Medical Help Scarce in Haiti
The article is published at " Chinese number medical " 2008 the 3rd period
Abide card medicine is decision-making system (go up)
Software of medicine of family approach force (Shenzhen) limited company Likewei
[summary] current, abide card medicine got very big homage, but its general promotion is opposite however lag, the reason depends on his carrying out flow cost of longer, application is higher. The article analysed the structure of abide card medicine, think its principle is not complex, put forward to realize the function of abide card medicine through using the intelligent decision making techniques that is based on a knowledge base, build a somebody medicine of card of abide of labour intelligence feature is decision-making system, make both bring out the best in each other, enlarge both promotion application face, the progress of stimulative medicine informatization.
[keyword] medical artificial intelligence, abide card medicine, decision-making system, zoology is kinetic, , culture is kinetic
Abstract:
Summary
Key Words:
Summary
Medical of card of one, abide moves
At present medical bound thinks: Abide card medicine (Evidence-basedmedicine, abbreviation EBM) is the scientific methodology that uses epidemiology, solve clinical medical treatment all sorts of problems, and the revolution that a medicine that happen carries out. Because of the advanced sex of the lineal sex of its birthplace and concept, affect place and carry everything before it. Compare and character, the practice mode of Western medicine tradition compares those who pay attention to experience to accumulate, emphasize learning knowledge from inside experience; And abide card medicine thinks: Experience is far the knowledge that studies as science will quickly mix reliable, thinking to learn from inside scientific research consequently is the first, experience can make up for the inadequacy of scientific research knowledge only. The scientific research concept that indicates here is practice of medicine of card pointing to abide, namely:
Take out clinical medium specific issue feature;
Around issue feature, use software of abide card medicine to collect a data, seek relevant medical testimony;
System of the Cochrane that make evaluates a plan, undertake to data ‘ Meta- is analysed ‘ , pursue with the forest (Forestplot) is revealed, amend systematic evaluation then, make conclusion to the reliability of all sorts of document data and clinical dependency, form research evidence;
Use verdict at cure clinical;
Evaluate remedial effect, the feedback opinion of the person that the basis is used undertakes perfecting waiting a moment.
This shows, abide card medicine is changing traditional medicine to carry out mode thoroughly.
Creativity of abide card medicine the ground rises epidemiology and clinical medicine union, from medicine statistical angle, advocate clinical doctor discreet, accurate and be gotten reasonably and application is current the most significant clinical evidence, make for specific patient clinical and decision-making. Here, alleged ‘ the most significant clinical evidence ‘ it is effect of the accuracy that points to the diagnosis related to patient disease and examination, prognostic index, intervention and security the data that wait. Abide card medicine serves as clinical practice, undertake inquiring extensively to the data, use specific tool to spread out research, analysis, computation to wait, spend many working hours and energy, of course can cause better medical treatment effect, also make its make a service of high-grade medical treatment that the noble changes the trend, accordingly, obtained each country high official and social elite in the world support power energetically, form the campaign of abide card medicine that has imposing manner very much. China also develops in the direction of front likeness.
Principle of medicine of card of two, abide and informatization problem
Below current technology condition, practice of abide card medicine is to rely on the technology such as news report of the computer, Internet, network and spread out. So, the expert in foreign IT domain paid close attention to the rapid development of abide card medicine, to serve Yu Xun card medicine did a lot of works, the database that includes to increase to be concerned with abide card medicine, retrieve a function, build special website, found website homepage to wait a moment.
Be in China, like a raging fire of hospital informatization progress. Whether rise abide card medicine and union of system of digitlization medical treatment, somebody put forward the conception of lead. Hypothesis train of thought is: On the foundation of hospital HIS, collect outpatient service with computer technology, or inpatient all sorts of individual turn information, retrieve all sorts of systems related to this patient to evaluate document, clinical research document next, evaluate through software, combine clinical experience to judge the effectiveness of these evidence and applicability, oneself of integrated consideration patient is right the value orientaton of measure of diagnosis and treatment, make medical treatment finally decision-making etc. But, at present home uses HIS to realize afore-mentioned targets to still have difficulty, the standardization that learns terminology because of clinical cure of home and problem of database different compose had been not solved, data sources of abide card medicine still compares the earth to rely on abroad, the interpreter job with the huge drag in of system of Chinese and English lexicon that builds correspondence is waited a moment with the job that build a warehouse, bring about can stay in conception phase only at present.
Above, the IT condition that realizes abide card medicine is a respect of difficult problem, the foundation of difficult problem still depends on itself of abide card medicine. The compendious expression of the core target of abide card medicine is: The clinical data that carries out a kind through abide card medicine is used at another clinical practice. Attention: Here gets the course that operates to diagnosis and treatment from knowledge, see a doctor with the doctor identical, it is knowledge only by ‘ evidence is changed ‘ , be thought more reliable. After relevant data was having all sorts of practice of abide card medicine, become the basis with decision-making diagnosis and treatment. Although evidential itself is not had mandatory, it is to give a doctor to serve as reference merely, but by psychology the suggestion causes the propulsion to it posture, and the aggrandizement tendency that the public opinion pressure that forms from this causes is very apparent.
