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三种数学模型预测医院门急诊就诊人次数的价值比较

Comparison of the Value of Three Mathematical Models on Prediction in the Number of Outpatient and Emergency Patients
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摘要 目的探索数学模型对医院门急诊就诊人次的预测效果,以期得到最佳的预测模型,更好的提升门急诊资源配置效能。方法收集天津市某三级甲等综合性医院2009~2019年医院门急诊就诊数据,构建NARNN、LSTM和SARIMA模型,采用2009年1月~2018年12月的数据用于模型的训练和测试,以2019年1~12月数据为预测集,比较三种模型的预测效果。结果NARNN、LSTM和SARIMA模型在MAPE上的结果分别为8.22%,4.32%和3.55%,在SMAPE上的结果分别为8.37%,4.33%和3.58%,LSTM和SARIMA的预测效果优于NARNN,其中SARIMA模型在4个指标上的结果均优于LSTM和NARNN,对门急诊人次数拟合和预测效果较好。结论三种数学模型均能对门急诊人次数据进行有效预测,其中SARIMA模型预测该院门急诊就诊人次的效果最优,可为决策提供预测数据支持。 Objective To explore the predictive effect of mathematical models on hospital outpatient and emergency visits,in order to obtain the best predictive model,and better improve the efficiency of outpatient and emergency resource allocation.Methods Collecting the outpatient and emergency department visit data of a tertiary A general hospital in Tianjin from 2009 to 2019,construct NARNN,LSTM and SARIMA models,and use the data from January 2009 to December 2018 for model training and testing.The data from January to December 2019 is a prediction set,and the prediction effects of the three models are compared.Results The results of the NARNN,LSTM and SARIMA models on MAPE were 8.22%,4.32% and 3.55%,respectively,and the results on SMAPE were 8.37%,4.33% and 3.58%,respectively.The prediction effects of LSTM and SARIMA were better than NARNN,of which SARIMA results of the model on the four indicators were better than LSTM and NARNN,and the effect of fitting and predicting the number of outpatient and emergency department was better.Conclusion The three mathematical models can effectively predict the number of outpatient and emergency department visits.The SARIMA model predicts the number of outpatient and emergency department visits in this hospital with the best effect,and can provide predictive data support for decision-making.
作者 窦一峰 崔金广 蒙文涛 吴秀春 DOU Yi-feng;CUI Jin-guang;MENG Wen-tao;WU Xiu-chun(Network Information Center,People's Hospital of Baodi District,Tianjin 301800,China)
出处 《医学信息》 2020年第24期18-22,共5页 Journal of Medical Information
关键词 医院 门急诊 就诊人次 预测 NARNN LSTM SARIMA Hospital Outpatient and emergency department Visits Prediction NARNN LSTM SARIMA
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