商业智能对临床决策的改善

L. Basile, N. Carbonara, R. Pellegrino, Umberto Panniello
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引用次数: 0

摘要

在医疗保健部门应用商业智能(BI)方面已经做了很多工作。这些研究大多集中在信息技术(例如,改善信息和通信技术架构和数据管理系统)或医疗(例如,支持预后和诊断)方面,而使用商业智能来改善医疗保健流程的管理仍然被忽视。本研究旨在通过调查基于BI数据利用的决策支持系统(DSS)在管理医疗保健领域流程方面是否优于传统的经验驱动实践,从而填补这一空白。为了实现这一目标,我们开发了一个DSS,用于降低肿瘤领域特定医疗保健过程的总体成本。决策支持系统有两个版本:第一个版本是经验驱动的(即仅基于科学和历史文献以及医生的经验数据),而第二个版本是数据驱动的(即基于来自医院数据的额外信息)。我们的研究结果表明,使用BI来管理医疗保健流程被证明可以改进传统的活动和流程,主要是基于医生的经验,从业务(即降低成本)和管理(即提高效率)的角度来看。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The improvement of the clinical decision-making through the Business Intelligence
Much work has been done on applying Business Intelligence (BI) in the healthcare sector. Most of these studies were focused only on Information Technology (e.g., to improve the Information and Communication Technology architectures and data management systems) or medical (e.g., to support prognoses and diagnoses) aspects, while the usage of BI for improving the management of healthcare processes is still overlooked. This research aims at filling this gap by investigating whether a decision support system (DSS) based on the exploitation of data through BI can outperform traditional experience-driven practices for managing processes in the healthcare domain. To accomplish this objective, we develop a DSS for reducing the overall costs of a specific healthcare process in the oncology field. The DSS was developed in two versions: the first is experience-driven (i.e., based only on scientific and historical literature and physicians’ experience data), while the second is data-driven (i.e., based on additional information coming from hospital data). The results of our study demonstrate that the usage of BI for managing the healthcare processes proved to improve traditional activities and processes mostly based only on the physicians’ experience, both from a business (i.e., costs reduction) and managerial (i.e., effectiveness improving) point of view.
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