Actually, what practice of abide card medicine gives a doctor finally is whether one can be applied directly about certain material only at current patient decide the tendency, should decide the tendency helps what the doctor makes clear one or more optional strategy decide standard, calculate the possibility of prospective incident, apply next accept or reject decision-making. In the final analysis, abide card medicine finished an analogy to analyse a process merely, it is opposite the mainstream at uncertainty of medical treatment process, carry out at all medical treatment relatively, all cannot reach the fact of completely certain state. Abide card medicine can not replace a doctor to assume decision-making legal responsibility, but campaign of strong abide card medicine is pushed tall the value of abide card medicine, it can is opposite as hospital, doctor responsibility of discussion medical treatment and the powerful strong point that discuss academic view. The author thinks those who make clear is here: Principle of abide card medicine is not complex, it has profit very much really to clinical diagnosis and treatment, but needless push its to ‘ excessive ‘ condition. We are medicine of admiring abide card, just can have next from the back medicine of card of abide of our research and development is decision-making system.
Three, artificial intelligence beforehand conclusion of medicine of buy abide card
Angle judges the crucial point that is abide card medicine certainly. Of evidence of abide card medicine get means expresses those who understand it to be able to get with use means is not about referring in particular to the judgement of patient disease itself, is incline to of a probability only evaluate. Prior probability applies in this and algorithm of medical artificial intelligence get the method compares likeness with use method. Prior probability is the main basis that artificial intelligence has decision-making analysis, so, with train of thought of abide card medicine supportive intelligence judges prior probability, popularize abide card medicine to apply with artificial intelligence train of thought at the same time, make the origin of prior probability wait from opinion of doctor experience, expert, expand practice of abide card medicine, clinical evidence considers to wait; Never be the same as flank, different point of view, research, analysis, adjust prior probability, strengthened the reliability of prior probability already, broke the hedge with medical artificial intelligence again; Blend in the decision-making mechanism of abide card medicine the decision-making plan of medical artificial intelligence already, greatly the evidential property of aggrandizement knowledge data, apply the noble of abide card medicine again character pulls civilian to turn application, make be applied generally become a possibility, it is OK to early childhood tall decision-making efficiency and accuracy.
Medical artificial intelligence is the clinical thinking process that considers how to use computer simulation doctor, do the diagnosis and treatment that only doctor ability makes to work; The foundation of these processes and job is: Study medical knowledge get and convey; The point of medical artificial intelligence is: Use computer tool, be based on medical knowledge base, the clinical train of thought of emulation doctor, according to medical standard and requirement, undertake to patient patient‘s condition decision-making choose, and extend to from the back a kind when treat whole process decision-making choose.
Medical artificial intelligence and abide card medicine are united in wedlock, say from the structure, it is the decision-making knowledge base of core in order to diagnose unit through proposing form, blend in mechanism of evidence of abide card medicine decision-making knowledge base as prior probability; Say from the process, basically be around diagnostic unit, with specific memory the technology that all over all previous realizes the collateral derivation of decision-making process, with alternant feedback technology implementation thinking is emulated, the stability that affirms with the spot the mechanism realizes reliability of this locality evidence is accumulated etc, reach much way thereby implementation is accurate decided purpose. Agree with a dot bothly to depend on: evidence of abide card medicine and prior probability beforehand buy goes in the knowledge base of medical artificial intelligence, evidence of medicine of contented abide card is specific to the avery kind of with medical instant and decision-making artificial intelligence the demand of judgement.
In addition, the effectiveness of evidence of abide card medicine and prior probability still decides the setting condition that produces at them, namely with this a group of things with common features group, this this this locality region, period of time, condition the dependency that wait, use capacity to their estimation with the person that use, cause its effectiveness [database of this locality of abide card medicine data-base of ＞ public document data-base of ＞ abroad document] , the abide card medicine that belongs to this locality because of this development is decision-making system, the evidence of abide card medicine to build and accumulating this locality is very beneficial. Especially population cardinal number of China is large, most masses still lies ‘ see a doctor difficult, see a doctor expensive ‘ in predicament, want to be able to enjoy the advantage that brings to abide card medicine generally, just come true possibly through artificial intelligence of computer medical science only.
Sum up from abide card medicine exterior practice kind, to the point that establishs resource of artificial intelligence interior to apply:
1) medicine belief: Individual experience is inferior to the doctor much person experience (evidence) come reliably.
2) knowledge origin: Much person experience originates the explicit search of IT.
3) eliminates a basis: The data amount that searchs is large, need undertakes technical eliminate. The basis that eliminate or adopts a letter depends on a certain value.
4) rubbish defines: Medical information content is big, the information that is aimed at specific patient accurately only ability is useful, other can be inspected rubbish.
5) immanent resource: The data that explicit search goes to, exist beforehand necessarily, build in-house database possibly to try to apply consequently.
6) conclusion: Build in-house database beforehand and decide prior probability, can realize demand of abide card medicine with artificial intelligence.
(unfinished to be continued)
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