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中国老龄人口医疗保障体系发展:从治病为中心到健康为中心 被引量:12
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作者 张思锋 滕晶 《北京工业大学学报(社会科学版)》 CSSCI 北大核心 2022年第2期10-22,共13页
习近平总书记强调"要把人民健康放在优先发展的战略地位""把以治病为中心转变为以人民健康为中心",实施健康中国战略。基于疾病谱演变规律,阐释了中华人民共和国成立以来,建立以预防为中心、以治病为中心的医疗保... 习近平总书记强调"要把人民健康放在优先发展的战略地位""把以治病为中心转变为以人民健康为中心",实施健康中国战略。基于疾病谱演变规律,阐释了中华人民共和国成立以来,建立以预防为中心、以治病为中心的医疗保障体系演进发展过程。20世纪50—70年代,中国积极开展爱国卫生运动,确立了以预防为中心的医疗保障体系,有效地防治了恶性传染病;20世纪80年代以来,中国逐步实现了以治病为中心的人群全覆盖的基本医疗保障制度,编织起全体社会成员抵御疾病风险的安全网;进入21世纪,随着中国人口老龄化和疾病谱变化,慢性病已经成为威胁老龄人口健康的主要因素。通过分析遗传、教育、职业、年龄、家庭等影响老龄人口健康的个体内在因素,以及经济、服务、环境等影响老龄人口健康的群体环境因素,认为"预防"是"健康"的题中之义,"健康"是"治病"的理性选择;提出以健康为中心的中国老龄人口医疗健康保障体系建设路径,即构建医疗健康经济支持体系和社会服务支持体系,营造老年友好型社会环境。 展开更多
关键词 健康中国战略 老龄人口 以健康为中心 医疗保障体系改革 疾病谱变化 医疗健康支持体系
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医疗健康大数据分析的关键技术与决策支持 被引量:6
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作者 虞铭明 张迺英 李月娥 《中国科技论坛》 CSSCI 北大核心 2018年第11期53-62,共10页
随着数据的可获得,医疗健康大数据分析的价值逐渐显现,然而对之如何分析、分析的关键技术与决策支持成了主要问题。本文先从医疗健康大数据的4V特征入手,分析了要面对的具体挑战,然后对医疗健康大数据分析的技术过程和新技术进行阐述,... 随着数据的可获得,医疗健康大数据分析的价值逐渐显现,然而对之如何分析、分析的关键技术与决策支持成了主要问题。本文先从医疗健康大数据的4V特征入手,分析了要面对的具体挑战,然后对医疗健康大数据分析的技术过程和新技术进行阐述,提出采用分布式数据系统和搭建Hadoop平台等的方法来应对挑战;还讨论了在医疗健康领域如何获得三种技术分析即描述分析、预测分析、规范分析。最后,文章评述了医疗健康大数据分析的决策支持:为精准医疗和预防的决策提供支持、为精准的公共卫生及医疗管理决策提供支持。 展开更多
关键词 医疗健康 大数据 决策支持 分布式数据系统
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Intelligent Support System for Healthcare Logistics 4.0 Optimization in the Covid Pandemic Context 被引量:1
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作者 Paul-Eric Dossou Luiza Foreste Eric Misumi 《Journal of Software Engineering and Applications》 2021年第6期233-256,共24页
<span style="font-family:Verdana;">The covid pandemic points out inconsistencies and points to improve in the organization of healthcare logistics. Indeed, the dangerousness and the propagation process... <span style="font-family:Verdana;">The covid pandemic points out inconsistencies and points to improve in the organization of healthcare logistics. Indeed, the dangerousness and the propagation process of the virus imply to increase health security (patient and personal health). In this context, healthcare logistics flows require a new and safety organization improving the hospital performance. The purpose of this paper consists in optimizing healthcare logistics flows by solving problems associated to the internal logistics such as reduction of the personal health wasting time and the protection of both patients and personal health. Then, the methodology corresponds to the use of the hospital sustainable digital transformation as a response to healthcare flows and safety problems. Indeed, social, societal and environmental aspects have to be considered in addition to new technologies such as artificial intelligence (AI), Internet of Things (IoTs), Big data and analytics. These parameters could be used in the healthcare for increasing doctor, nurse, caregiver performance during their daily operations, and patient satisfaction. Indeed, this hospital digital transformation requires the use of large data associated to patients and personal health, algorithms, a performance measurement tool (actual and future state) and a general approach for transforming digitally the hospital flows. The paper findings show that the healthcare logistics performance could be improved with a sustainable digital transformation methodology and an intelligent software tool. This paper aims to develop this healthcare logistics 4.0 methodology and to elaborate the intelligent support system. After an introduction presenting the common hospital flows and their main problems, a literature review will be detailed for showing how existing concepts could contribute to the elaboration of a structured methodology. The structure of the intelligent software tool for the healthcare digital transformation and the tool development processes will be pr 展开更多
