جستجوی مقالات مرتبط با کلیدواژه "forecast" در نشریات گروه "پزشکی"
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Background
Health indicators are often used for a variety of purposes, including program management, re-source allocation, monitoring of country progress, performance-based payment, and global reporting.Real pro-gress in health towards the United Nations Millennium Development Goals and other national health priorities is vitally dependent on stronger health systems. We aimed to analyse the progress of “birth related indicators” of selected countries of Balkan and Eastern Europe and to forecast their values in the future.
MethodsThis research report article represents a descriptive data analysis of selected health indicators, ex-tracted from European Health for All database (HFA-DB) and EuroStat. Indicators of interest were analysed for 17 countries in observational period from 1990 to 2019. The data were analysed usinga linear trend estimate and median operation and interquartile range 25th–75th percentile were used for better comparison of each country. Forecasting analysis to year 2025 was performed by combining Excel analysis and SPSS program.
ResultsNumber of all live births to mothers aged under 20 is decreasing in almost all examined countries,while live births to mother over 35 is mostly increasing. Total fertility rate is also mainly decreasing in almost all countries of interest for our investigation, as well as the crude birth rate.Estimated infant mortality per 1000 live births is decreasing in all observed countries.
ConclusionPopulation aging is becoming more pronounced, while current birth-related indicators have nega-tive tendencies; this problem will obviously continue over time.
Keywords: Health indicators, Birth indicators, Balkan countries, South Eastern countries, Forecast -
Background Health impact assessment (HIA) is a widely used process that aims to identify the health impacts, positive or negative, of a policy or intervention that is not necessarily placed in the health sector. Most HIAs are done prospectively and aim to forecast expected health impacts under assumed policy implementation. HIAs may quantitatively and/or qualitatively assess health impacts, with this study focusing on the former. A variety of quantitative modelling methods exist that are used for forecasting health impacts, however, they differ in application area, data requirements, assumptions, risk modelling, complexities, limitations, strengths, and comprehensibility. We reviewed relevant models, so as to provide public health researchers with considerations for HIA model choice.Methods Based on an HIA expert consultation, combined with a narrative literature review, we identified the most relevant models that can be used for health impact forecasting. We narratively and comparatively reviewed the models, according to their fields of application, their configuration and purposes, counterfactual scenarios, underlying assumptions, health risk modelling, limitations and strengths.Results Seven relevant models for health impacts forecasting were identified, consisting of (i) comparative risk assessment (CRA), (ii) time series analysis (TSA), (iii) compartmental models (CMs), (iv) structural models (SMs), (v) agentbased models (ABMs), (vi) microsimulations (MS), and (vii) artificial intelligence (AI)/machine learning (ML). These models represent a variety in approaches and vary in the fields of HIA application, complexity and comprehensibility. We provide a set of criteria for HIA model choice. Researchers must consider that model input assumptions match the available data and parameter structures, the available resources, and that model outputs match the research question, meet expectations and are comprehensible to end-users.Conclusion The reviewed models have specific characteristics, related to available data and parameter structures, computational implementation, interpretation and comprehensibility, which the researcher should critically consider before HIA model choice.
Keywords: Health Impact Assessment, Ex-Ante Impact Evaluation, Forecast, Modelling, Policy -
مقدمه
تامین دقیق منابع مالی به منظور مدیریت بهتر هزینه ها یکی از دغدغه های اصلی مدیران سازمان ها است. سازمان بیمه سلامت ایران با عنوان یکی از بزرگ ترین سازمان های بیمه گر پایه از این امر مستثنا نبوده و قطعا برای تامین منابع مالی و اخذ بودجه های لازم در حوزه درمان خود، نیازمند شناسایی و پیش بینی دقیق هزینه های درمان است. استفاده از روش های مبتنی بر یادگیری ماشین به منظور ایجاد مدل پیش بینی هزینه های درمان میتواند کمک بزرگی به تامین دقیق تر منابع مالی نماید.
روش بررسیاین پژوهش با استفاده از داده های هزینه ای موجود در سامانه اسنادپزشکی استان های سازمان طی سال های 1385 تا 1398 و با استفاده از روش های SARIMAX و LSTM، مدل و روشی را برای پیش بینی هزینه های سازمان ارایه داده است. این روش می تواند به پیش بینی دقیق تر هزینه های سازمان کمک نماید.
