The method of automatic assignment ICD codes based on semantic information

2020 ◽  
Vol 0 (10/2019) ◽  
pp. 17-23 ◽  
Author(s):  
Marcin Romaldowski
Keyword(s):  
Medical Care ◽  
Semantic Information ◽  
Optimization Methods ◽  
Code Assignment ◽  
Clinical Process ◽  
Automatic Assignment ◽  
Care Systems ◽  
Icd Codes ◽  
Modern Hospital ◽  
Mimic Iii

The paper presents the method of automatic assignment of ICD codes based on semantic information contained in clinical reports of the MIMIC-III database. It is showing the possibility of using multi-criteria optimization methods for simple classifiers fusion in a more precise classifiers complex. ICD code assignment is important in the modern hospital, more accurate automation of assigning codes will make the clinical process more efficient and can help clinicians carry out better diagnostics and effectively improve medical care systems.

scholarly journals Bottom-Up Approach to Establish Coordination Mechanisms for Disaster Preparedness Among Largely Private Health-Care Providers in Central Tokyo

2021 ◽  
pp. 1-9
Author(s):  
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Disaster Preparedness ◽  
Health Care Systems ◽  
Health Care Personnel ◽  
Coordination Mechanisms ◽  
Care Providers ◽  
Bottom Up ◽  
Care Systems ◽  
The City

Abstract In Japan, despite its private-dominant and disjointed health-care system, national initiatives to coordinate various types of health-care facilities are lacking. Municipal governments manage this task with limited resources. This study describes a successful example of a bottom-up approach to create city-wide collaboration for disaster preparedness. In Minato City, located in central Tokyo, a group of physicians created a project involving a city-wide disaster medical care drill. The city Public Health Center, in charge of health-care systems including disaster medicine, helped the group to increase proponents of the project. The city-wide disaster drill started in November 2017; thereafter, the drills were held every year. Participation in drills by various health-care personnel helped establish a city-wide system for disaster medical care, coordination mechanisms among stakeholders, increased motivation among health-care personnel, and development of in-hospital systems. This approach is flexible and applicable to various forms of health-care systems in other areas.

scholarly journals PATIENT-CENTERED MEDICINE: BACKGROUND TO THE TRANSFORMATION AND COMPONENTS

2019 ◽  
Vol 23 (1) ◽  
pp. 104-114 ◽  
Author(s):  
R. A. Khalfin ◽  
V. V. Madyanova ◽  
O. E. Kachkova ◽  
I. D. Demina ◽  
T. I. Krishtaleva ◽  
...  
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Health Care Systems ◽  
Developed Countries ◽  
The European Union ◽  
Patient Centered ◽  
Foreign Countries ◽  
Care Systems ◽  
Patient Centered Medicine ◽  
Quality Of Medical Care

Purpose of the study. To analyze the concept of creating patient-oriented medicine, the prerequisites for its emergence, the difficulties of introducing it into existing health systems based on foreign experience. Materials and methods. The main materials of the study were used sources of foreign literature, which presents the concept of patient-oriented medicine, analyzed the prerequisites for changing models of health care in the European Union, USA and Asia in accordance with the principles of patient-oriented medicine, as well as data on the components and levels of patient-oriented medicine in foreign countries Results. The analyzed literature quite fully describes the difficulties of introducing patient-oriented medicine into existing health care systems. Particular attention should be paid to a multidisciplinary approach, continuity at different levels of medical care and effective communication between the physician and the patient towards the integration of this model into clinical practice. The analysis of the availability of medical care in developed countries and its dependence on social status, ethnicity and disease of the patient. Conclusion. Patient-oriented medicine is a new model for planning, implementing and evaluating medical services, which is based on mutually beneficial partnerships between medical workers, patients and their families. Taking into account the current problems of domestic health care, the introduction of the patient-oriented model will significantly improve the quality of medical care provided to the population of our country. Globally, the implementation of the principles of this model is far from complete. In the Russian Federation, targeted work in this direction requires additional scientific research, systematization of available data, and development of new legal documents

Amendments to the Constitution of the Russian Federation: Dictated Necessity and Consequences in the Conditions of the Modern World

2021 ◽  
Author(s):  
V.V. Chuksina ◽  
◽  
K.A. Mirvoda ◽  
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Russian Federation ◽  
Local Governments ◽  
Health Care Systems ◽  
Modern World ◽  
Depth Analysis ◽  
Care Systems ◽  
The Russian Federation ◽  
The Impact

The subject of this article is Law of the Russian Federation on Amendments to the Constitution of the Russian Federation (14.03.2020 No. 1-Federal Constitutional Law) «On improving the regulation of certain issues of the public power organization and functioning», namely, aspects of «coordination of health care» and «protection of the family, motherhood and childhood». The authors analyzed the issues of the medical care provision centralization, the impact of these amendments on the legal capacity of citizens. For a more in-depth analysis, the experience of foreign countries (Canada and Germany) was used. Despite the fact that the health care systems of the countries cited as an example differ in their essence and organization, nevertheless, they influence the formation of the availability of medicine for the population. As a result of the study of this experience, it was concluded that the delegation of freedom in the provision of medical care to lower levels of government allows to provide to the population affordable and high-quality medical care. It is noted that at present it is necessary to review the degree of participation of local governments in ensuring the availability of medical care in accordance with the federal law.

