• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文会议>Annual Hawaii International Conference on System Sciences >Using Intelligent Agents to Repurpose Administrative Data in Fostering Disease Prevention in an Outpatient Context: The Case of Pneumococcal Vaccination
【24h】

Using Intelligent Agents to Repurpose Administrative Data in Fostering Disease Prevention in an Outpatient Context: The Case of Pneumococcal Vaccination

机译：使用智能代理能够在门诊背景下促进疾病预防的行政数据：肺炎球菌疫苗接种的情况

获取原文
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

The use of intelligent agents is proposed as an economical way to repurpose administrative data in order to foster a program of disease prevention in an outpatient context. A retrospective computerized search was conducted using administrative hospital discharge data to identify patients admitted to a medical teaching unit who met the Canadian Immunization criteria for pneumococcal vaccination over a one-year period. For identification of persons eligible for pneumococcal vaccination, administrative discharge data was shown to have a sensitivity of 83%, (confidence interval [CI] 0.73-0.92) and a specificity of 78% CI (0.64-0.91), with a positive predictive value [PPV] of 87%, CI (0.83- 0.90) and a negative predictive value [NPV] of 72%, CI (0.58-0.86). This study demonstrates that administrative data appear promising as the basis for certain clinical applications. Specifically, the reasonably high specificity and sensitivity of diagnostic codes in administrative data could be utilized to trigger appropriate pneumococcal vaccination after hospital discharge among eligible patients who might otherwise never receive this efficacious intervention. Reminder systems in a hospital setting have received mixed results although positive results have been shown in several outpatient settings but using clinical data. Therefore, before a reminder system using administrative data in an outpatient context is implemented it seemed prudent to investigate this issue further.
机译：建议使用智能代理作为能够在门诊环境中培养疾病预防计划的经济学方法。使用行政医院放电数据进行了回顾性计算机化搜索，以识别患者录取的患者，达到了一年期间患有加拿大免疫标准的医学教学单位。为了鉴定有资格进行肺炎球菌疫苗接种的人，显示出的敏感性为83％，（置信区间[CI] 0.73-0.92），其特异性为78％CI（0.64-0.91），具有阳性预测值[PPV] 87％，Ci（0.83- 0.90）和72％，Ci（0.58-0.86）的负预测值[NPV]。本研究表明，行政数据看起来是某些临床应用的基础。具体地，可以利用行政数据中诊断码的合理性高的特异性和敏感性，以引发在符合条件的患者之间的出院后，否则可能从未收到这种有效干预的患者之间的适当肺炎球菌疫苗接种。医院设置中的提醒系统已收到混合结果，尽管在几种门诊设置中显示了阳性结果，但使用临床数据。因此，在使用外部上下文中使用管理数据的提醒系统之前，实施了似乎谨慎的是进一步调查这个问题。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号