基于NLP的半自动识别系统,用于延迟后续检查:一项意大利临床转诊病例研究
Vittorio Torri1, Michele Ercolanoni2, Francesco Bortolan3
1MOX - Modelling and Scientific Computing Lab, Department of Mathematics, Politecnico di Milano, Piazza Leonardo da Vinci 32, Milan, 20133, Italy. vittorio.torri@polimi.it.
BMC medical informatics and decision making
|April 23, 2024
概括
一种新的自然语言处理 (NLP) 方法有效地监测了意大利国家卫生系统 (NHS) 后续考试等待时间. 该工具有助于评估服务质量,并优化用于慢性疾病管理的资源配置.
科学领域:
- 医疗信息学 医疗信息学
- 医疗数据分析 医学数据分析
- 自然语言处理自然语言处理.
背景情况:
- 由于缺乏结构化数据,监测意大利国家卫生系统 (NHS) 中的后续检查等待时间目前是不可行的.
- 这种限制阻碍了对医疗保健服务质量和资源有效分配的评估.
研究的目的:
- 提出和验证一种半自动方法来监测NHS后续检查等待时间.
- 通过从非结构化推文本中提取关键时间信息来解决数据缺口.
主要方法:
- 开发一种自然语言处理 (NLP) 管道,从参考文本中提取等待时间数据.
- 培训和验证使用手动注释的数据集,每个数据集有10,000个推.
- 在2021-2022年期间,分析了伦巴第地区的1200万次转诊情况.
主要成果:
- 在提取等待时间信息方面,NLP管道实现了高精度 (0.999) 和回忆 (0.973).
- 只有2%的转诊包括时间指示,在各学科之间存在显著差异.
- 在具有时间指示的转介中,16%的转介经历了延误,平均为19天.
结论:
- NLP是评估NHS随访检查等待时间的强大工具,对于管理慢性疾病至关重要.
- 这种方法使卫生当局能够监测服务质量并有效优化资源分配.
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