The intellectual information system of medical aid control in the scope of Russian medical insurance / M. A. Taranik, V. A. Silich, M. P. Silich
Уровень набора: (RuTPU)RU\TPU\network\3526, Journal of Physics: Conference SeriesЯзык: английский.Резюме или реферат: The article presents the developed intellectual information system, oriented for healthcare providers. The system solves a problem of medical aid quality control in the Russian medical insurance sphere. The main components are ISO13606, fuzzy logic and a case-based reasoning concept. The system provides medical insurance payments forecasting by the analysis of medical records and generates two evaluations based on medical standards and a set of precedents. The result of the system implementation allowed up to a 10% increase in insurance payments for the healthcare provider..Примечания о наличии в документе библиографии/указателя: [References: 13 tit.].Тематика: электронный ресурс | труды учёных ТПУ | интеллектуальные системы | информационные системы | системы контроля | медицинская помощь | медицинское страхование | контроль качества | медицинская помощь | страховые выплаты Ресурсы он-лайн:Щелкните здесь для доступа в онлайн | Щелкните здесь для доступа в онлайнНет реальных экземпляров для этой записи
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[References: 13 tit.]
The article presents the developed intellectual information system, oriented for healthcare providers. The system solves a problem of medical aid quality control in the Russian medical insurance sphere. The main components are ISO13606, fuzzy logic and a case-based reasoning concept. The system provides medical insurance payments forecasting by the analysis of medical records and generates two evaluations based on medical standards and a set of precedents. The result of the system implementation allowed up to a 10% increase in insurance payments for the healthcare provider.
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