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罕见病健康移民的文献综述——基于机器学习的视角。

Literature Review on Health Emigration in Rare Diseases-A Machine Learning Perspective.

机构信息

Department of Organization and Management, Institute of Management, University of Szczecin, Cukrowa 8 Street, 71-004 Szczecin, Poland.

Department of Marketing Research, Faculty of Management, Wroclaw University of Economics and Business, 118/120 Komandorska Str, 53-345 Wroclaw, Poland.

出版信息

Int J Environ Res Public Health. 2023 Jan 30;20(3):2483. doi: 10.3390/ijerph20032483.

Abstract

The article deals with one of the effects of health inequalities and gaps in access to treatments for rare diseases, namely health-driven emigration. The purpose of the paper is to systematize knowledge about the phenomenon of health emigration observed among families affected by rare diseases, for which reimbursed treatment is available, but only in selected countries. The topic proved to be niche; the issue of "health emigration in rare diseases" is an area for exploration. Therefore, the further analysis used text mining and machine learning methods based on a database selected based on keywords related to this issue. The results made it possible to systematize the guesses made by researchers in management and economic fields, to identify the most common keywords and thematic clusters around the perspective of the patient, drug manufacturer and treatment reimbursement decision-maker, and the perspective integrating all the others. Since the topic of health emigration was not directly addressed in the selected sources, the authors attempted to define the related concepts and discussed the importance of this phenomenon in managing the support system in rare diseases. Thus, they indicated directions for further research in this area.

摘要

这篇文章探讨了健康不平等和获得罕见病治疗机会差距的影响之一,即健康驱动的移民。本文的目的是对观察到的受罕见病影响的家庭中存在的健康移民现象进行系统化,这些家庭有可报销的治疗方法,但仅在某些国家提供。该主题被证明是利基性的;“罕见病中的健康移民”问题是一个有待探索的领域。因此,进一步的分析使用了基于基于与该问题相关的关键字选择的数据库的文本挖掘和机器学习方法。结果使研究人员在管理和经济领域的猜测得以系统化,确定了从患者、药品制造商和治疗报销决策者的角度以及整合所有其他角度来看最常见的关键字和主题集群。由于所选来源中并未直接涉及健康移民的主题,因此作者试图定义相关概念,并讨论了在管理罕见病支持系统方面,这一现象的重要性。因此,他们为该领域的进一步研究指明了方向。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/69ef/9915846/e93280c50b64/ijerph-20-02483-g001.jpg

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