{"id":7553,"date":"2021-06-16T15:25:42","date_gmt":"2021-06-16T13:25:42","guid":{"rendered":"https:\/\/kinit.sk\/how-to-detect-anomalies-and-fraud-in-healthcare-we-tested-the-possibilities-of-intelligent-technologies-on-the-hackathone\/"},"modified":"2021-11-19T13:31:49","modified_gmt":"2021-11-19T12:31:49","slug":"ako-odhalovat-anomalie-a-podvody-v-zdravotnictve","status":"publish","type":"post","link":"https:\/\/kinit.sk\/sk\/ako-odhalovat-anomalie-a-podvody-v-zdravotnictve\/","title":{"rendered":"Ako odha\u013eova\u0165 anom\u00e1lie a podvody v zdravotn\u00edctve? Mo\u017enosti inteligentn\u00fdch technol\u00f3gi\u00ed sme si overili na hackathone"},"content":{"rendered":"
\n

Eur\u00f3pske zdravotn\u00edctvo patr\u00ed medzi najlep\u0161ie na svete. Objem pou\u017eit\u00fdch financi\u00ed je obrovsk\u00fd, napriek tomu potrebujeme, aby bol pou\u017eit\u00fd efekt\u00edvne. Z tohto d\u00f4vodu pod z\u00e1\u0161titou Eur\u00f3pskej komisie a jej programu na podporu reforiem (Structural Reform Support Programme) organizovalo PwC spolo\u010dne s KInITom a Ministerstvom zdravotn\u00edctva SR online hackathon zameran\u00fd na odha\u013eovanie anom\u00e1li\u00ed a podvodov v zdravotn\u00edctve za pomoci umelej inteligencie (AI). \u00da\u010dastn\u00edkmi boli experti na anal\u00fdzu d\u00e1t z MZ SR, zdravotn\u00fdch pois\u0165ovn\u00ed a experti na umel\u00fa inteligenciu z PwC, KInITu a dvoch slovensk\u00fdch univerz\u00edt – \u017dilinsk\u00e1 univerzita a Technick\u00e1 univerzita v Ko\u0161iciach. <\/p>\n<\/div>\n\n

\n

Okrem vytvorenia modelu spr\u00e1vania lek\u00e1ra alebo lek\u00e1rne, sa t\u00edmy museli vysporiada\u0165 s t\u00fdmito ot\u00e1zkami:<\/p>\n<\/div>\n\n

\n
  • \u010co je podvod (anom\u00e1lia) z h\u013eadiska zdravotnej starostlivosti?<\/li>
  • Ak\u00e9 probl\u00e9my s\u00fa spojen\u00e9 s odha\u013eovan\u00edm podvodov?<\/li>
  • Ako sa vysporiada\u0165 s nov\u00fdmi typmi podvodov?<\/li><\/ul>\n<\/div>\n\n
    \n

    Hackathon prebiehal 6.-7. m\u00e1ja vo forme priate\u013eskej s\u00fa\u0165a\u017ee, v ktorej spolu s\u00faperili \u0161tyri t\u00edmy. KInIT mal svojich z\u00e1stupcov vo v\u0161etk\u00fdch t\u00edmoch, dva t\u00edmy viedli AI odborn\u00edci z PwC a dva AI odborn\u00edci z KInITu. T\u00edmom sa podarilo adresova\u0165 r\u00f4zne typy podvodov a navrhn\u00fa\u0165 viacer\u00e9 pr\u00edstupy zalo\u017een\u00e9 na AI. Pr\u00edkladom je podozriv\u00e9 predpisovanie ve\u013ek\u00e9ho mno\u017estva liekov, pri ktorom sa uk\u00e1zal potenci\u00e1l umelej inteligencie, ke\u010f\u017ee viacer\u00e9 od seba nez\u00e1visl\u00e9 met\u00f3dy plne automaticky opakovane identifikovali tie ist\u00e9 entity ako podozriv\u00e9. Tak\u00e9to met\u00f3dy maj\u00fa potenci\u00e1l zefekt\u00edvni\u0165 pr\u00e1cu vy\u0165a\u017een\u00fdch rev\u00edznych lek\u00e1rov pri odha\u013eovan\u00ed atypick\u00e9ho spr\u00e1vania. <\/p>\n<\/div>\n\n

    \n

    V r\u00e1mci hackathonu sa uskuto\u010dnila aj panelov\u00e1 diskusia na t\u00e9mu podvodov v zdravotn\u00edctve, v r\u00e1mci ktorej diskutovali z\u00e1stupcovia jednotliv\u00fdch pois\u0165ovn\u00ed, MZ SR, European Healthcare Fraud & Corruption Network a za KInIT M\u00e1ria Bielikov\u00e1. Medzi zauj\u00edmav\u00e9 t\u00e9my patrila rola AI v oblasti zdravotn\u00edctva a jej vplyv m\u00e1 pr\u00e1cu rev\u00edznych lek\u00e1rov v obdob\u00ed 2-3 rokov.<\/p>\n<\/div>\n\n

    \n
    \"\"
    Panelov\u00e1 diskusia<\/figcaption><\/figure>\n<\/div>\n\n
    \n

