Regional medical unions are practical approaches to deal with the cases that patients crowd in Grade 3 Class A general hospitals in metropolitan cities such as Shanghai,in China.However,electronic medical data analysi...Regional medical unions are practical approaches to deal with the cases that patients crowd in Grade 3 Class A general hospitals in metropolitan cities such as Shanghai,in China.However,electronic medical data analysis exists challenges when patients are referred among different hospitals in the regional medical unions during treatment procedures.In smart cities,demands for medical services provided by smart devises,complicate the environment of medical data analysis.In order to tackle the above problems,in this paper,a healthcare data analysis system for regional medical union is designed to support doctors from different hospitals to assess health conditions of patients in an overall data view.Behaviour patterns are mined from physiological index values.Tags are generated from social networks data to find the hot topics concerned by people living in common region.Experiments are given to illustrate the feasibility of the system in supporting healthcare data analysis.展开更多
Background Coronary heart disease （CHD） is the most common type of heart disease and cause of heart attacks.This study investigated the epidemiological characteristics of CHD and its risk factors in Jiaozhou,Shandon...Background Coronary heart disease （CHD） is the most common type of heart disease and cause of heart attacks.This study investigated the epidemiological characteristics of CHD and its risk factors in Jiaozhou,Shandong province,to ultimately find a way of reducing the prevalence of cardiovascular disease,and to provide a theoretical basis for establishing a cardiovascular disease management path under the regional medical collaborative mechanism.Methods A questionnaire survey was performed including 1 952 people aged 35 years or older who were questioned by means of stratified,cluster,proportional sampling to investigate the prevalence of CHD and its risk factors.The data were inputted into SPSS11.0 statistical software for processing and analysis.We advised the local medical institutions to establish health files for the residents with CHD and risk factors.They were followed up regularly.Their risk factors and life-style were monitored,and advice was given as to proper medications.Green channels were established,and the patients were transmitted in a timely manner to superior hospitals for better treatment if the necessary treatments were not available in the local hospitals.The control of risk factors was observed after the follow-up for half a year.Results In Jiaozhou,the rates of coronary artery disease,hypertension,diabetes,hyperlipidemia and overweight were 8.15％,28.54％,11.43％,35.46％,and 18.70％ respectively.The rates of hypertension,diabetes,hyperlipidemia and overweight were higher than the data published in ＂The report of Chinese cardiovascular disease 2012＂; which are 24％,9.7％,18.6％,and 9.7％,respectively.The control of risk factors improved significantly after the guidance of the residents lifestyle and medication for six months.Conclusions The high prevalence of coronary artery disease in Jiaozhou is closely related to age,gender,diet structure,family history of cardiovascular disease,hypertension,diabetes,hyperlipidemia,overweight,and unhealthy lifestyle.Under the regional medical coordination mechanism,the collaborative management of cardiovascular disease can provide new management concepts for the areas short of medical resources,so as to reduce the prevalence of cardiovascular disease.展开更多
基金This research is supported by supported by Shanghai Jiao Tong University funding project[16JCCS08]the Shanghai Institute of Precision Measurement Project under grant number[SAST2017-128].
文摘Regional medical unions are practical approaches to deal with the cases that patients crowd in Grade 3 Class A general hospitals in metropolitan cities such as Shanghai,in China.However,electronic medical data analysis exists challenges when patients are referred among different hospitals in the regional medical unions during treatment procedures.In smart cities,demands for medical services provided by smart devises,complicate the environment of medical data analysis.In order to tackle the above problems,in this paper,a healthcare data analysis system for regional medical union is designed to support doctors from different hospitals to assess health conditions of patients in an overall data view.Behaviour patterns are mined from physiological index values.Tags are generated from social networks data to find the hot topics concerned by people living in common region.Experiments are given to illustrate the feasibility of the system in supporting healthcare data analysis.
文摘Background Coronary heart disease （CHD） is the most common type of heart disease and cause of heart attacks.This study investigated the epidemiological characteristics of CHD and its risk factors in Jiaozhou,Shandong province,to ultimately find a way of reducing the prevalence of cardiovascular disease,and to provide a theoretical basis for establishing a cardiovascular disease management path under the regional medical collaborative mechanism.Methods A questionnaire survey was performed including 1 952 people aged 35 years or older who were questioned by means of stratified,cluster,proportional sampling to investigate the prevalence of CHD and its risk factors.The data were inputted into SPSS11.0 statistical software for processing and analysis.We advised the local medical institutions to establish health files for the residents with CHD and risk factors.They were followed up regularly.Their risk factors and life-style were monitored,and advice was given as to proper medications.Green channels were established,and the patients were transmitted in a timely manner to superior hospitals for better treatment if the necessary treatments were not available in the local hospitals.The control of risk factors was observed after the follow-up for half a year.Results In Jiaozhou,the rates of coronary artery disease,hypertension,diabetes,hyperlipidemia and overweight were 8.15％,28.54％,11.43％,35.46％,and 18.70％ respectively.The rates of hypertension,diabetes,hyperlipidemia and overweight were higher than the data published in ＂The report of Chinese cardiovascular disease 2012＂; which are 24％,9.7％,18.6％,and 9.7％,respectively.The control of risk factors improved significantly after the guidance of the residents lifestyle and medication for six months.Conclusions The high prevalence of coronary artery disease in Jiaozhou is closely related to age,gender,diet structure,family history of cardiovascular disease,hypertension,diabetes,hyperlipidemia,overweight,and unhealthy lifestyle.Under the regional medical coordination mechanism,the collaborative management of cardiovascular disease can provide new management concepts for the areas short of medical resources,so as to reduce the prevalence of cardiovascular disease.
