| 基于数据挖掘的标准化医疗保险监控模型构建 |
| 修订日期：2014-12-03 点此下载全文 |
| 引用本文：梁俊,孙听雪,何小军等.基于数据挖掘的标准化医疗保险监控模型构建[J].医学信息学杂志,2015,36(3):42-46 |
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| 基金项目:浙江省人力资源和社会保障科学研究课题（项目编号：L2014A002）；浙江省医药卫生科技基金（项目编号：2013KYB140） |
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| 中文摘要:从数据集建立、模型设计、医保审核模型相关指标建立、原始数据集预处理、基于K-means的聚类特征生成、数据分类、后处理模块几方面介绍基于数据挖掘的标准化医疗保险监控模型构建，提高医疗费用审核效率，减少医疗资源浪费。 |
| 中文关键词:数据挖掘 医保费用 异常检测 |
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| Construction of Standardized Health Insurance Monitoring Model Based on Data Mining |
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| Abstract:The paper introduces the construction of standardized health insurance monitoring model based on data mining from the following aspects: data set establishment, model design, health insurance audition related indexes construction, original data set preprocessing, clustering feature generation based on K-means, data classification, post-processing model and so on, in order to improve audition efficiency of medical expenses and reduce the waste of medical resources. |
| keywords:Data mining Health insurance fee Abnormal detection |
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