The widespread use of smartwatches has increased their specific and complementary activities in the health sector for patient’s prognosis.In this study,we propose a framework referred to as smart forecasting CardioWa...The widespread use of smartwatches has increased their specific and complementary activities in the health sector for patient’s prognosis.In this study,we propose a framework referred to as smart forecasting CardioWatch(SCW)to measure the heart-rate variation(HRV)for patients with myocardial infarction(MI)who live alone or are outside their homes.In this study,HRV is used as a vital alarming sign for patients with MI.The performance of the proposed framework is measured using machine learning and deep learning techniques,namely,support vector machine,logistic regression,and decision-tree classification techniques.The results indicated that the analysis of heart rate can help health services that are located remotely from the patient to render timely emergency health care.Further,taking more cardiac parameters into account can lead to more accurate results.On the basis of our findings,we recommend the development of health-related software to aid researchers to develop frameworks,such as SCW,for effective provision of emergency health.展开更多
Background： The New Rural Cooperative Medical Scheme （NCMS） has been further adjusted and optimized to reduce the financial burden of rural residents and to achieve universal coverage for them. In this study, we ai...Background： The New Rural Cooperative Medical Scheme （NCMS） has been further adjusted and optimized to reduce the financial burden of rural residents and to achieve universal coverage for them. In this study, we aimed to explore the impact of NCMS on medical service utilization and medical expense of inpatients in recent years. Methods： The research data of Hainan Province were extracted from the Chinese NCMS platform from 2012 to 2014. Detailed information included total expenditure, average inpatients costs, average out-of-pocket payments, actual reimbursement rate, and average annual growth rate of the above indicators. Descriptive analysis was used to gauge the effects of NCMS. Results： In the utilization of medical services, NCMS inpatients in tertiary hospital decreased from 25.49% in 2012 to 20.39% in 2014, inpatients in county hospitals increased from 39.49% to 55.92%, simultaneously. The total expenditure in county hospitals rose steadily from 28.46% to 46.66%, meanwhile, the total expenditure in tertiary hospitals fell from 60.44% to 44.51%.The average out-of-pocket costs of rural inpatients remained stable over the years. Furthermore, the compensation fund ofNCMS inpatients grew significantly. The actual inpatient reimbursement rate at township health centers increased from 76.93% to 84.04%. Meanwhile, the rate at county hospitals and tertiary hospitals increased slightly from 59.37% and 46.10% to 61.25% and 47.71%, respectively. Conclusions： With the improvement of the reimbursement ability, especially after the new health care reform in 2009, the NCMS have been playing a prominent role in alleviating the economic burden of farmers＇ medical treatment. Meanwhile, more patients go to primary hospitals than tertiary hospitals, and the capability of primary hospitals has been greatly improved.展开更多
基金the Deanship of Scientific Research at Prince Sattam Bin Abdulaziz University under the research project#2019/01/9539.
文摘The widespread use of smartwatches has increased their specific and complementary activities in the health sector for patient’s prognosis.In this study,we propose a framework referred to as smart forecasting CardioWatch(SCW)to measure the heart-rate variation(HRV)for patients with myocardial infarction(MI)who live alone or are outside their homes.In this study,HRV is used as a vital alarming sign for patients with MI.The performance of the proposed framework is measured using machine learning and deep learning techniques,namely,support vector machine,logistic regression,and decision-tree classification techniques.The results indicated that the analysis of heart rate can help health services that are located remotely from the patient to render timely emergency health care.Further,taking more cardiac parameters into account can lead to more accurate results.On the basis of our findings,we recommend the development of health-related software to aid researchers to develop frameworks,such as SCW,for effective provision of emergency health.
文摘Background： The New Rural Cooperative Medical Scheme （NCMS） has been further adjusted and optimized to reduce the financial burden of rural residents and to achieve universal coverage for them. In this study, we aimed to explore the impact of NCMS on medical service utilization and medical expense of inpatients in recent years. Methods： The research data of Hainan Province were extracted from the Chinese NCMS platform from 2012 to 2014. Detailed information included total expenditure, average inpatients costs, average out-of-pocket payments, actual reimbursement rate, and average annual growth rate of the above indicators. Descriptive analysis was used to gauge the effects of NCMS. Results： In the utilization of medical services, NCMS inpatients in tertiary hospital decreased from 25.49% in 2012 to 20.39% in 2014, inpatients in county hospitals increased from 39.49% to 55.92%, simultaneously. The total expenditure in county hospitals rose steadily from 28.46% to 46.66%, meanwhile, the total expenditure in tertiary hospitals fell from 60.44% to 44.51%.The average out-of-pocket costs of rural inpatients remained stable over the years. Furthermore, the compensation fund ofNCMS inpatients grew significantly. The actual inpatient reimbursement rate at township health centers increased from 76.93% to 84.04%. Meanwhile, the rate at county hospitals and tertiary hospitals increased slightly from 59.37% and 46.10% to 61.25% and 47.71%, respectively. Conclusions： With the improvement of the reimbursement ability, especially after the new health care reform in 2009, the NCMS have been playing a prominent role in alleviating the economic burden of farmers＇ medical treatment. Meanwhile, more patients go to primary hospitals than tertiary hospitals, and the capability of primary hospitals has been greatly improved.
