In (such as read-only memory/random access memory, magnetic disk, CD), including some instructions are used so that a terminal device (can
To be mobile phone, computer, server, air conditioner or the network equipment etc.) execute method described in each embodiment of the present invention.
The above is only a preferred embodiment of the present invention, is not intended to limit the scope of the invention, all to utilize this hair
Equivalent structure or equivalent flow shift made by bright specification and accompanying drawing content is applied directly or indirectly in other relevant skills
Art field, is included within the scope of the present invention.
Claims (10)
1. a kind of geronto-therapeutics effect wire examination method, which is characterized in that the described method includes:
Performance appraisal instruction is received, reads the identity for including in the performance appraisal instruction, and according to the identity
Determine target household doctor to be examined；
Service diagnosis and treatment data of target household doctor during geronto-therapeutics are read from presetting database, according to pre-
The disease of old people index screening strategy first configured screens the service diagnosis and treatment data, obtains performance assessment criteria；
The corresponding index standards of grading of the performance assessment criteria are obtained, the performance assessment criteria is carried out according to the index standards of grading
Scoring, obtains the corresponding examination score value of the performance assessment criteria；
The corresponding index mark of the performance assessment criteria is obtained, the index mark is searched in the mapping relations pre-established and is corresponded to
Target weight coefficient；
The corresponding Performance Rating knot of the target household doctor is obtained according to the target weight coefficient and the examination score value
Fruit.
2. the method as described in claim 1, which is characterized in that the performance appraisal is read in the reception performance appraisal instruction
The identity for including in instruction, and before the step of determining target household doctor to be examined according to the identity, it is described
Method further include:
Data scan instruction is received, data scanning is carried out to preset data source according to the data scan instruction, is obtained a number of
Initial diagnosis and treatment data of chamber doctor during geronto-therapeutics, the preset data source include the intelligence that old patient wears
Wearable device, resident's Electronic Health Record and/or hospital information system HIS；
Data desensitization is carried out to the initial diagnosis and treatment data and obtains service diagnosis and treatment data, and by the service diagnosis and treatment data save to
Presetting database.
3. method according to claim 2, which is characterized in that described to carry out data desensitization acquisition to the initial diagnosis and treatment data
Diagnosis and treatment data are serviced, and before the step of service diagnosis and treatment data are saved to presetting database, the method also includes:
Whether the current data format for obtaining the initial diagnosis and treatment data detects the current data format and preset data form
Unanimously；
If the current data format and the preset data form are inconsistent, format is carried out to the initial diagnosis and treatment data and is turned
It changes, obtains diagnosis and treatment data to be desensitized；
It is described that the step of data desensitization obtains service diagnosis and treatment data is carried out to the initial diagnosis and treatment data, comprising:
The desensitization rule locally prestored is read, data desensitization is carried out to the diagnosis and treatment data to be desensitized according to the desensitization rule,
Obtain service diagnosis and treatment data.
4. method according to claim 2, which is characterized in that described to carry out data desensitization acquisition to the initial diagnosis and treatment data
Diagnosis and treatment data are serviced, and after the step of service diagnosis and treatment data are saved to presetting database, the method also includes:
The service diagnosis and treatment data stored in the presetting database are read, by pre-set level dimension from the service diagnosis and treatment data
Choose several disease treatment indexs；
The screening for carrying out default round to the disease treatment index using Delphi method, obtains efficiency index；
The configuration of index screening strategy is carried out according to the corresponding Index Content of the efficiency index, obtains disease of old people index screening plan
Slightly.
5. method as claimed in claim 4, which is characterized in that described to be carried out using Delphi method to the disease treatment index
After the step of screening of default round, acquisition efficiency index, the method also includes:
According to the efficiency index, the corresponding judgment matrix of the efficiency index is constructed with analytic hierarchy process (AHP), and according to described
Judgment matrix seeks the corresponding weight coefficient of the efficiency index；
The corresponding index mark of the efficiency index is obtained, the index mark of the efficiency index is corresponding with the efficiency index
Weight coefficient be associated, obtain index mark weight coefficient between mapping relations.
6. method as claimed in claim 5, which is characterized in that the efficiency index includes patient health file point, patient
Diagnosis index and case control's index；
It is described that the corresponding judgment matrix of the efficiency index is constructed with analytic hierarchy process (AHP) according to the efficiency index, and according to
The judgment matrix seeks the step of efficiency index corresponding weight coefficient, comprising:
It extracts the patient for including in the patient health file point to file parameter, the disease for including in patient's diagnosis index
The disease control parameter for including in Diagnostic parameters and case control's index；
File parameter, the medical diagnosis on disease parameter and the disease control parameter of the patient is divided with analytic hierarchy process (AHP)
For the evaluation index for presetting level；
The evaluation index of identical level is compared two-by-two, obtains each Hierarchy Evaluation index for belonging to each Hierarchy Evaluation index
The significance level of upper one layer of evaluation index；
According to the significance level Judgement Matricies, the corresponding weight system of each evaluation index is obtained by the judgment matrix
Number, and the weight coefficient that will acquire is as the corresponding weight coefficient of the efficiency index.
7. method as claimed in claim 6, which is characterized in that it is described according to the significance level Judgement Matricies, pass through
The judgment matrix obtains the step of each evaluation index corresponding weight coefficient, comprising:
According to the significance level Judgement Matricies, and calculate the judgment matrix Maximum characteristic root and the maximum
The corresponding feature vector of characteristic root；
According to the Maximum characteristic root and described eigenvector, consistency is carried out to the judgment matrix by preset formula and is tested
Card；
Described eigenvector is normalized when being verified, it is corresponding to obtain each evaluation index according to processing result
Weight coefficient,
Wherein, the preset formula are as follows:
CI=(λmax-n)/(n-1)
In formula, CI is consistency, λmaxFor the Maximum characteristic root of judgment matrix, n is the rank of judgment matrix.
8. a kind of geronto-therapeutics effect checking device, which is characterized in that described device includes:
Respond module is instructed, is instructed for receiving performance appraisal, the identity for including in the performance appraisal instruction is read, and
Target household doctor to be examined is determined according to the identity；
Index screening module, for reading clothes of target household doctor during geronto-therapeutics from presetting database
Business diagnosis and treatment data, screen the service diagnosis and treatment data according to preconfigured disease of old people index screening strategy, acquisition is examined
Core index；
Scoring obtains module, for obtaining the corresponding index standards of grading of the performance assessment criteria, according to the index standards of grading
It scores the performance assessment criteria, obtains the corresponding examination score value of the performance assessment criteria；
Weight Acquisition module is looked into the mapping relations pre-established for obtaining the corresponding index mark of the performance assessment criteria
The index is looked for identify corresponding target weight coefficient；
Performance Rating module, for obtaining the target household doctor according to the target weight coefficient and the examination score value
Corresponding Performance Rating result.
9. a kind of geronto-therapeutics effect apparatus for checking, which is characterized in that the equipment includes: memory, processor and storage
On the memory and the geronto-therapeutics effect examination program that can run on the processor, geronto-therapeutics effect
The step of fruit examination program is arranged for carrying out the geronto-therapeutics effect wire examination method as described in any one of claims 1 to 7.
10. a kind of storage medium, which is characterized in that be stored with geronto-therapeutics effect examination program, institute on the storage medium
It states when geronto-therapeutics effect examination program is executed by processor and realizes that disease of old people as described in any one of claim 1 to 7 is controlled
The step of therapeutic effect wire examination method.
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Application publication date: 20190510 |