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      Knowledge Discovery from Posts in Online Health Communities Using Unified Medical Language System

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          Abstract

          Patient-reported posts in Online Health Communities (OHCs) contain various valuable information that can help establish knowledge-based online support for online patients. However, utilizing these reports to improve online patient services in the absence of appropriate medical and healthcare expert knowledge is difficult. Thus, we propose a comprehensive knowledge discovery method that is based on the Unified Medical Language System for the analysis of narrative posts in OHCs. First, we propose a domain-knowledge support framework for OHCs to provide a basis for post analysis. Second, we develop a Knowledge-Involved Topic Modeling (KI-TM) method to extract and expand explicit knowledge within the text. We propose four metrics, namely, explicit knowledge rate, latent knowledge rate, knowledge correlation rate, and perplexity, for the evaluation of the KI-TM method. Our experimental results indicate that our proposed method outperforms existing methods in terms of providing knowledge support. Our method enhances knowledge support for online patients and can help develop intelligent OHCs in the future.

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          Most cited references34

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          Knowledge sharing in online health communities: A social exchange theory perspective

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            Development of a benchmark corpus to support the automatic extraction of drug-related adverse effects from medical case reports.

            A significant amount of information about drug-related safety issues such as adverse effects are published in medical case reports that can only be explored by human readers due to their unstructured nature. The work presented here aims at generating a systematically annotated corpus that can support the development and validation of methods for the automatic extraction of drug-related adverse effects from medical case reports. The documents are systematically double annotated in various rounds to ensure consistent annotations. The annotated documents are finally harmonized to generate representative consensus annotations. In order to demonstrate an example use case scenario, the corpus was employed to train and validate models for the classification of informative against the non-informative sentences. A Maximum Entropy classifier trained with simple features and evaluated by 10-fold cross-validation resulted in the F₁ score of 0.70 indicating a potential useful application of the corpus. Copyright © 2012 Elsevier Inc. All rights reserved.
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              Using Online Health Communities to Deliver Patient-Centered Care to People With Chronic Conditions

              Background Our health care system faces major threats as the number of people with multiple chronic conditions rises dramatically. Objective To study the use of Online Health Communities (OHCs) as a tool to facilitate high-quality and affordable health care for future generations. Methods OHCs are Internet-based platforms that unite either a group of patients, a group of professionals, or a mixture of both. Members interact using modern communication technologies such as blogs, chats, forums, and wikis. We illustrate the use of OHCs for ParkinsonNet, a professional network for Parkinson disease whose participants—both patients and professionals—use various types of OHCs to deliver patient-centered care. Results We discuss several potential applications in clinical practice. First, due to rapid advances in medical knowledge, many health professionals lack sufficient expertise to address the complex health care needs of chronic patients. OHCs can be used to share experiences, exchange knowledge, and increase disease-specific expertise. Second, current health care delivery is fragmented, as many patients acquire relationships with multiple professionals and institutions. OHCs can bridge geographical distances and enable interdisciplinary collaboration across institutions and traditional echelons. Third, chronic patients lack adequate tools to self-manage their disease. OHCs can be used to actively engage and empower patients in their health care process and to tailor care to their individual needs. Personal health communities of individual patients offer unique opportunities to store all medical information in one central place, while allowing transparent communication across all members of each patient’s health care team. Conclusions OHCs are a powerful tool to address some of the challenges chronic care faces today. OHCs help to facilitate communication among professionals and patients and support coordination of care across traditional echelons, which does not happen spontaneously in busy practice.
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                Author and article information

                Journal
                Int J Environ Res Public Health
                Int J Environ Res Public Health
                ijerph
                International Journal of Environmental Research and Public Health
                MDPI
                1661-7827
                1660-4601
                19 June 2018
                June 2018
                : 15
                : 6
                : 1291
                Affiliations
                [1 ]Department of Information Management, School of Economics and Management, Beijing Jiaotong University, Beijing 100044, China; 15113181@ 123456bjtu.edu.cn
                [2 ]Henley Business School, University of Reading, Reading RG6 6UD, UK; k.liu@ 123456reading.ac.uk (K.L.); l.hou@ 123456pgr.reading.ac.uk (L.H.)
                Author notes
                [* ]Correspondence: rtzhang@ 123456bjtu.edu.cn ; Tel.: +86-010-51683854
                Author information
                https://orcid.org/0000-0003-1786-7551
                https://orcid.org/0000-0003-0246-5058
                Article
                ijerph-15-01291
                10.3390/ijerph15061291
                6025155
                29921824
                f61505f6-60f3-40e9-bb7a-a96cc788141b
                © 2018 by the authors.

                Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license ( http://creativecommons.org/licenses/by/4.0/).

                History
                : 31 May 2018
                : 16 June 2018
                Categories
                Article

                Public health
                online posts,online health communities,knowledge discovery,unified medical language system,text mining

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