使用机器学习的加纳国家健康保险计划的多因素认证框架

Isaac Kofi Nti, Adebayo Felix Adakoya, O. Nyarko-Boateng
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引用次数: 3

摘要

2005年建立的国家健康保险计划(NHIS)取代了传统的“现付自付”医疗保健金融模式,预计将为加纳民众提供安全、可靠、负担得起和覆盖全国的医疗保健系统。该计划遇到了一些挑战;因此,政策制定者和捐助机构正在重新考虑目前的国家卫生保健系统模式,并正在考虑为国家卫生保健系统制定一个更好的替代和可持续的财务模式。本研究旨在利用软计算机器学习技术为加纳的国家健康保险计划提出一个多因素认证框架,以最大限度地减少当前的挑战。据观察,拟议的系统用1.02秒审查25个索赔表格,而人类专业人员用120秒审查一个文件。获得的准确率(91.50%)和F1(88.52)评分表明该系统具有较高的审核率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Multifactor Authentication Framework for the National Health Insurance Scheme in Ghana using Machine Learning
The creation of the National Health Insurance Scheme (NHIS) in 2005 to replace the traditional “cash and carry” healthcare financial model, was anticipated to offer a safe, reliable, affordable and national coverage healthcare system for the Ghanaian populace. The scheme has recorded several challenges; as a result, policymakers and donor agencies are reconsidering the current NHIS model and are thinking of crafting a better alternate and sustainable financial model for the NHIS. This study seeks to propose a multifactor authentication framework for the national health insurance scheme in Ghana using soft-computing machine learning techniques to minimize the current challenges. It was observed that the proposed system used 1.02 sec to vet 25 claim forms, while the human professional used 120 sec for a single document. The accuracy (91.50%) and F1 (88.52) score measure obtained shows a higher rate of the vetting process by the proposed system.
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