結合MeSH及ICD9-CM系統發展臨床醫學文獻之搜尋架構

Medical Literature Search by Using MeSH and ICD9-CM

張錦梅(chin-mei chang)

指導教授 ： 劉建財

臺北醫學大學/醫學院/醫學資訊研究所/碩士(2003年)

摘要

隨著科技進步，政府及民眾對醫療觀念的重視，臨床醫療工作者除了擔負臨床診治的工作外，也需要照顧病患或其家屬提出的問題解答。但在繁忙及充滿醫療不確定性的環境中，臨床醫療工作者如何自從大量的醫學資訊中快速擷取可用的資訊，作為臨床決策和解答病患問題的參考，將是提昇醫療品質中重要的關鍵。 本研究主要運用資料庫索引典結構設計一簡易的實證文獻檢索模式，應用ICD9-CM key word及MeSH (Medical Subject Heading)相同概念之病名詞彙作對應，使臨床人員能以熟悉的臨床詞彙無須再透過轉換檢索詞而能直接以資料庫之檢索詞找到相同詞彙概念之文獻，且可直接呈現PubMed實證資料庫之相關英文文獻，檢索者毋需一一搜尋各個資料庫也能獲得較精確之搜尋結果，希望臨床工作者在相當忙錄的醫療環境下也能藉由此結合臨床概念的介面，降低其搜尋文獻之困境，更易隨時獲得最新資訊，期能進一步發展為臨床決策之輔助系統。

關鍵字

醫學主題 ； 國際疾病分類 ； 實證醫學 ； 醫學文獻搜尋

並列摘要

Due to progress of medical technology and more emphases on medical issue, clinicians have to face more clinical problems in their daily work. As a clinician, how to obtain correct information faster from massive collections of literatures in order to improve his medical decision has played a pivotal role in the improvement of medical practice. This study will build a web site for clinicians where a specific disease code is given, it will automatically of show a series related articles lay Medical Subheading hierarchical structure, and then used a variety of search engine to get more information which includes all web site articles selected from evidence based medicine. The advantage of this is that the searchers do not need to consider about different databases and their searching methods, nevertheless it can offer high quality articles what searchers really need. Design a interface from the Medical Subheading 2002 related with ICD-9CM coded disease term and Apply to each disease searching methods, this ICD-9CM coded concept integrally, it will be more easier apply to different clinical needs what medical procedures related with a ICD-9CM code。

並列關鍵字

MeSH ； ICD 9 -CM ； ICD 9-CM key word ； Evidence- Based Medicine ； Systematic review ； Literature search

參考文獻

AlanGillies, Information support for general practice in the new NHS Blackwell Science Ltd Health Libraries Review17, 2000,p.91-96。

CaroleKeeling* & SianLambert , Knowledge Management in the NHS: positioning the healthcare librarian at the knowledge intersection, Blackwell Science Ltd Health Libraries review,17, 2000,p.136-143。

[1], Stuart J. Nelson, M.D.

[2], William T. Hole, M.D.

[1] Using Semantic Distance for the Efficient Coding of Medical Concepts Cédric Bousquet, Marie-Christine Jaulent, PhD., Gilles Chatellier, MD., Patrice Degoulet, MD., PhD. Medical Informatics Department, Broussais Hospital, Paris, France 電子資料 行政院衛生署，「全民健康保險爭議審議案例彙編(五)」，2000。 行政院衛生署 醫療法修正草案,行政院衛生署Web site Available at : http://www.doh.gov.tw/ufile/Doc/醫療法修正草案條文對照表.doc Accessed July 29, 2003