    T\u00edm pod veden\u00edm Martina Tamajku porota vyhl\u00e1sila za v\u00ed\u0165aza hackathonu. Umel\u00e1 inteligencia sa vie ve\u013emi dobre natr\u00e9nova\u0165 na rie\u0161enie r\u00f4znych probl\u00e9mov, ale \u010dasto nevieme, ako do\u0161la k v\u00fdsledku. Aj v tomto bola pridan\u00e1 hodnota v\u00ed\u0165azn\u00e9ho t\u00edmu, ktor\u00fd sa zameral na pomoc rev\u00edznym lek\u00e1rom. Nie len formou identifikovania mo\u017en\u00fdch anom\u00e1li\u00ed, ale aj interpretovanie v\u00fdsledkov. Rev\u00edzni lek\u00e1ri by si mohli v tomto rie\u0161en\u00ed pozrie\u0165 na zd\u00f4vodnenie v\u00fdberu ka\u017edej anom\u00e1lie. To im u\u0161etr\u00ed \u010das pri h\u013eadan\u00ed a umo\u017en\u00ed pokry\u0165 v\u00e4\u010d\u0161\u00ed po\u010det anom\u00e1li\u00ed za rovnak\u00fd \u010das. V\u00fdsledky z navrhnut\u00fdch modelov posl\u00fa\u017eia len ako odpor\u00fa\u010danie a z\u00e1vere\u010dn\u00e9 slovo bude ma\u0165 \u010dlovek – odborn\u00edk.<\/p>\n<\/div>\n\n

    \n
    \"\"
    Model zhlukovania<\/figcaption><\/figure><\/div>\n<\/div>\n\n
    \n

    \u201cD\u00f4le\u017eit\u00fdmi hodnotami u n\u00e1s v KInITe s\u00fa \u010destnos\u0165, otvorenos\u0165 a zvedavos\u0165 v b\u00e1dan\u00ed, preto bolo pre n\u00e1s \u00faplne prirodzen\u00e9 zapoji\u0165 sa do organizovania hackathonu s cie\u013eom odhali\u0165 podozriv\u00e9 aktivity v zdravotn\u00edctve. Sme ve\u013emi radi, \u017ee v\u00fdskumn\u00edci z viacer\u00fdch in\u0161tit\u00faci\u00ed vr\u00e1tane tej na\u0161ej uk\u00e1zali z\u00e1pal pre dobr\u00fa vec. V\u010faka tomu ka\u017ed\u00fd z t\u00edmov pri\u0161iel so zauj\u00edmav\u00fdmi n\u00e1padmi, ktor\u00e9 maj\u00fa potenci\u00e1l prispie\u0165 k efekt\u00edvnej\u0161iemu a transparentnej\u0161iemu pou\u017eitiu u\u017e tak obmedzen\u00fdch prostriedkov v zdravotn\u00edctve. V r\u00e1mci hackathonu vznikli protypy n\u00e1padov na detekciu podozriv\u00e9ho spr\u00e1vania, napr\u00edklad nezvy\u010dajne vysok\u00e9ho po\u010dtu predp\u00edsan\u00fdch liekov.\u201d <\/em>povedal Michal Kompan, vedeck\u00fd riadite\u013e KInIT.<\/p>\n<\/div>\n\n

    \n

    Hackathon okrem zauj\u00edmav\u00fdch n\u00e1padov vyu\u017eitia umelej inteligencie pri odha\u013eovan\u00ed podvodn\u00e9ho spr\u00e1vania, prepojil komunity dom\u00e9nov\u00fdch expertov s v\u00fdskumn\u00edkmi v oblasti umelej inteligencie a d\u00e1tovej analytiky.<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"

    Eur\u00f3pske zdravotn\u00edctvo patr\u00ed medzi najlep\u0161ie na svete. Objem pou\u017eit\u00fdch financi\u00ed je obrovsk\u00fd, napriek tomu potrebujeme, aby bol pou\u017eit\u00fd efekt\u00edvne. Z tohto d\u00f4vodu pod z\u00e1\u0161titou Eur\u00f3pskej komisie a jej programu na…<\/p>\n","protected":false},"author":4,"featured_media":25083,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[82,83],"tags":[],"class_list":["post-7553","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-2021-sk","category-news-sk"],"acf":[],"yoast_head":"\nAko odha\u013eova\u0165 anom\u00e1lie a podvody v zdravotn\u00edctve? Mo\u017enosti inteligentn\u00fdch technol\u00f3gi\u00ed sme si overili na hackathone - KInIT<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/kinit.sk\/sk\/ako-odhalovat-anomalie-a-podvody-v-zdravotnictve\/\" \/>\n<meta property=\"og:locale\" content=\"sk_SK\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Ako odha\u013eova\u0165 anom\u00e1lie a podvody v zdravotn\u00edctve? Mo\u017enosti inteligentn\u00fdch technol\u00f3gi\u00ed sme si overili na hackathone - KInIT\" \/>\n<meta property=\"og:description\" content=\"Eur\u00f3pske zdravotn\u00edctvo patr\u00ed medzi najlep\u0161ie na svete. Objem pou\u017eit\u00fdch financi\u00ed je obrovsk\u00fd, napriek tomu potrebujeme, aby bol pou\u017eit\u00fd efekt\u00edvne. 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