Informational Support of Automated Quality Management Systems for Medical Service Provision Based on the Prognosis of the Patient Affects Outcome in Social Emergencies

Y. Mikhailov, A. Budrin, E. Budrina, S. Kovalchuk, A. Soldatova, R. Lemeshkin
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引用次数: 1

Abstract

The conceptual issues of automated systems informational support for managing the quality of medical care in the long-term period are considered and informational flows concerning the features of patients affects in emergency situations of social nature are apprized. The elements of informational support indicate the medical-evacuation characteristics of the wounded, as well as the assessment of their effect on the length of stay at the stages of medical evacuation that are considered as indicators of medical service quality. Medical-statistical analysis using discriminant and survival analysis with the construction of linear discriminant functions, and function models of the withdrawal (completion of treatment) were used as supportive elements. A discriminant model has been developed including factors that influence significantly on the treatment outcome with distant prognosis of the wounded “promising to return” in the act of terrorism. A model of the length of stay in medical organizations has also been constructed.
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基于患者预后的医疗服务自动化质量管理系统的信息支持影响社会紧急事件的结果
考虑了自动化系统信息支持的概念问题,以长期管理医疗质量,并对社会性质紧急情况下患者影响特征的信息流进行了评价。信息支助要素表明伤员的医疗后送特点,以及对这些特点对医疗后送各阶段停留时间的影响的评估,这些停留时间被视为医疗服务质量的指标。采用判别和生存分析的医学统计分析,构建线性判别函数,并使用停药(治疗完成)的函数模型作为支持因素。建立了一个判别模型,其中包括对恐怖主义行为中"承诺返回"的伤者的治疗结果和远期预后有重大影响的因素。还构建了医疗机构住院时间模型。
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