یافته هامشخص کردن روش با کارایی بهتر بر اساس شاخص MAPE به تنهایی جوابگوی ایجاد مدل مطلوب نبوده؛ لذا با ایجاد یک روش ترکیبی و استفاده از معیار درصد تحقق پیش بینی، مدل مطلوب برای پیش بینی هزینه ها ارایه شده است.
نتیجه گیریبا توجه به ضرورت داشتن روش علمی به منظور پیش بینی دقیقتر هزینه های سازمان، روش و مدل پیشنهاد شده توانست با حداقل خطا نسبت به خطاهای پذیرفته شده در فرآیندهای دستی، هزینه های سازمان را پیش بینی نماید.
کلید واژگان: سازمان بیمه سلامت ایران, هزینه های درمانی, پیش بینی, یادگیری ماشین, سری زمانیIntroductionAccurate funding in order to better manage costs is one of the main concerns of managers. The Health Insurance Organization of Iran, as one of the largest basic insurance organizations, is no exception to this and certainly needs to identify and accurately predict the costs of treatment in order to provide financial resources and obtain the necessary funds in its field of treatment. Using machine learning methods to create a model for predicting treatment costs can be a great help in accurately financing.
MethodsThis study has provided a model and method for predicting the costs of the organization by using the cost data available in the medical documentation systems of the provinces of the organization during the years 2007 to 2020 and using the SARIMAX and LSTM methods. This method can help to more accurately predict the costs of the organization.
ResultsDetermining the method with better performance based on the MAPE index alone did not meet the desired model; therefore, by creating a combined method and using the criterion of percentage of realization of the forecast, the optimal model for cost forecasting is presented.
ConclusionDue to the need for a scientific method to more accurately predict the costs of the organization, the proposed method and model was able to predict the costs of the organization with minimal errors compared to the errors accepted in manual processes.
Keywords: Iran Health Insurance Organization, Medical Expenditure, Forecast, Machine Learning, Time Series -
Background
The outbreak of COVID-19 is rapidly spreading around the world and became a pandemic disease. For help to better planning of interventions, this study was conducted to forecast the number of daily new infected cases with COVID-19 for next thirty days in Iran.
MethodsThe information of observed Iranian new cases from 19th Feb to 30th Mar 2020 was used to predict the number of patients until 29th Apr. Artificial Neural Networks (ANN) and Auto-Regressive Integrated Moving Average (ARIMA) models were applied for prediction. The data was prepared from daily reports of Iran Ministry of Health and open datasets provided by the JOHN Hopkins. To compare models, dataset was separated into train and test sets. Mean Squared Error (MSE) and Mean Absolute Error (MAE) was the comparison criteria.
ResultsBoth algorithms forecasted an exponential increase in number of newly infected patients. If the spreading pattern continues the same as before, the number of daily new cases would be 7872 and 9558 by 29th Apr, respectively by ANN and ARIMA. While Model comparison confirmed that ARIMA prediction was more accurate than ANN.
ConclusionCOVID-19 is contagious disease, and has infected many people in Iran. Our results are an alarm for health policy planners and decision-makers, to make timely decisions, control the disease and provide the equipment needed.
Keywords: COVID-19, Forecast, Artificial neural network, Iran -
Background
Coronavirus, the cause of severe acute respiratory syndrome (COVID-19), is rapidly spreading around the world. Since the number of corona positive patients is increasing sharply in Iran, this study aimed to forecast the number of newly infected patients in the coming days in Iran.
MethodsThe data used in this study were obtained from daily reports of the Iranian Ministry of Health and the datasets provided by the Johns Hopkins University including the number of new infected cases from February 19, 2020 to March 21, 2020. The autoregressive integrated moving average (ARIMA) model was applied to predict the number of patients during the next thirty days.
ResultsThe ARIMA model forecasted an exponential increase in the number of newly detected patients. The result of this study also show that if the spreading pattern continues the same as before, the number of daily new cases would be 3574 by April 20.
