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Updated: May 23, 2025

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Oral Health Assessment by Lay Personnel for Older Adults
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从牙科临床笔记中提取健康的社会决定因素
Farhana Pethani1,2, Alec Chapman3,4, Mike Conway5
1Biomedical Informatics and Digital Health, The University of Sydney Faculty of Medicine and Health, Sydney, Australia.
Applied clinical informatics
|May 21, 2025
概括
健康的社会决定因素 (SDoH) 很少被记录在牙科临床笔记中. 自然语言处理 (NLP) 方法显示出提取SDoH数据的潜力,但由于记录不一致,仍然存在挑战.
科学领域:
- 牙科和公共卫生 牙科和公共卫生
- 在医疗保健中的自然语言处理 (NLP)
背景情况:
- 健康的社会决定因素 (SDoH) 对于了解患者福祉至关重要.
- 电子牙科记录 (EDR) 在临床笔记中可能包含有价值的SDoH信息.
- 目前从牙科笔记中提取SDoH的方法有限.
研究的目的:
- 评估牙科临床笔记中SDoH数据的可用性.
- 评估和比较NLP方法来从这些笔记中提取SDoH.
主要方法:
- 1000个牙科临床笔记的数据集被手动对SDoH类别进行了注释.
- 精心调整的预训练语言模型 (PLMs) 和基于规则的方法用于SDoH提取.
- 使用F1分数来衡量性能.
主要成果:
- 与基于规则的方法相比,PLM在糖 (0.75),酒精 (0.67) 和住房 (0.42) 中获得了更高的F1分数.
- 这两种方法都在就业和甲基胺提取方面陷入困境,F1分数为0.
- 很少记录SDoH,其中糖 (9.1%) 和烟草 (3.9%) 是最常见的.
结论:
- 从牙科笔记中提取SDoH是具有挑战性的,因为记录频率低,简短和不一致.
- NLP方法,特别是PLM,显示出希望,但需要进一步改进.
- 在牙科临床笔记中标准化SDoH报告对于改善监测至关重要.
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