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疾病管理背景下预测模型的准确性。

Accuracy of prediction models in the context of disease management.

作者信息

Hu Guizhou, Root Martin

机构信息

BioSignia Inc., 1822 E. NC Highway 54, Suite 350, Durham, NC 27713, USA.

出版信息

Dis Manag. 2005 Feb;8(1):42-7. doi: 10.1089/dis.2005.8.42.

DOI:10.1089/dis.2005.8.42
PMID:15722703
Abstract

There has been a significantly increased interest in the adoption of prediction modeling by many disease and case management programs to risk stratify members in order to optimize the utilization of available clinical resources. Before adopting any prediction model, it is critical to understand how to evaluate the model's accuracy. This paper explains the basic concepts of prediction accuracy, the relevant parameters, their drawbacks, and their interpretations. It also introduces a new accuracy parameter termed "cost concentration," which indicates the model accuracy more explicitly in the context of disease management.

摘要

许多疾病和病例管理项目对采用预测模型进行风险分层以优化可用临床资源的利用表现出了显著增加的兴趣。在采用任何预测模型之前,了解如何评估模型的准确性至关重要。本文解释了预测准确性的基本概念、相关参数、它们的缺点及其解释。它还引入了一个新的准确性参数,称为“成本集中度”,该参数在疾病管理背景下更明确地表明了模型的准确性。

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引用本文的文献

1
Comparison of alternative risk adjustment measures for predictive modeling: high risk patient case finding using Taiwan's National Health Insurance claims.替代风险调整措施在预测模型中的比较:使用台湾全民健康保险理赔数据进行高风险患者的病例发现。
BMC Health Serv Res. 2010 Dec 20;10:343. doi: 10.1186/1472-6963-10-343.
2
An in-depth assessment of a diagnosis-based risk adjustment model based on national health insurance claims: the application of the Johns Hopkins Adjusted Clinical Group case-mix system in Taiwan.基于国民健康保险理赔的诊断为基础的风险调整模型的深入评估:约翰霍普金斯调整临床群组病例组合系统在台湾的应用。
BMC Med. 2010 Jan 18;8:7. doi: 10.1186/1741-7015-8-7.