Moving Forward: No Scientific Integrity without an Acknowledgment of Past Wrongs

2020 ◽  
Vol 44 (3) ◽  
pp. 87-90
Author(s):  
Felicia Schanche Hodge
Keyword(s):  
Medical Care ◽  
Patient Care ◽  
Scientific Integrity ◽  
Good Patient ◽  
Good Patient Care ◽  
Care Systems ◽  
Past Wrongs

Trust is essential for good patient care. Abuses in research and in medical care undermines trust in governmental medical care systems. Restoring trust involves acknowledging and correcting past harms to communities and individuals.

On Assessing the Performance of Medical Care Systems

Medical Care ◽  
1982 ◽  
Vol 20 (1) ◽  
pp. 122
Author(s):  
James I. Hudson
Keyword(s):  
Medical Care ◽  
Care Systems

Relationship of Size and Payment Mechanism to System Performance in 11 Medical Care Systems

Medical Care ◽  
1982 ◽  
Vol 20 (7) ◽  
pp. 676-690 ◽  
Author(s):  
Paul A. Nutting ◽  
Barton R. Burkhalter ◽  
Duane L. Dietrick ◽  
Edward F. Helmick
Keyword(s):  
Medical Care ◽  
System Performance ◽  
Payment Mechanism ◽  
Care Systems ◽  
Relationship Of

scholarly journals A COMPARATIVE STUDY ON TWO MEDICAL CARE SYSTEMS FOR GASTRIC AND DUODENAL DISEASES IN INDUSTRY

Sangyo Igaku ◽  
1969 ◽  
Vol 11 (10) ◽  
pp. 517-522
Author(s):  
Tadashi ASANO ◽  
Tetsuzo NISHIHARA ◽  
Ichiro TAGUCHI ◽  
Juntaro IWAMA ◽  
Taro AKIBA ◽  
...  
Keyword(s):  
Comparative Study ◽  
Medical Care ◽  
Care Systems

scholarly journals Disaster and Mass Casualty Incident Responses by Doctor Car

2019 ◽  
Vol 34 (s1) ◽  
pp. s121-s121
Author(s):  
Masamune Kuno ◽  
Kensuke Suzuki ◽  
Kyoko Unemoto ◽  
Takashi Tagami ◽  
Fumihiko Nakayama ◽  
...  
Keyword(s):  
Medical Care ◽  
Prehospital Care ◽  
Mass Casualty Incident ◽  
Mass Casualty ◽  
Medical Team ◽  
First Case ◽  
The Disabled ◽  
Care Systems ◽  
Prehospital Medical Care ◽  
Under Construction

Introduction:Ambulances with physicians, known as Doctor Car, and Tokyo DMAT are the two prehospital care systems responsible for medical team dispatch in the Tokyo area. While there are 25 designated hospitals for DMAT, Doctor Car is only available at four hospitals. Our hospital incorporates both systems. While the prehospital care system must be utilized at the time of disaster, Doctor Car was dispatched 418 times in 2017, and the use of DMAT is less than ten times per year.Aim:To review the past disaster responses of our hospital.Methods:The study reviews three cases where our hospital responded to mass casualty incidents and disasters with either Doctor Car or DMAT. The first case was the treatment of crush syndrome caused by a collapsed parking slope. It took more than 24 hours for the rescue, in which the team treated patients during transport and at the hospital. The second case was our response to a mass stabbing incident committed at a facility for the disabled. In collaboration with the onsite rescue team, we conducted triage, hemostasis, transfusion, etc. The third case was caused by a fire in a building under construction. We provided treatments like triage and tracheal intubation on the spot.Results:Because paramedics are allowed to conduct only a limited amount of treatments, dispatch of the medical team to the site is effective.Discussion:For a medical team to be effective at the dispatched site, the team must be accustomed not only to the specific need of medical care during disasters but also prehospital medical care, which may include the abilities to ensure safety during transport and on-site and adapt to the prehospital environment. Doctor Car is a useful way to realize such abilities.

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