关键词 healthcare Logistics 4.0 Industry 4.0 Lean Manufacturing Artificial Intelligence Intelligent support system IoT Big Data Analytics
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Artificial Intelligence Enabled Decision Support System on E-Healthcare Environment
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作者 B.Karthikeyan K.Nithya +1 位作者 Ahmed Alkhayyat Yousif Kerrar Yousif 《Intelligent Automation & Soft Computing》 SCIE 2023年第5期2299-2313,共15页
In today’s digital era,e-healthcare systems exploit digital technologies and telecommunication devices such as mobile devices,computers and the inter-net to provide high-quality healthcare services.E-healthcare decis... In today’s digital era,e-healthcare systems exploit digital technologies and telecommunication devices such as mobile devices,computers and the inter-net to provide high-quality healthcare services.E-healthcare decision support sys-tems have been developed to optimize the healthcare services and enhance a patient’s health.These systems enable rapid access to the specialized healthcare services via reliable information,retrieved from the cases or the patient histories.This phenomenon reduces the time taken by the patients to physically visit the healthcare institutions.In the current research work,a new Shuffled Frog Leap Optimizer with Deep Learning-based Decision Support System(SFLODL-DSS)is designed for the diagnosis of the Cardiovascular Diseases(CVD).The aim of the proposed model is to identify and classify the cardiovascular diseases.The proposed SFLODL-DSS technique primarily incorporates the SFLO-based Feature Selection(SFLO-FS)approach for feature subset election.For the pur-pose of classification,the Autoencoder with Gated Recurrent Unit(AEGRU)model is exploited.Finally,the Bacterial Foraging Optimization(BFO)algorithm is employed tofine-tune the hyperparameters involved in the AEGRU method.To demonstrate the enhanced performance of the proposed SFLODL-DSS technique,a series of simulations was conducted.The simulation outcomes established the superiority of the proposed SFLODL-DSS technique as it achieved the highest accuracy of 98.36%.Thus,the proposed SFLODL-DSS technique can be exploited as a proficient tool in the future for the detection and classification of CVD. 展开更多
关键词 E-healthcare decision support system cardiovascular disease feature selection deep learning
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Deep Learning Enabled Intelligent Healthcare Management System in Smart Cities Environment
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作者 Hanan Abdullah Mengash Lubna A.Alharbi +6 位作者 Saud S.Alotaibi Sarab AlMuhaideb Nadhem Nemri Mrim M.Alnfiai Radwa Marzouk Ahmed S.Salama Mesfer Al Duhayyim 《Computers, Materials & Continua》 SCIE EI 2023年第2期4483-4500,共18页
In recent times,cities are getting smart and can be managed effectively through diverse architectures and services.Smart cities have the ability to support smart medical systems that can infiltrate distinct events(i.e... In recent times,cities are getting smart and can be managed effectively through diverse architectures and services.Smart cities have the ability to support smart medical systems that can infiltrate distinct events(i.e.,smart hospitals,smart homes,and community health centres)and scenarios(e.g.,rehabilitation,abnormal behavior monitoring,clinical decision-making,disease prevention and diagnosis postmarking surveillance and prescription recommendation).The integration of Artificial Intelligence(AI)with recent technologies,for