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Optimization of Diagnosis and Treatment of Chronic Diseases Based on Association Analysis Under the Background of Regional Integration

  • Systems-Level Quality Improvement
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Abstract

In order to improve medical quality, shorten hospital stays, and reduce redundant treatment, an optimization of diagnosis and treatment of chronic diseases based on association analysis under the background of regional integration in the paper was proposed, which was to expand the scope of application of the clinical pathway standard diagnosis and treatment program in the context of regional medical integration and mass medical data, so that it had a larger group of patients within the region. In the context of regional medical integration, owing to the types of medical data were diverse, the preprocessing requirements and process specifications for diagnosis and treatment data were firstly proposed. At the stage of diagnosis and treatment unit optimization, the correlation between clinical behaviors was analyzed by using association rules of the FP-growth and Apriori algorithm. Through the optimization and combination of diagnosis and treatment units, the optimized clinical pathway was finally achieved. Experiments showed that after the optimization strategy by the paper proposed, the clinical path diagnosis and treatment achieved obvious improvement in medical quality under the condition that the medical cost was basically flat.

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References

  1. Denning, David W., et al. "Chronic pulmonary aspergillosis: rationale and clinical guidelines for diagnosis and management." Eur. Respirat. J. 47.1 (2016): 45–68.

    Article  Google Scholar 

  2. Fitzcharles, M. A. et al., Efficacy, tolerability, and safety of cannabinoid treatments in the rheumatic diseases: a systematic review of randomized controlled trials. Arthri. Care Res. 68.5:681–688, 2016.

    Article  Google Scholar 

  3. Diaz, F. J., Measuring the individual benefit of a medical or behavioral treatment using generalized linear mixed-effects models. Stat. Med. 35(23):4077–4092, 2016.

    Article  Google Scholar 

  4. Ratziu, V. et al., Elafibranor, an agonist of the peroxisome proliferator−activated receptor−α and −δ, induces resolution of nonalcoholic steatohepatitis without fibrosis worsening. Gastroenterology 150.5:1147–1159, 2016.

    Article  Google Scholar 

  5. Rippe, J. M. and Angelopoulos, T. J., "Relationship between added sugars consumption and chronic disease risk factors: current understanding. Nutrients 8.11, 2016.

  6. Obenshain, M. K., Application of data mining techniques to healthcare data[J]. Statistiazcs for hospital. Epidemiol 25(8):690–695, 2004.

    Google Scholar 

  7. Dagliati A., Sacchi, L., and Cerra, C. et al., Temporal data mining and process mining techniques to identify cardiovascular risk-associated clinical pathways in type 2 diabetes patients[M], .2014.

  8. Weerdt, J. D., Caron, F., Vanthienen, J. et al., Getting a grasp on clinical pathway data: an approach based on process mining[c], pacific-asia conference on knowledge discovery and data mining. Berlin Heidelberg: Springer, 2012, 22–35.

    Google Scholar 

  9. Iwata, H., Hirano, S., and Tsumoto, S., Mining clinical pathway based on clustering and feature selection[J]. , 8211:237–245, 2013.

  10. Ouwens, M., Wollersheim, H., Hermens, R. P. et al., Integrated care programmes for chronically ill patients: A review of systematic reviews[J]. Int. J. Qual. Health Care 17(2):141–146, 2005.

    Article  Google Scholar 

  11. Tan, J., Mclaughlin, T. J., Gurwitz, J. H. et al., Effect of local medical opinion leaders on quality of care for acute myocardial infarction: A randomized controlled trial.[J]. JAMA 279(17):1358–1363, 1998.

    Article  Google Scholar 

  12. Wang, J. M., Cameron, J. L., Campbell, K. A. et al., Does pancreatic duct stenting decrease the rate of pancreatic fistula following pancreaticoduodenectomy? Results of a prospective randomized trial.[J]. J. Gastrointest. Surg. 10(9):1280–1290, 2006.

    Article  Google Scholar 

  13. Inouye, S. K., Schlesinger, M., Lydon, T. J. et al., Delirium: A symptom of how hospital care is failing older persons and a window to improve quality of hospital care.[J]. Am. J. Med. 106(5):565–573, 1999.

    Article  CAS  Google Scholar 

  14. Levine S R, Gorman M. Telestroke the application of telemedicine for stroke[J]. Stroke, 1999, 30(2): 464–469.

  15. Fortier, J., Chung, F., Su, J. et al., Unanticipated admission after ambulatory surgery : a prospective study[J]. Can J. Anaesthesia-J. Canadien D Anesthesie 45(7):612–619, 1998.

    Article  CAS  Google Scholar 

  16. Panella, M., Marchisio, S., Stanislao, F. D. et al., Reducing clinical variations with clinical pathways: Do pathways work?[J]. Int. J. Qual. Health Care 15(6):509–521, 2003.

    Article  CAS  Google Scholar 

  17. Stantonhicks, M., Burton, A. W., Bruehl, S. et al., An updated interdisciplinary clinical pathway for CRPS: Report of an expert panel[J]. Pain Pract. 2(1):1–16, 2002.

    Article  Google Scholar 

  18. Benitz, W. E., Han, M. Y., Madan, A. et al., Serial serum C-reactive protein levels in the diagnosis of neonatal infection[J]. Pediatrics 102(4), 1998.

  19. Odderson, I. R., Keaton, J. C., Mckenna, B. S. et al., Swallow management in patients on an acute stroke pathway : Quality is cost effective[J]. Arch. Phys. Med. Rehab. 76(12):1130–1133, 1995.

    Article  CAS  Google Scholar 

  20. Chu, H. et al., Association of sleep apnoea with chronic kidney disease in a large cohort from Taiwan. Respirology 21.4:754–760, 2016.

    Article  Google Scholar 

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Acknowledgements

This paper was funded by the Jiangsu Committee of Health (No. H2018071).

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Correspondence to Kaijian Xia.

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We declare that we have no conflict of interest. The paper does not contain any studies with human participants or animals performed by any of the authors. Informed consent was obtained from all individual participants included in the study.

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Xia, K., Zhong, X., Zhang, L. et al. Optimization of Diagnosis and Treatment of Chronic Diseases Based on Association Analysis Under the Background of Regional Integration. J Med Syst 43, 46 (2019). https://doi.org/10.1007/s10916-019-1169-9

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