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基于图像识别技术的医院拥挤度评估与院内资源配置

Hospital crowdedness evaluation and in-hospital resource allocation based on image recognition technology.

机构信息

School of Computing and Mathematical Sciences, The University of Leicester, University Road, Leicester, LE1 7RH, UK.

School of Public Health, School of Medicine, Shanghai Jiao Tong University, Shanghai, People's Republic of China.

出版信息

Sci Rep. 2023 Jan 6;13(1):299. doi: 10.1038/s41598-022-24221-6.

Abstract

How to allocate the existing medical resources reasonably, alleviate hospital congestion and improve the patient experience are problems faced by all hospitals. At present, the combination of artificial intelligence and the medical field is mainly in the field of disease diagnosis, but lacks successful application in medical management. We distinguish each area of the emergency department by the division of medical links. In the spatial dimension, in this study, the waitlist number in real-time is got by processing videos using image recognition via a convolutional neural network. The congestion rate based on psychology and architecture is defined for measuring crowdedness. In the time dimension, diagnosis time and time-consuming after diagnosis are calculated from visit records. Factors related to congestion are analyzed. A total of 4717 visit records from the emergency department and 1130 videos from five areas are collected in the study. Of these, the waiting list of the pediatric waiting area is the largest, including 10,436 (person-time) people, and its average congestion rate is 2.75, which is the highest in all areas. The utilization rate of pharmacy is low, with an average of only 3.8 people using it at the one time. Its average congestion rate is only 0.16, and there is obvious space waste. It has been found that the length of diagnosis time and the length of time after diagnosis are related to age, the number of diagnoses and disease type. The most common disease type comes from respiratory problems, accounting for 54.3%. This emergency department has congestion and waste of medical resources. People can use artificial intelligence to investigate the congestion in hospitals effectively. Using artificial intelligence methods and traditional statistics methods can lead to better research on healthcare resource allocation issues in hospitals.

摘要

如何合理配置现有医疗资源、缓解医院拥堵、改善患者体验,是所有医院都面临的问题。目前,人工智能与医疗领域的结合主要集中在疾病诊断领域,但在医疗管理方面缺乏成功的应用。我们通过医疗环节的划分来区分急诊科的各个区域。在空间维度上,在本研究中,通过卷积神经网络对视频进行图像处理,实时获取候诊人数。基于心理学和建筑学的拥堵率用于衡量拥挤程度。在时间维度上,从就诊记录中计算诊断时间和诊断后的耗时。分析与拥堵相关的因素。本研究共收集了急诊科的 4717 份就诊记录和五个区域的 1130 段视频。其中,儿科等候区的候诊人数最多,达 10436 人(人次),其平均拥堵率为 2.75,为所有区域中最高。药剂科的利用率较低,平均每次只有 3.8 人使用,其平均拥堵率仅为 0.16,存在明显的空间浪费。研究发现,诊断时间和诊断后时间的长短与年龄、诊断次数和疾病类型有关。最常见的疾病类型来自呼吸问题,占 54.3%。该急诊科存在医疗资源拥堵和浪费的情况。人们可以利用人工智能有效地调查医院的拥堵情况。使用人工智能方法和传统统计方法可以更好地研究医院的医疗资源配置问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2496/9822910/d59f78b38f73/41598_2022_24221_Fig1_HTML.jpg

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