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诊断相关分类法在北京地区医院管理的可行性研究 被引量:4
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作者 黄慧英 《医学研究杂志》 1995年第11期32-32,共1页
控制医疗费用的不断增长,提高医疗质量,已成为医疗卫生改革中极为重要的内容。北京市医院管理研究所分析研究了美国1979年创立的与医疗费用及医疗质量密切相关的DRG-PPS制度及其实施效果.确立了“诊断相关分类法(DRGs)在北京地区医院管... 控制医疗费用的不断增长,提高医疗质量,已成为医疗卫生改革中极为重要的内容。北京市医院管理研究所分析研究了美国1979年创立的与医疗费用及医疗质量密切相关的DRG-PPS制度及其实施效果.确立了“诊断相关分类法(DRGs)在北京地区医院管理的可行性研究”课题。 展开更多
关键词 医院管理 北京地区 诊断相关分类法 医疗质量 可行性研究 控制医疗费用 北京市 密切相关 医疗卫生改革 分析研究
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利用“小样本”对住院病人病例组合方法及分类变量的探讨 被引量:2
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作者 阎玉霞 徐勇勇 《中国卫生统计》 CSCD 北大核心 2007年第3期316-317,共2页
关键词 病例组合方法 住院病人 分类变量 小样本 DIAGNOSIS 诊断相关分类法 医疗费用 住院费用
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错误分类与作文批改
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作者 周季特 《东北大学学报(社会科学版)》 1999年第4期68-70,共3页
讨论了传统的错误分类法、原因分类法和诊断分类法等三种分类法,提出了与它们相适应的作文批改策略,即用数码或代号标识错误,面授批改和伙伴校阅。传统分类法是按英语语法和用法的体系分类,其含盖内容全面,给作文批改提供可参阅的... 讨论了传统的错误分类法、原因分类法和诊断分类法等三种分类法,提出了与它们相适应的作文批改策略,即用数码或代号标识错误,面授批改和伙伴校阅。传统分类法是按英语语法和用法的体系分类,其含盖内容全面,给作文批改提供可参阅的科学依据。原因分类法重视造成错误的过程而不是结果,有利于学生从认知和心理语言学角度排除错误;面授批改是原因分析的有效方法。诊断分类法是根据校阅者识别错误的策略来定义错误,由此把错误分为查询法、直觉法和理解法错误,该法的实用意义在于可通过伙伴评论训练学生诊断错误之能力。 展开更多
关键词 错误分类 作文批改 传统分类法 原因分类法 诊断分类法
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DRGs及其对世界医疗费用支付制度的影响 被引量:43
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作者 胡静 徐勇勇 《解放军医院管理杂志》 1997年第2期193-195,共3页
关键词 医疗费用 医院管理 DRGS 支付制度 诊断相关分类法 医疗质量 DRGS 北京地区 病例组合 可行性研究
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10种系统疾病住院医疗费用分布研究 被引量:1
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作者 吴进军 苏汝好 《中国医院管理》 2000年第12期19-20,共2页
以某三级甲等医院1997年住院构成前10位系统疾病的病例为样本,采用探索性数据分析方法,对出院病例医疗费用的分布进行分析。结果表明,系统疾病医疗费用范围很大,变异程度很高,奇异值较多,概率分布呈正偏态、尖峭峰分布。医疗保险中医疗... 以某三级甲等医院1997年住院构成前10位系统疾病的病例为样本,采用探索性数据分析方法,对出院病例医疗费用的分布进行分析。结果表明,系统疾病医疗费用范围很大,变异程度很高,奇异值较多,概率分布呈正偏态、尖峭峰分布。医疗保险中医疗费用支付定额的确定应根据医疗费用发生的分布情况,选择具有良好代表性的统计量作为标准。 展开更多
关键词 医疗费用 探索性数据分析 诊断相关分类法
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658例万元以上住院费用分析 被引量:2
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作者 张先琪 刘冬生 《中国医院统计》 1995年第2期88-89,共2页
随着科学技术的发展,医院各种高、新检查手段的推出,新药、贵药的问世,使诊断和治疗水平有了进一步的提高。同时,医疗费用的增长也日趋明显,成为目前医疗卫生领域普遍关注的问题。本文着重对住院费用在万元以上的病例进行分析,探讨高额... 随着科学技术的发展,医院各种高、新检查手段的推出,新药、贵药的问世,使诊断和治疗水平有了进一步的提高。同时,医疗费用的增长也日趋明显,成为目前医疗卫生领域普遍关注的问题。本文着重对住院费用在万元以上的病例进行分析,探讨高额住院费用的成因及抑制住院费用增长的措施。 一、资料来源与方法 资料来源于我院1993年的全部出院病历共16430份。利用我院的微机病案管理系统提供的数据库,采用FOXBASE及SPSS/PC软件进行数据的处理和分析。 展开更多
关键词 住院费用 平均住院日 可行性研究 医院管理 住院病人 病案管理系统 FOXBASE 诊断和治疗 诊断相关分类法 医疗卫生领域
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Particle swarm optimization based RVM classifier for non-linear circuit fault diagnosis 被引量:5
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作者 高成 黄姣英 +1 位作者 孙悦 刁胜龙 《Journal of Central South University》 SCIE EI CAS 2012年第2期459-464,共6页
A relevance vector machine (RVM) based fault diagnosis method was presented for non-linear circuits. In order to simplify RVM classifier, parameters selection based on particle swarm optimization (PSO) and preprocessi... A relevance vector machine (RVM) based fault diagnosis method was presented for non-linear circuits. In order to simplify RVM classifier, parameters selection based on particle swarm optimization (PSO) and preprocessing technique based on the kurtosis and entropy of signals were used. Firstly, sinusoidal inputs with different frequencies were applied to the circuit under test (CUT). Then, the resulting frequency responses were sampled to generate features. The frequency response was sampled to compute its kurtosis and entropy, which can show the information capacity of signal. By analyzing the output signals, the proposed method can detect and identify faulty components in circuits. The results indicate that the fault classes can be classified correctly for at least 99% of the test data in example circuit. And the proposed method can diagnose hard and soft faults. 展开更多
关键词 non-linear circuits fault diagnosis relevance vector machine particle swarm optimization KURTOSIS ENTROPY
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Classification Methods Based on Pattern Discrimination Models for Web-Based Diagnosis of Rice Diseases 被引量:2
