随着“互联网＋”与社会生活日益紧密，人们对医院信息化建设的期待 不同以往。以病人为中心，推广多学科诊疗模式，以“互联网+”为手段，建 设智慧医院已是大势所趋，中国医院也由此进入全新的数字化医院发展的智 慧医院阶段。对于A医院而言，目前已经基本具备信息化管理的软件与硬件 基础，符合相关部门的要求。但是医院排队久、挂号难、就诊短一直为患者 所诟病，而在这个过程中可能会引发许多不必要的医疗纠纷。通过对患者就 医进行智能化管理、引进各类智能化的设施设备缩短患者的就诊等候时间， 是A医院关注的重要问题。 本文对A医院就医管理中存在的问题以及智能化就医管理的提升策略进 行了研究。本文对患者就医体验的影响因素以及就医信息化的理论以及文献 进行了综述；其次，本文采用问卷及访谈法，从就医人员的视角出发进行问 卷调查。本文通过搜集相关数据，诊断了目前A医院就医管理中存在的问题 以及成因。目前A医院就医管理中存在就诊时间短、分诊准确率低、历史病 历查询慢等问题，而造成这些问题的主要原因在于A医院就医智能化管理存 在不足；第三，为了提高A医院的就医管理智能化水平，本文设计了基于深 度学习的智能分诊模型、基于知识图谱的智能问诊模型以及基于自然语言处 理的电子病历关键信息抽取模型，通过这些智能化技术的使用有效提升A医 院的就医管理智能化水平，对A医院的就医管理瓶颈进行了改善；最后，本 文提出从组织结构、资金、人力资源等方面保障A医院就医管理智能化的实 施。 关键词：智能化就医管理；智能分诊；智能问诊；电子病历关键信息自 动抽取 5 Abstract Withtheincreasinglycloserelationshipbetween"Internet+"andsociallife, people'sexpectationforhospitalinformatizationconstructionisdifferentfromthe past.RepresentthegeneraltrendofChina'shospitalbasedonInternetplus.For hospitala,atpresent,ithasbasicsoftwareandhardwarefoundationofinformation management,whichmeetstherequirementsofrelevantdepartments.Butthe hospitalhasbeencriticizedbypatientsforitslongqueue,difficultregistrationand shorttreatment,whichmayleadtomanyunnecessarymedicaldisputesinthis process.Itisanimportantissueforhospitalatoreducethewaitingtimeofpatients throughintelligentmanagementofpatientsandintroductionofvariousintelligent facilitiesandequipment. ThispaperstudiestheproblemsexistinginhospitalA'smedicalmanagement andthepromotionstrategiesofintelligentmedicalmanagement.Inthispaper,the influencingfactorsofpatients'medicalexperience,thetheoryofmedical informationandliteraturewerestudied;secondly,questionnaireandinterview wereusedtoinvestigatefromtheperspectiveofmedicalpersonnel.Bycollecting relevantdata,thispaperdiagnosestheexistingproblemsandcausesinhospitalA's medicalmanagement.Atpresent,therearesomeproblemsinhospitalA'smedical treatmentmanagement,suchasshorttreatmenttime,lowaccuracyoftriageand slowqueryofhistoricalmedicalrecords.Themainreasonfortheseproblemslies inthedeficiencyofhospitalA'sintelligentmanagementofmedicaltreatment. Thirdly,inordertoimprovethelevelofhospitala'sintelligentmanagementof medicaltreatment,thispaperdesignsintelligenttriagemodelbasedondeep learningandintelligentquerymodelbasedonknowledgemapAndthekey informationextractionmodelofelectronicmedicalrecordsbasedonnatural languageprocessing,throughtheuseoftheseintelligenttechnologiesto effectivelyimprovethelevelofhospitalA'smedicalmanagementintelligence,and improvethebottleneckofhospitalA'smedicalmanagement;finally,thispaper proposestoguaranteetheimplementationofhospitalA'smedicalmanagement 6 intelligencefromtheaspectsoforganizationalstructure,capital,humanresources, etc. Keywords:IntelligentMedicalManagement;IntelligentTriage;Intelligent Consultation;AutomaticExtractionofKeyInformationofEMR 7 目录 1绪论.......................................................................................................................1 1.1研究背景与研究意义...................................................................................1 1.1.1研究背景...............................................................................................1 1.1.2研究意义...............................................................................................3 1.2文献综述.......................................................................................................3 1.2.1患者就医体验影响因素的研究............................................................3 1.2.2患者就医信息化研究...........................................................................4 1.2.3文献述评...............................................................................................5 1.3研究目标与结构...........................................................................................5 1.3.1研究目标...............................................................................................5 1.3.2本文结构...............................................................................................6 1.4研究思路与研究方法...................................................................................6 1.4.1研究思路...............................................................................................6 1.4.2研究方法...............................................................................................7 2概念界定、理论基础及相关技术.......................................................................8 2.1就医管理概念界定.......................................................................................8 2.2患者满意度理论...........................................................................................8 2.3相关技术.....................................................................................................10 2.3.1人工智能技术.....................................................................................10 2.3.2模型评价.............................................................................................10 2.4本章小结......................................................................................................12 3A医院患者就医管理现状分析及存在问题研究..............................................13 3.1A医院就医管理现状..................................................................................13 3.1.1A医院就医管理基础设施现状..........................................................13 3.1.2A医院就医管理信息化建设现状......................................................14 3.1.3A医院就医管理流程现状..................................................................14 3.2A医院患者就医管理问卷调查..................................................................17 3.2.1问卷设计.............................................................................................17 3.2.2基本统计.............................................................................................19 3.3A医院就医管理存在问题分析..................................................................22 3.3.1医务人员交流时间较少.....................................................................22 3.3.2分诊满意度较低.................................................................................23 8 3.3.3历史病历查询不方便.........................................................................23 3.4A医院就医管理存在问题成因分析..........................................................23 3.5本章小结.....................................................................................................25 4患者就医智能化管理在A医院的应用研究.....................................................26 4.1就医智能化管理应用的原则与思路.........................................................26 4.2智能分诊策略的设计与应用.....................................................................27 4.2.1问题定义.............................................................................................27 4.2.2深度学习介绍.....................................................................................28 4.2.3使用深度学习的可行性分析..............................................................29 4.2.4基于深度学习的智能分诊模型设计.................................................29 4.2.5智能分诊模型在A医院的应用.........................................................32 4.3智能问诊策略的设计与应用........................................................