instance medical screening gadgets,are significant enough to deliver maximum performance and improved management services to handle chronic diseases.With latest developments in digital data collection,AI techniques can be employed for clinical decision making process.On the other hand,Cardiovascular Disease(CVD)is one of the major illnesses that increase the mortality rate across the globe.Generally,wearables can be employed in healthcare systems that instigate the development of CVD detection and classification.With this motivation,the current study develops an Artificial Intelligence Enabled Decision Support System for CVD Disease Detection and Classification in e-healthcare environment,abbreviated as AIDSS-CDDC technique.The proposed AIDSS-CDDC model enables the Internet of Things(IoT)devices for healthcare data collection.Then,the collected data is saved in cloud server for examination.Followed by,training 4484 CMC,2023,vol.74,no.2 and testing processes are executed to determine the patient’s health condition.To accomplish this,the presented AIDSS-CDDC model employs data preprocessing and Improved Sine Cosine Optimization based Feature Selection(ISCO-FS)technique.In addition,Adam optimizer with Autoencoder Gated RecurrentUnit(AE-GRU)model is employed for detection and classification of CVD.The experimental results highlight that the proposed AIDSS-CDDC model is a promising performer compared to other existing models. 展开更多
关键词 Smart cities E-healthcare decision support system cardiovascular disease deep learning feature selection
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国际旅行卫生保健中心核心能力及技术支撑能力建设评价体系的建立与研究 被引量:3
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作者 秦佳 章琪 +5 位作者 杨柳 李俊 周启明 韩晓辉 方筠 叶魏 《检验检疫学刊》 2015年第4期44-48,51,共6页
[目的]对检验检疫系统国际旅行卫生保健中心的核心能力及技术支撑能力建设内涵及评价体系支持理论进行探索,建立与口岸卫生检疫技术保障要求相适应的评价体系。[方法]应用文献研究法分析国内外文献和上级部门印发的有关文件;根据分析结... [目的]对检验检疫系统国际旅行卫生保健中心的核心能力及技术支撑能力建设内涵及评价体系支持理论进行探索,建立与口岸卫生检疫技术保障要求相适应的评价体系。[方法]应用文献研究法分析国内外文献和上级部门印发的有关文件;根据分析结果,从理论和实践上阐述核心能力及技术支撑能力建设的具体内涵,构建其评价体系;搜集整理典型案例,应用案例研究法进行验证。[结果]经研究建立3个层次的指标体系,具体由目标层、准入层与指标层构成。案例分析显示,上海保健中心核心能力及技术支撑能力建设评价总分值为0.961,为A级,说明该中心的核心能力建设及技术支撑能力建设较强;由准入指标达标率来看,应重点加强预警能力、突发公共卫生处理能力方面的建设力度。[结论]保健中心核心能力及技术支撑能力建设评价体系具有较强的操作性和实际应用价值,可对核心能力及技术支撑能力建设起到指导性作用。 展开更多
关键词 检验检疫 国际旅行卫生保健中心 核心能力 技术支撑能力 评价体系
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基于HFMEA的危重患者血管活性药物安全管理临床决策支持系统的研发及应用 被引量:3
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作者 郑薇亮 闫丽娟 +4 位作者 林碧霞 饶木兰 夏建森 徐桂丽 陈媛 《临床医药实践》 2021年第1期60-64,共5页
目的:基于医疗失效模式和效应分析(HFMEA)研发血管活性药物安全管理临床决策支持系统(CDSS),探讨其在危重患者血管活性药物安全管理中的应用效果。方法:以HFMEA为理论框架,组建多学科团队,对厦门大学附属心血管病医院的血管活性药物给... 目的:基于医疗失效模式和效应分析(HFMEA)研发血管活性药物安全管理临床决策支持系统(CDSS),探讨其在危重患者血管活性药物安全管理中的应用效果。方法:以HFMEA为理论框架,组建多学科团队,对厦门大学附属心血管病医院的血管活性药物给药流程进行失效原因及危害分析,经充分讨论后重新修订流程,自主研发危重患者血管活性药物安全管理CDSS,在试点科室通过非同期对照研究开展应用并监测其成效。结果:应用危重患者血管活性药物安全管理CDSS后,患者的给药不良事件总发生率由干预前的2.68%降至0.43%,且干预后护理记录不完整发生率及不良事件总例数低于干预前,差异有统计学意义(P<0.05)。试点科室58名临床护士对危重患者血管活性药物安全管理CDSS的给药流程合理性、用药观察规范性、用药记录准确性、系统操作便捷性、临床推广可行性评分的均分皆高于4分(满分5分)。结论:基于HFMEA开发的危重患者血管活性药物安全管理CDSS可有效降低血管活性药物给药不良事件发生风险,便于临床护士进行信息核实、用药、换药、病情观察和护理记录等护理操作。 展开更多
关键词 血管活性药物 用药安全 医疗失效模式和效应分析 临床决策支持系统
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改革开放40年中国农村健康教育发展的回顾与展望 被引量:2
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作者 李小花 齐建国 《丽水学院学报》 2019年第4期95-101,共7页
改革开放40年来中国在农村健康教育方面开展的工作主要有:在三级预防保健网中设置健康教育服务,构建了富有成效的农村健康教育工作模式,积极开展农村学校健康教育,开展“全国亿万农民健康促进行动”。在党中央国务院的领导下,在各级相... 改革开放40年来中国在农村健康教育方面开展的工作主要有:在三级预防保健网中设置健康教育服务,构建了富有成效的农村健康教育工作模式,积极开展农村学校健康教育,开展“全国亿万农民健康促进行动”。在党中央国务院的领导下,在各级相关组织的共同努力下,中国农村健康教育取得了一定的成效,农村公民的基本卫生知识、健康观念和健康行为都发生了积极变化,但仍存在不少问题。展望未来,我们需要从构建新型的农村健康教育体系和支持系统两个方面推进。 展开更多
关键词 农村健康教育 三级预防保健网 工作模式 健康促进 支持系统
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