| 基于数据挖掘的标准化医疗保险监控模型构建 |
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| 引用本文： | 梁俊,孙听雪,何小军等. 基于数据挖掘的标准化医疗保险监控模型构建[J]. 医学信息学杂志, 2015, 36(3): 42-46 |
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| 作者姓名： | 梁俊 孙听雪 何小军等 |
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| 作者单位： | 浙江大学医学院附属第二医院,浙江大学医学院附属邵逸夫医院,浙江医学高等专科学校 |
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| 基金项目： | 浙江省人力资源和社会保障科学研究课题（项目编号：L2014A002）;浙江省医药卫生科技基金（项目编号：2013KYB140） |
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| 摘 要： | 从数据集建立、模型设计、医保审核模型相关指标建立、原始数据集预处理、基于K-means的聚类特征生成、数据分类、后处理模块几方面介绍基于数据挖掘的标准化医疗保险监控模型构建,提高医疗费用审核效率,减少医疗资源浪费。
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| 关 键 词： | 数据挖掘 医保费用 异常检测 |
| 修稿时间： | 2014-12-03 |
Construction of Standardized Health Insurance Monitoring Model Based on Data Mining |
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| LIANG Jun,SUN Ting-xue,HE Xiao-jun,etal. Construction of Standardized Health Insurance Monitoring Model Based on Data Mining[J]. Journal of Medical Informatics, 2015, 36(3): 42-46 |
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| Authors: | LIANG Jun SUN Ting-xue HE Xiao-jun etal |
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| Abstract: | The paper introduces the construction of standardized health insurance monitoring model based on data mining from the following aspects: data set establishment, model design, health insurance audition related indexes construction, original data set preprocessing, clustering feature generation based on K-means, data classification, post-processing model and so on, in order to improve audition efficiency of medical expenses and reduce the waste of medical resources. |
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| Keywords: | Data mining Health insurance fee Abnormal detection |
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