ConclusionSince this disease is highly contagious, health politicians need to make decisions to prevent its spread; otherwise, even the most advanced and capable health care systems would face problems for treating all infected patients and a substantial number of deaths will become inevitable
Keywords: COVID19, Forecast, Iran -
مقدمهسیاست گذاران حوزه سلامت جهت به کارگیری بهترین فناوری ها باید اطلاعات کافی از پیشرفت های کنونی و آینده داشته باشند. هدف از این مطالعه، مروری بر مطالعات آینده پژوهی در حوزه فناوری اطلاعات سلامت بود.روشاین مطالعه از نوع مروری بود که در سال 1394 انجام شد. به منظور دستیابی به مقالات مرتبط، پایگاه های اطلاعاتی Scopus، Web of Science، ProQuest، Ovid و PubMed در محدوده سال های 2000 تا 2015 مورد بررسی قرار گرفتند.نتایجتعداد 11 مطالعه برای بررسی انتخاب گردید. مطالعات به دو دسته پیش بینی آینده (7 مطالعه) و آینده نگاری فناوری اطلاعات سلامت (4 مطالعه) تقسیم شدند. به منظور بررسی اهداف بزرگ و آینده بلند مدت بهتر است از رویکرد آینده نگاری استفاده گردد.نتیجه گیریمطالعات آینده نگاری می تواند برای تصمیم گیری و سیاست گذاری در حوزه فناوری اطلاعات سلامت به ویژه در سطح ملی مورد استفاده قرار گیرند.کلید واژگان: فناوری اطلاعات سلامت, آینده نگاری, پیش بینی, تصمیم گیری, سیاست گذاریIntroductionIn order to adopt the right technologies, policy makers should have adequate information about the present and future advances. This study aimed to review future studies in the field of health information technology.MethodThis review study was conducted in 2015. The databases including Scopus, Web of Science, ProQuest, Ovid Medline, and PubMed were sought between 2000 and 2015.Results11 papers were selected for the study. The papers were divided into two groups: forecasting the future of health information technology (n=7) and health information technology foresight (n=4). According to the results, it is better to use foresight approach for big and long-term goals.ConclusionThe results of foresight studies can be useful for making decision and policy-making in the field of health information technology, particularly at the national level.Keywords: Health information technology, Foresight, Forecast, Decision making, Policy making
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IntroductionIran’s western provinces have higher suicide rate compared to the other provinces of the country. Although suicide rates fluctuate over time, suitable statistical models can describe their underlying stochastic dynamics.MethodsThis study was conducted to explore the fluctuations of the monthly suicide rates in the most populated western province of Iran using exponential
smoothing state space model to compute the forecasts. For this reason, the monthly frequencies of completed suicides were converted to rates per 100,000 and a state‑space approach was identifed and ftted to the monthly suicide rates. Diagnostic checks were performed to determine the adequacy of the ftted model.ResultsA signifcant seasonal variation was detected in completed suicide with a peak in August. Diagnostic checks and the time series graph of the observed monthly suicide rates against predicted values from the ftted model showed that in the study period (from March 2006 to September 2013), the observed and predicted values were in agreement. Thus, the model was used to obtain the short‑term forecasts of the monthly suicide rates.ConclusionsIn this study, we had no signifcant trend but seasonal variations in the suicide rates that were identifed. However, additional data from other parts of the country with longer duration are needed to visualize the reliable trend of suicide and identify seasonality of suicide across the countryKeywords: Exponential smoothing state space model, forecast, suicide, time series -
Background
Accurate economic forecast has important effects on governmental policy and economic planning, and it can help policymakers to make decisions for future and create new infrastructures for the development of new forecasting methods. This study calculated total health expenditure, public health expenditure and out of pocket (OOP) payment for 2016-2020.
MethodsAutoregressive Integrated Moving Average Process (ARIMA) is one of the most important forecasting models. In this study, five-year values were forecasted using EViews8 software according to health expenditures in Iran from 1971 to 2015.
ResultsApplying annual data for total health expenditure, resulted in the ARIMA (1,1,1) model being the most appropriate to predict these costs. The results of this study indicate that total health expenditures will reach from about 1228338 billion IRR in 2016 to 2698346 billion IRR in 2020 and the amount of out of pocket (OOP) will become more than 41% of total health expenditure in 2020.
