推进医疗保健分析:机器学习,健康信息学和现实世界数据应用的专题审查。

IF 4.5 2区 医学 Q2 COMPUTER SCIENCE, INTERDISCIPLINARY APPLICATIONS
Maria I Arias, Lorena Cadavid, Juan D Velásquez
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引用次数: 0

摘要

目的:通过确定主要的专题集群,综合关键趋势,概述该领域的转化挑战和研究机会,绘制医疗保健分析的概念和方法景观。方法:采用无监督文本挖掘和聚类技术对共2,281篇scopus索引的出版物进行分析。分析的重点是确定临床、行政和公共卫生背景下医疗分析文献中反复出现的主题、方法创新和差距。结果:确定了八个主要主题:预测性医疗保健的智能系统、以患者为中心的健康分析、用于临床见解的自适应人工智能、人口健康分析、数字精神健康监测、用于健康监测的伦理分析、通过数据分析进行个性化护理,以及用于疫情应对的人工智能驱动的见解。这些反映了向实时、多模式和基于道德的分析生态系统的转变。持续存在的挑战包括数据互操作性、算法不透明、评估标准化和人口统计偏差。结论:该综述强调了新兴的优先事项,包括可解释的人工智能、联邦学习和情境感知建模,以及与数据隐私和数字公平相关的道德考虑。实用建议包括与医疗保健专业人员共同设计、投资基础设施以及部署实时临床决策支持。医疗保健分析被定位为学习卫生系统的基础支柱,对转化研究和精确健康具有广泛的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Advancing healthcare analytics: a thematic review of machine learning, health informatics, and real-world data applications.

Objective: To map the conceptual and methodological landscape of healthcare analytics by identifying dominant thematic clusters, synthesizing key trends, and outlining translational challenges and research opportunities in the field.

Methods: A total of 2,281 Scopus-indexed publications were analyzed using unsupervised text mining and clustering techniques. The analysis focused on identifying recurring themes, methodological innovations, and gaps within healthcare analytics literature across clinical, administrative, and public health contexts.

Results: Eight dominant themes were identified: intelligent systems for predictive healthcare, patient-centered health analytics, adaptive AI for clinical insights, demographic health analytics, digital mental health surveillance, ethical analytics for health surveillance, personalized care through data analytics, and AI-driven insights for outbreak response. These reflect a transition toward real-time, multimodal, and ethically grounded analytics ecosystems. Persistent challenges include data interoperability, algorithmic opacity, standardization of evaluation, and demographic bias.

Conclusions: The review highlights emerging priorities, including explainable AI, federated learning, and context-aware modeling, as well as ethical considerations related to data privacy and digital equity. Practical recommendations include co-designing with healthcare professionals, investing in infrastructure, and deploying real-time clinical decision support. Healthcare analytics is positioned as a foundational pillar of learning health systems with broad implications for translational research and precision health.

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来源期刊
Journal of Biomedical Informatics
Journal of Biomedical Informatics 医学-计算机:跨学科应用
CiteScore
8.90
自引率
6.70%
发文量
243
审稿时长
32 days
期刊介绍: The Journal of Biomedical Informatics reflects a commitment to high-quality original research papers, reviews, and commentaries in the area of biomedical informatics methodology. Although we publish articles motivated by applications in the biomedical sciences (for example, clinical medicine, health care, population health, and translational bioinformatics), the journal emphasizes reports of new methodologies and techniques that have general applicability and that form the basis for the evolving science of biomedical informatics. Articles on medical devices; evaluations of implemented systems (including clinical trials of information technologies); or papers that provide insight into a biological process, a specific disease, or treatment options would generally be more suitable for publication in other venues. Papers on applications of signal processing and image analysis are often more suitable for biomedical engineering journals or other informatics journals, although we do publish papers that emphasize the information management and knowledge representation/modeling issues that arise in the storage and use of biological signals and images. System descriptions are welcome if they illustrate and substantiate the underlying methodology that is the principal focus of the report and an effort is made to address the generalizability and/or range of application of that methodology. Note also that, given the international nature of JBI, papers that deal with specific languages other than English, or with country-specific health systems or approaches, are acceptable for JBI only if they offer generalizable lessons that are relevant to the broad JBI readership, regardless of their country, language, culture, or health system.
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