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http://earchive.tpu.ru/handle/11683/38204| Title: | The intellectual information system of medical aid control in the scope of Russian medical insurance |
| Authors: | Taranik, Maksim Alekseevich Silich, Viktor Alekseevich Silich, M. P. |
| Keywords: | интеллектуальные системы; информационные системы; системы контроля; медицинская помощь; медицинское страхование; контроль качества; медицинская помощь; страховые выплаты |
| Issue Date: | 2017 |
| Publisher: | IOP Publishing |
| Citation: | Taranik M. A. The intellectual information system of medical aid control in the scope of Russian medical insurance / M. A. Taranik, V. A. Silich, M. P. Silich // Journal of Physics: Conference Series. — 2017. — Vol. 803 : Information Technologies in Business and Industry (ITBI2016) : International Conference, 21–26 September 2016, Tomsk, Russian Federation : [proceedings]. — [012162, 5 p.]. |
| Abstract: | 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. |
| URI: | http://earchive.tpu.ru/handle/11683/38204 |
| Appears in Collections: | Материалы конференций |
Files in This Item:
| File | Description | Size | Format | |
|---|---|---|---|---|
| dx.doi.org-10.1088-1742-6596-803-1-012162.pdf | 574,71 kB | Adobe PDF | View/Open |
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