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神经系统疾病智慧分诊管理模型初探

Preliminary study on the management model of smart triage diagnosis of nervous system diseases
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摘要 目的探索运用人工神经网络及贝叶斯决策理论建立神经系统疾病门诊智慧分诊决策树管理模型。方法以贝叶斯决策理论为理论基础,以人工神经网络技术完成神经系统疾病快速专科/亚专科机器学习;针对神经系统疾病专科或亚专科分诊数据,以循环神经网络及贝叶斯算法完成神经系统疾病症状与诊断的概率分布及收敛,建立神经系统疾病决策树管理模型并完成理论论证。结果完成了神经系统疾病智慧分诊的管理理论及模型构建,根据迁移学习特性基本实现神经系统疾病的快速学习和精确分诊。结论该管理模型的研究,能为后续应用提供理论借鉴意义,并在一定程度上缓解目前患者退换号率较高的问题。 Objective To develop an effective decision tree management model for smart triage of nervous system diseases based on artificial neural networks and Bayesian decision theory.Methods Bayesian decision theory was used as the theoretical basis,and convolutional neural network was used to complete the rapid specialist / sub-specialist machine learning.For the specialist or sub-specialist triage data,circular neural network and Bayesian algorithm were performed to complete the probability distribution and con ve 昭 ence of disease symptoms and diag no sis.Results The decision tree management model and theoretical demonstration were established.According to the characteristics of the transfer learning,the rapid learning of nervous system diseases and accurate triage system,and the remote smart triage system were successfully constructed.Conclusions The management model could provide theoretical references for further use,and alleviate to some extent the currently high rate of outpatient appointment withdrawal and changes.
作者 王博冉 林夏 张锦前 朱万琳 朱晓东 王晨 Wang Boran;Lin Xia;Zhang Jinqian;Zhu Wanlin;Zhu Xiaodong;Wang Chen(Outpatient Department,Beijing Tiantan Hospital,Capital Medical University,Beijing 100070,China;National Center for Medical Service Administration,Beijing 100086,China;Medical Experimental Center of the Department of Medicine,Guangdong Second People′s Hospital,Guangzhou 510317,China;Department of Medical Records,Beijing Tiantan Hospital,Capital Medical University,Beijing 100070,China;National Institute of Neurological Diseases Clinical Medical Research Center,Beijing Tiantan Hospital,Capital Medical University,Beijing 100070,China;General Medical Department,Beijing Tiantan Hospital,Capital Medical University,Beijing 100070,China)
出处 《中华医院管理杂志》 CSCD 北大核心 2019年第5期388-391,共4页 Chinese Journal of Hospital Administration
基金 北京市科技计划项目(Z161100001116109) 北京市属医院科研培育计划(PG2019010) 首都医科人学校培育基金(PYZ2018025) 北京市东城区优秀人才专项基金(2018).
关键词 神经系统疾病 智慧分诊 人工神经网络 贝叶斯决策理论 管理模型 Nervous system diseases Smart triage Artificial neural network Bayesian decision theory Management model
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