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作者 G. Maharjan T. Takahashi S. H. Zhang 《Journal of Agricultural Science and Technology(A)》 2011年第1X期48-56,共9页
Two classification and identification methods based on pattern discrimination models and the majority-vote technique were investigated for implementing a World Wide Web-based system for the identification of rice dise... Two classification and identification methods based on pattern discrimination models and the majority-vote technique were investigated for implementing a World Wide Web-based system for the identification of rice diseases. The experiment was carried out using color and shape patterns in 425 images of three rice diseases, which were classified into four classes: two classes of leaf blast, and one class each of sheath blight and brown spot. A method consisting of two discrimination steps involving application of multiple discrimination models of a support vector machine gave the best result because of its capacity to evaluate the similarity of disease types. This accuracy of the method was 88% for leaf blast (A-type), 94% for sheath blight, and 80% for leaf blast (B-type) and brown spot; on average, the accuracy of this method was 5% greater than that of the other method when three classes were used in the model. Although the accuracy of both methods was inadequate, the results of this study show that it is possible to estimate the least number of possible or similar diseases from a large number of diseases. Therefore, we conclude that there is merit in grouping classes into subgroups rather than attempting to discriminate between all classes simultaneously and that these methods are effective in identifying diseases for web-based diagnosis. 展开更多
关键词 Image features web-based diagnosis disease identification pattern discrimination support vector machine
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Dignosis and Treatment of Primary Malignant Lymphoma of the Thyroid Gland 被引量:4
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作者 Peter Meusers Britta Elo Andrea Wittig 《The Chinese-German Journal of Clinical Oncology》 CAS 2003年第4期219-223,252,共6页
Primary malignant lymphoma of the thyroid gland is a rare disease comprising about 1%–3% of the thyroid malignancies, and this uncommon lymphoma represent less than 1% of all non-Hodgkinlymphomas (NHL). According to ... Primary malignant lymphoma of the thyroid gland is a rare disease comprising about 1%–3% of the thyroid malignancies, and this uncommon lymphoma represent less than 1% of all non-Hodgkinlymphomas (NHL). According to the modified Ann-Arbor-Classification primary thyroid lymphoma by definition is a lymphoma that is restricted to the thyroid gland (stage I E ) or involves the thyroid gland and supradiaphragmatic predominantly adjacent thyroid lymph nodes (stage II E ). Primary thyroid lymphoma is a heterogenous disease encompassing a wide variety of lymphoma entities. The diagnosis and treatment of this lymphoma are emphasis of this article. Key words thyroid gland - lymphoma - diagnosis - treatment 展开更多
关键词 thyroid gland LYMPHOMA DIAGNOSIS TREATMENT
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A data-mining approach to biomarker identification from protein profiles using discrete stationary wavelet transform
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作者 Hussain MONTAZERY-KORDY Mohammad Hossein MIRAN-BAYGI Mohammad Hassan MORADI 《Journal of Zhejiang University-Science B(Biomedicine & Biotechnology)》 SCIE CAS CSCD 2008年第11期863-870,共8页
Objective: To develop a new bioinformatic tool based on a data-mining approach for extraction of the most infor- mative proteins that could be used to find the potential biomarkers for the detection of cancer. Methods... Objective: To develop a new bioinformatic tool based on a data-mining approach for extraction of the most infor- mative proteins that could be used to find the potential biomarkers for the detection of cancer. Methods: Two independent datasets from serum samples of 253 ovarian cancer and 167 breast cancer patients were used. The samples were examined by surface- enhanced laser desorption/ionization time-of-flight mass spectrometry (SELDI-TOF MS). The datasets were used to extract the informative proteins using a data-mining method in