使用诊断的数学方法作为医疗机构有效管理的一个因素

O. Loginovskiy, D. Gilev
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摘要

本文介绍了疾病诊断的主要数学方法。首先,通过对问题的研究,得出诊断任务是任何医疗机构有效开展活动的最重要任务。方法。在理论部分,提出了主要的诊断模型,如判别分析和分类(聚类分析)。然后将判别分析方法应用于诊断系统,利用基本函数分解函数的方法,将医学问题简化为线性不等式系统。结果。在文章的最后,我们得出了重要的结论:解决这一问题的迭代方法主要是围绕线性修正法进行分组,最终的方法是围绕单纯形法进行分组。本文还讨论了在应用程序包中使用决策规则集合的问题。此外,作为一个实际的部分,我们考虑将所描述的方法应用于特定的医疗任务,即通过体征诊断原发性头痛。为了解决这个问题,我们构建了判别分析结果的决定性规则。出于这些目的,启用了Committee方法,并使用其他方法与之比较。结果表明,委员会方法具有较好的预测能力。结论。在结论中,作者谈到了医疗机构管理的一些细节,并强调了正确及时诊断的标准,作为主要标准之一,让我们从公共卫生的角度谈谈管理效率,这是评估医疗机构有效性的综合方法的核心。
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THE USE OF MATHEMATICAL METHODS OF DIAGNOSTICS AS A FACTOR OF EFFECTIVE MANAGEMENT OF A MEDICAL ORGANIZATION
This article introduces the main mathematical methods of diagnosis of diseases. At first, based on the study of the issue, it is concluded that the task of diagnostics is the most important task for the implementation of effective activities of any medical institution. Methods. Further, in the theoretical part, the main diagnostic models are formulated, such as discriminant analysis and taxonomy (cluster analysis). Then methods of discriminant analysis are applied for the diagnostic system, which allow reducing the medical problem to a system of linear inequalities, using the meth-od of decomposition of the function by basic functions. Results. At the end of the article, important conclusions are made that iterative methods for solving this problem are grouped mainly around the linear correction method, and final methods are grouped around the simplex method. The issue of using decision rule collectives in application packages is also discussed. Further, as a practical part, we consider the application of the described methods to a specific medical task, namely, the diagnosis of primary headaches by signs. To solve the problem, we construct the decisive rules that are the result of discriminant analysis. For these purposes, the Committee method is enabled, and other methods are used in comparison with it. The results show better predictive power for the Committee method. Conclusion. In the conclusion the author about kind of the specifics of mana¬gement of medical institutions, and highlighted the criterion of a correct and timely diagnosis – as one of the main, lets talk about the efficiency of management from the point of view of public health that is Central to an integrated approach of evaluating the effectiveness of medical organiza-tions.
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