ConclusionTotal health expenditures in 2020 will become more than two halves in 2016. These expenditures indicated there is a need for continued governmental support of this sector during the upcoming years.
Keywords: ARIMA model, Health expenditures, OOP, Forecast -
مقدمه و اهدافزایمان یکی از مهم ترین خدمات ارائه شده در نظام های بهداشتی و درمانی است و منابع انسانی با ارزش ترین عامل تولید و ارائه خدمت به شمار می رود که افزایش بهره وری و کارایی آن از اهمیت زیادی برخوردار است. لذا مطالعه حاضر باهدف پیش بینی تعداد زایمان و به منظور برنامه ریزی برای به کارگیری تمامی امکانات برای ارائه خدمت بهتر در جهت تامین رضایت بیماران انجام شد.روش کارداده های مورداستفاده در این مطالعه تعداد موارد ماهیانه زایمان انجام شده در بیمارستان حکیم جرجانی شهرستان گرگان طی سال های 1389 تا 1394 بود. با توجه به بیش پراکنش موجود در داده ها و عدم تبعیت آن ها از توزیع پوآسن، از مدل پوآسن مارکف پنهان به منظور پیش بینی فراوانی ماهیانه زایمان استفاده شد. برآورد پارامترهای مدل با روش درستنمایی ماکزیمم و الگوریتم EM انجام گرفت. از نرم افزار R ویراست 3.2.3 برای تحلیل داده ها استفاده شد.یافته هااستفاده از معیار آکائیک نشان داد که فراوانی تعداد زایمان در ماه های مختلف در این بیمارستان از یک مدل پوآسن مارکف پنهان با 3 وضعیت پنهان تبعیت می کند و پارامتر میانگین توزیع پوآسن در هر یک از مولفه ها به ترتیب 74/193، 05/236 و 61/272 زایمان بود.نتیجه گیرینتایج این تحقیق نشان داده سیاست های تشویقی دولت بر افزایش باروری، نتیجه کوتاه مدت و محدودی داشته و بر روی نتایج پیش بینی دوساله این مطالعه اثر ناچیزی دارد.کلید واژگان: زایمان, توزیع پوآسن, مدل مارکف پنهان, بیش پراکنش, پیش بینیBackground And ObjectivesDelivery is one of the most important services in the health systems, and increasing its effectiveness and efficiency are a health priorities. The aim of this study was to forecast the number of deliveries in order to design plans for using all facilities to provide patients with better services.MethodsThe data used in this study were the number of deliveries per month in Hakim Jorjani Hospital, Gorgan, Iran during the years 2010 to 2016. Due to the over-dispersion of the data and non-compliance with a Poisson distribution, the Poisson hidden Markov model was applied to predict the frequency of monthly deliveries. The model parameters were estimated using the maximum likelihood method and expectation maximization algorithm.ResultsThe use of the Akaike criteria revealed the frequency of delivery in different months in the hospital followed a Poisson hidden Markov models with three hidden states, and the mean Poisson distribution in each component was 193.74, 236.05, and 272.61 labors, respectively.ConclusionThe results of this study showed that governments encouraging policies have had short-term, limited effects on increasing fertility with minimal effects on the results of the two-year forecast.Keywords: Delivery, Poisson distribution, Hidden Markov model, Over, dispersion, Forecast
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BackgroundBipolar disorder (BD) is a major public health problem. In time series count data there may be over dispersion, and serial dependency. In such situation some models that can consider the dependency are needed. The purpose current research was to use Poisson hidden Markov model to forecast new monthly BD instances.MethodsIn current study the dataset including the frequency of new instances of BD from October 2008 to March 2015 in Hamadan Province, the west of Iran were used. We used Poisson hidden Markov with different number of conditions to determine the best model according to Akaike Information Criterion (AIC) and Bayesian Information Criterion (BIC). Then we used final model to forecast for the next 24 months.ResultsPoisson hidden Markov with two states were chosen as the final model. Each component of dependent mixture model explained one of the states. The results showed that the new BD cases is increase over time and due to forecasting results number of patients for the next 24 months comforted in state two with mean 85.15. The forecast interval was approximately (56, 100).ConclusionAs the Poisson hidden Markov models was not used to forecast the future states in other prior researches, the findings of this study set forward a forecasting strategy as an alternative to common methods, by considering its deficiencies.Keywords: Bipolar Disorder, Forecast, Poisson hidden Markov model, Hamadan
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CONTEXT
Shortage of physicians particularly in specialty levels is considered as an important issue in Iran health system. Thus, in an uncertain environment, long‑term planning is required for health professionals as a basic priority on a national scale.