the discrete stationary wavelet transform domain. As a dimensionality re- duction procedure, the hard thresholding method was applied to reduce the number of wavelet coefficients. Also, a distance measure was used to select the most discriminative coefficients. To find the potential biomarkers using the selected wavelet coefficients, we applied the inverse discrete stationary wavelet transform combined with a two-sided t-test. Results: From the ovarian cancer dataset, a set of five proteins were detected as potential biomarkers that could be used to identify the cancer patients from the healthy cases with accuracy, sensitivity, and specificity of 100%. Also, from the breast cancer dataset, a set of eight proteins were found as the potential biomarkers that could separate the healthy cases from the cancer patients with accuracy of 98.26%, sensitivity of 100%, and specificity of 95.6%. Conclusion: The results have shown that the new bioinformatic tool can be used in combination with the high-throughput proteomic data such as SELDI-TOF MS to find the potential biomarkers with high discriminative power. 展开更多
关键词 PROTEOMICS Discrete stationary wavelet transform Data mining Feature selection BIOMARKER Cancer classification
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医疗质量管理新知
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作者 陶乃煌 《江苏卫生事业管理》 1995年第1期6-8,共3页
我国自将战略重点转向经济建设的15年以来,实行改革开放,在各方面取得了很大成绩。在医院的医疗质量管理方面也是如此,效果是明显的(本文所说的医疗质量,其内涵统含技术和服务两个方面的内容)。在此期间,许多医院管理工作者在原有传统... 我国自将战略重点转向经济建设的15年以来,实行改革开放,在各方面取得了很大成绩。在医院的医疗质量管理方面也是如此,效果是明显的(本文所说的医疗质量,其内涵统含技术和服务两个方面的内容)。在此期间,许多医院管理工作者在原有传统的医疗质量管理的基础上进行改革,借鉴并采用了全面质量管理的理论和许多技术方法,从理论认识上和实施方法上都逐渐形成了一套大体上适合我国医院建设的管理模式。 展开更多
关键词 医疗质量管理 全面质量管理 诊断相关分类法 医院管理 医疗服务质量 管理工作者 质量保证 综合医院 医院建设 实施方法
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实事求是总结医院评审工作 被引量:1
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作者 董炳琨 《中国医院》 1998年第6期23-24,共2页
当前社会上,包括卫生界某些人士,对医院评审有两种极端认识,一种是“好得很”,一种是“糟得很”,要么全面肯定,要么全盘否定。我认为,应该具体问题具体分析,不管对其作用和效果的评价都应该实事求是。 首先。
关键词 医院评审 实事求 区域卫生规划 卫生服务 体系建设 诊断相关分类法 自我评估 卫生行政 作用和效果 中华医院管理学会
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The relationship between nNOS and Cyt-c in mitochondria of glioma
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作者 Na Li Zongze Guo Gangyu Li Weicheng Lu Weixin Zhang Yunjie Wang 《The Chinese-German Journal of Clinical Oncology》 CAS 2009年第10期582-584,共3页
Objective: The aim of this study was to investigate the association between neuronal nitric oxide synthase (nNOS) and the expression level of Cytochrome C (Cyt-c) in mitochondria. Methods: The pathological diagn... Objective: The aim of this study was to investigate the association between neuronal nitric oxide synthase (nNOS) and the expression level of Cytochrome C (Cyt-c) in mitochondria. Methods: The pathological diagnosis of glioma and tumor classification was by HE staining, and we use immunohistochemistry method to analyse the level of nNOS in different pathological grade glioma and the expression level of Cyt-c in mitochondria meanwhile. Results: The levels of nNOS were highest in grade Ⅲ tumors, moderate in grade Ⅱ tumors, and lowest different in grade I tumors. There was significant difference of the nNOS levels among different pathological grade tumors (P 〈 0.05). Furthermore, the similar phenomenon was observed in the expression level of Cyt-c in mitochondria (P 〈 0.05). Conclusion: The expression level of nNOS and Cyt-c in mitochondria was significantly related to the pathological grade of glioma. 展开更多
关键词 neuronal nitric synthale (nNOS) Cytochrome C (Cyt-c) pathological grade GLIOMA IMMUNOHISTOCHEMISTRY
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乳腺癌临床路径的制定和应用 被引量:7
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作者 茅枫 孙强 +1 位作者 周易冬 关竞红 《中华医院管理杂志》 北大核心 2007年第5期294-297,共4页
根据“北京地区医院按诊断相关分类法(DRGs)付费和临床路径应用研究”课题总的安排,北京协和医院乳腺中心承担了乳腺癌临床路径的制定和应用研究。
关键词 临床路径 乳腺癌 北京协和医院 诊断相关分类法 北京地区 付费
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厦门大学附属第一医院实施病例组合资金模式的意义与影响
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作者 张萍 黄正接 《会计师》 2018年第9期64-66,共3页
本文通过论述病例组合资金模式的特点,比较厦门大学附属第一医院目前的资金来源途径和病例组合资金模式的优势与不足,分析在厦门大学附属第一医院实施病例组合资金模式的意义以及对医院不同利益相关者的影响。
关键词 病例组合资金模式 诊断相关组分类法 卫生经费分配
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