基于PCA和随机森林的医院分诊模型研究OA
Research on Hospital Triage Model Based on PCA and Random Forest
目的 为解决传统分诊方法分诊效率不高,分诊不准确及隐私泄露的问题,建立一种智能分诊模型,以提高分诊的效率、准确度和隐私保护能力.方法 研究融合主成分分析法和随机森林算法设计分诊算法,并引入差分隐私和同态加密技术,构建出一种双重加密的医院急诊分诊模型.结果 研究设计的分诊算法在2个数据集测试中,分别在第4、17次迭代后完成收敛,拟合度分别为96.8%、98.4%,计算效率和分诊准确度方面均优于其他算法.研究模型的平均计算时间为0.43 s,分诊准确度在隐私保护总预算取值为0.01~5.00的区间内分诊准确度均高于其他分诊模型.应用急诊分诊模型前后就诊等待时间、分诊准确度、再入院率差异均有统计学意义(P<0.05),表明本研究模型明显提高了医院的分诊能力.结论 在保障患者隐私的情况下,本研究模型可以高效准确地完成分诊,提高医疗资源的利用率.
Objective To address the problems of low triage efficiency,inaccurate triage and privacy leakage in traditional triage methods,to establish an intelligent triage model,so as to enhance the efficiency,accuracy and privacy protection ability of triage.Methods The triage algorithm was designed by integrating principal component analysis and random forest algorithm,and differential privacy and homomorphic encryption technology were introduced to construct a dual-encrypted hospital emergency triage model.Results The triage algorithm designed in the study achieved convergence after the 4th and 17th iterations respectively in the tests on two datasets.The fitting degrees were 96.8%and 98.4%respectively.It outperformed other algorithms in terms of computational efficiency and triage accuracy.The average calculation time of the research model was 0.43 s.The triage accuracy was higher than that of other triage models within the range of the total budget value for privacy protection ranging from 0.01 to 5.00.There were statistically significant differences in the waiting time for consultation,triage accuracy and readmission rate before and after the application of the emergency triage model(P<0.05),indicating that the model in this study significantly improved the triage capacity of the hospital.Conclusion Under the condition of safeguarding patients'privacy,the model in this study can efficiently and accurately complete triage and improve the utilization rate of medical resources.
李璇
江苏省中医院(南京中医药大学附属医院)院长办公室,江苏 南京 210000
医药卫生
主成分分析法随机森林(RF)分诊模型差分隐私(DP)同态加密(HE)隐私泄露
principal component analysis(PCA)methodrandom forest(RF)triage modeldifferential privacy(DP)homomorphic encryption(HE)privacy leakage
《中国医疗设备》 2025 (8)
38-42,76,6
江苏省卫生经济学会2024年度卫生经济研究课题(JSWSJJ202409).
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