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研究生: 郭博夫
Po-Fu Kuo
論文名稱: 以大數據方法分析醫療需求量之預測-個案研究
Using Big Data Analytics to Health Care Demand Forecasting - A Case Study
指導教授: 羅士哲
Shih-Che Lo
口試委員: 曹譽鐘
Yu-Chung Tsao
蔡鴻旭
Hung-Hsu Tsai
學位類別: 碩士
Master
系所名稱: 管理學院 - 工業管理系
Department of Industrial Management
論文出版年: 2016
畢業學年度: 104
語文別: 中文
論文頁數: 67
中文關鍵詞: 醫療管理時間序列分析預測大數據工業4.0
外文關鍵詞: Healthcare management, Predictive forecasting, Time series analysis, Big data, Industry 4.0
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  • 隨著工業科技時代的演進,德國政府率先各國發佈了未來科技的新趨勢「工業4.0」,「工業4.0」是以推動製造業智慧化轉型為宗旨。而在台灣,行政院將德國所推行的「工業4.0」命名為「生產力4.0」,並在每年一度的科技會報當中核定推動我國「生產力4.0」發展方案,將其「生產力4.0」分類為農業4.0、製造業4.0以及商業4.0等三方向發展。
    在其製造業智慧化的主要發展的體現下關注的是物聯網、雲端運算以及大數據分析結合的應用。而本研究把主要焦點放在大數據分析中,所謂的大數據是指具有「快速」產生「多變」的「大量」資料等特性的數據。在大數據分析中,所分析的資料是屬於非結構化的資料,非結構化的資料是指沒有固定格式,還沒有明確分析邏輯的資料,例如:工業資料、醫療數據資料等等。
    本研究將以Fargo醫療集團的個案作為研究題材,並根據它的數據資料庫進行醫療管理分析,而在個案研究數據資料庫裡資料是屬於非結構化的醫療人力大數據資料,所以必須經由前處理過後才能進行醫療管理預測的部分,經由預測過後的結果希望能夠提供相關業者醫療管理決策分析的參考。
    本研究將數個時間序列分析預測的方法,包括天真法、簡單移動平均法、指數平滑法以及簡單線性迴歸等應用到這個特殊資料庫中,並研究利用R程式語言軟體撰寫程式進行實驗分析,當中發現簡單線性迴歸較適合這類型的資料,具有較好的大數據預測成效。


    With the evolution of the information technology, German government proposes the trend of the revolution “Industry 4.0.” In Taiwan, our government renamed the “Industry 4.0” to ‘‘Productivity 4.0,” and they promote the ‘‘Productivity 4.0” development program at the annual tech-report in our country, regarding the ‘‘Productivity 4.0” classified as ‘‘Agriculture 4.0,” ‘Manufacturing 4.0” and ‘‘Commercial 4.0.”
    The purpose of the 4th industry revolution is to transform the manufacturing industry more intelligent in addition to machine automation. Intelligent manufacturing industry focuses on the integration of Internet of Things, cloud computing and big data analytics. In this study, we focus on the big data analytics, having three properties: velocity, variety and volume. In big data analytics, all of the data is unstructured data, which means that data with no fixed data structure and undefined logical relationships, such as industry data, healthcare data, etc.
    In this thesis, we conduct big data analysis and use dataset from the Fargo’s medical group as case study in the field of healthcare management. The data in the case study’s database belongs to unstructured dataset, so the dataset has to be preprocessed in order to do healthcare management prediction. By conducting big data analytics to perform predictive analysis, our experiment results can provide valuable information in the healthcare management.
    Several time series prediction methods, including naive method, moving average method, exponential smoothing method and simple linear regression. Experiment results using the R program found out that the simple linear regression is more suitable and more effective in this type of data as well as big data analytics.

    目錄 摘要 I Abstract II 致謝 III 目錄 IV 圖目錄 VI 表目錄 VII 第一章 緒論 1 1.1 研究背景與動機 1 1.2 研究目的 3 1.3 研究範圍與限制 3 1.4 研究方法 3 1.5 研究流程 5 1.6 論文架構 6 第二章 文獻回顧 7 2.1工業4.0 7 2.1.1工業4.0定義 7 2.1.2工業4.0相關文獻 8 2.2大數據 8 2.2.1大數據定義 8 2.2.2大數據相關文獻 9 2.3預測 11 2.3.1預測的基本定義 12 2.3.2醫療相關之預測文獻 15 第三章 研究方法 17 3.1大數據分析 17 3.2 R語言智慧型預測模式流程圖 20 3.3預測模式選擇 21 3.4 需求預測方法 21 3.5 預測績效衡量指標 25 3.6 R語言 25 第四章 個案資料分析與結果 28 4.1個案描述 28 4.2個案實例分析 32 4.3適合的預測方法之評估 39 4.4分析結果 39 4.5個案研究總結 41 第五章 結論與建議 42 5.1 結論 42 5.2 未來研究方向 42 中文參考文獻 44 英文參考文獻 45 附錄 49 圖目錄 圖1-1、生產力4.0產業架構 1 圖1-2、智慧工廠之運作流程圖 2 圖1-3、研究流程 5 圖3-1、智慧型預測模式流程圖 20 圖3-2、R程式設計流程 27 圖4-1、醫療檢驗流程圖 29 圖4-2、智慧型醫療檢驗流程圖 31 表目錄 表1-1、三類資料型態的醫療相關範例 17 表3-1、適合預測方法之選擇參考 21 表4-1、預測補值績效評估指標比較表 32 表4-2、各種預測方法預測2013年12月的預測值比較表 33 表4-3、位於總院鄰近地區四間診所的可醫治疾病數量及從總院轉進之疾病數量整理表 35 表4-4、位於總院鄰近地區四間診所的可醫治疾病數量及從總院轉進之疾病比例整理表 36 表4-5、2013年12月屬於心臟相關各類疾病的統計數量表 37 表4-6、位於總院鄰近地區四間診所的可醫治疾病數量及醫療人力配置整理表 38 表4-7、Abbeville轉院策略表 40

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