AIMSThis study aimed to estimate the number of required neurosurgeons using system dynamic modeling. SETTING AND DESIGN: System dynamic modeling was applied to predict the gap between stock and number of required neurosurgeons in Iran up to 2020.
SUBJECTS AND METHODSA supply and demand simulation model was constructed for neurosurgeons using system dynamic approach. The demand model included epidemiological, demographic, and utilization variables along with supply model‑incorporated current stock of neurosurgeons and flow variables such as attrition, migration, and retirement rate. STATISTICAL ANALYSIS USED: Data were obtained from various governmental databases and were analyzed by Vensim PLE Version 3.0 to address the flow of health professionals, clinical infrastructure, population demographics, and disease prevalence during the time.
RESULTSIt was forecasted that shortage in number of neurosurgeons would disappear at 2020. The most dominant determinants on predicted number of neurosurgeons were the prevalence of neurosurgical diseases, the rate for service utilization, and medical capacity of the region.
CONCLUSIONSShortage of neurosurgeons in some areas of the country relates to maldistribution of the specialists. Accordingly, there is a need to reconsider the allocation system for health professionals within the country instead of increasing the overall number of acceptance quota in training positions.
Keywords: Demand, forecast, shortage, supply, system dynamics -
IntroductionTo report a scientific forecast of the number of published dental articles in the next 20 years.Materials And MethodsOn October 12, 2016, to find all dental articles, PubMed was searched via the query 1800/1/1[PDAT]: 2015/12/31[PDAT] AND jsubsetd [text]. Relevant limitations were applied to find dental clinical trials, review articles, and free full-text dental articles. Consequently, all PubMed records were exported to a CSV file. To forecast the future dental research output using existing time-based data, the Exponential Triple Smoothing algorithm was used, which is an advanced machine learning algorithm. Data were analyzed by Microsoft Office Excel 2016.ResultsSeventy-five (19402015) years of human attempts to publish dental articles were explored and 572490 records were found, from which 27244 (4.75%) articles were free full-text, 19238 (3.36%) were clinical trials, and 31853 (5.56%) were reviews. Researchers will publish 19195 dental articles in 2036, among which 917 (4.77%) articles will be clinical trials, 1474 (7.67%) will be review articles, and 5482 (28.55%) will be free full-text articles.ConclusionChanges may be because of the quantity of research funds. The number of all types of dental articles will increase with an acceptable rate over the next 20 years. Of more interest, the number of free full-text articles will grow more rapidly than other article types.Keywords: Dentistry, exponential smoothing, forecast, future, research
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Background and AimCongenital hypothyroidism (CH) is one of the most common endocrine diseases and is a major cause of preventable mental retardation. Early diagnosis of CH can help prevent future diseases. Although time series techniques are often utilized to forecast future status, they are inadequate to deal with count data with overdispersion. The aim of this study was to apply Poisson hidden Markov model to forecast new monthly cases of CH disease.
Methods & Materials:This study was based on the monthly frequency of new CH cases in Khuzestan province of Iran, from 2008 to 2014. We applied stationary Poisson hidden Markov with ifferent states to determine the number of states for the model. According to the model, with the specified state, new CH cases were forecast for the next 24 months.ResultsThe Poisson hidden Markov with two states based on Akaike information criterion was chosen for the data. The results of forecasting showed that the new CH cases for the next 2 years comforted in state two with the frequency of new cases at 6-18. The forecast mode and median for all months were 12 and 13, respectively.ConclusionOur estimates indicated that state of frequency of CH case is invariant during the forecast time. Forecast means for the next 2 years were from 13 to 14 new CH cases. Furthermore, forecasting intervals were observed between 7 and 25 new cases. These estimates are valid when the general fertility rate and crude birth rate were been fixed.Keywords: Congenital hypothyroidism, Poisson hidden Markov, forecast, Khuzestan
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