乐胖代购免代理版

{"id":"https://openalex.org/W3035868017","doi":"https://doi.org/10.3233/shti200415","title":"How to Extract and Explore Big Data for Fraud Detection in the Healthcare Sector: The EOPYY Case Study","display_name":"How to Extract and Explore Big Data for Fraud Detection in the Healthcare Sector: The EOPYY Case Study","publication_year":2020,"publication_date":"2020-01-01","ids":{"openalex":"https://openalex.org/W3035868017","doi":"https://doi.org/10.3233/shti200415","mag":"3035868017","pmid":"https://pubmed.ncbi.nlm.nih.gov/32570632"},"language":"en","primary_location":{"is_oa":false,"landing_page_url":"https://doi.org/10.3233/shti200415","pdf_url":null,"source":{"id":"https://openalex.org/S4210179765","display_name":"Studies in health technology and informatics","issn_l":"0926-9630","issn":["0926-9630","1879-8365"],"is_oa":false,"is_in_doaj":false,"is_indexed_in_scopus":true,"is_core":true,"host_organization":"https://openalex.org/P4310318577","host_organization_name":"IOS Press","host_organization_lineage":["https://openalex.org/P4310318577"],"host_organization_lineage_names":["IOS Press"],"type":"book series"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false},"type":"article","type_crossref":"book-chapter","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5085640042","display_name":"Spiros V. Georgakopoulos","orcid":"https://orcid.org/0000-0002-3374-0422"},"institutions":[{"id":"https://openalex.org/I4210147585","display_name":"National Public Health Organization","ror":"https://ror.org/05crx6z12","country_code":"GR","type":"government","lineage":["https://openalex.org/I4210147585","https://openalex.org/I4210152919"]}],"countries":["GR"],"is_corresponding":false,"raw_author_name":"Spiros Georgakopoulos","raw_affiliation_strings":["Hellenic National Organization for the Provision of Health Services, Greece."],"affiliations":[{"raw_affiliation_string":"Hellenic National Organization for the Provision of Health Services, Greece.","institution_ids":["https://openalex.org/I4210147585"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5018464844","display_name":"Parisis Gallos","orcid":"https://orcid.org/0000-0002-8630-7200"},"institutions":[{"id":"https://openalex.org/I4210147585","display_name":"National Public Health Organization","ror":"https://ror.org/05crx6z12","country_code":"GR","type":"government","lineage":["https://openalex.org/I4210147585","https://openalex.org/I4210152919"]}],"countries":["GR"],"is_corresponding":false,"raw_author_name":"Parisis Gallos","raw_affiliation_strings":["Hellenic National Organization for the Provision of Health Services, Greece."],"affiliations":[{"raw_affiliation_string":"Hellenic National Organization for the Provision of Health Services, Greece.","institution_ids":["https://openalex.org/I4210147585"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5111235416","display_name":"V.P. Plagianakos","orcid":null},"institutions":[{"id":"https://openalex.org/I4210147585","display_name":"National Public Health Organization","ror":"https://ror.org/05crx6z12","country_code":"GR","type":"government","lineage":["https://openalex.org/I4210147585","https://openalex.org/I4210152919"]}],"countries":["GR"],"is_corresponding":false,"raw_author_name":"Vassilis Plagianakos","raw_affiliation_strings":["European Healthcare Fraud and Corruption Network, Belgium.","Hellenic National Organization for the Provision of Health Services, Greece."],"affiliations":[{"raw_affiliation_string":"European Healthcare Fraud and Corruption Network, Belgium.","institution_ids":[]},{"raw_affiliation_string":"Hellenic National Organization for the Provision of Health Services, Greece.","institution_ids":["https://openalex.org/I4210147585"]}]}],"institution_assertions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":0,"max":60},"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"primary_topic":{"id":"https://openalex.org/T11652","display_name":"Imbalanced Data Classification Techniques","score":0.941,"subfield":{"id":"https://openalex.org/subfields/1702","display_name":"Artificial Intelligence"},"field":{"id":"https://openalex.org/fields/17","display_name":"Computer Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}},"topics":[{"id":"https://openalex.org/T11652","display_name":"Imbalanced Data Classification Techniques","score":0.941,"subfield":{"id":"https://openalex.org/subfields/1702","display_name":"Artificial Intelligence"},"field":{"id":"https://openalex.org/fields/17","display_name":"Computer Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/health-sector","display_name":"Health sector","score":0.5286323}],"concepts":[{"id":"https://openalex.org/C79337645","wikidata":"https://www.wikidata.org/wiki/Q779824","display_name":"Outlier","level":2,"score":0.77501786},{"id":"https://openalex.org/C199521495","wikidata":"https://www.wikidata.org/wiki/Q181487","display_name":"Audit","level":2,"score":0.5755682},{"id":"https://openalex.org/C75684735","wikidata":"https://www.wikidata.org/wiki/Q858810","display_name":"Big data","level":2,"score":0.5438744},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.5366506},{"id":"https://openalex.org/C2988643123","wikidata":"https://www.wikidata.org/wiki/Q15067276","display_name":"Health sector","level":4,"score":0.5286323},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.5286311},{"id":"https://openalex.org/C739882","wikidata":"https://www.wikidata.org/wiki/Q3560506","display_name":"Anomaly detection","level":2,"score":0.52387327},{"id":"https://openalex.org/C2426938","wikidata":"https://www.wikidata.org/wiki/Q3355478","display_name":"Medical prescription","level":2,"score":0.4863725},{"id":"https://openalex.org/C124101348","wikidata":"https://www.wikidata.org/wiki/Q172491","display_name":"Data mining","level":1,"score":0.45303664},{"id":"https://openalex.org/C98045186","wikidata":"https://www.wikidata.org/wiki/Q205663","display_name":"Process (computing)","level":2,"score":0.4352427},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.40482703},{"id":"https://openalex.org/C2522767166","wikidata":"https://www.wikidata.org/wiki/Q2374463","display_name":"Data science","level":1,"score":0.40151614},{"id":"https://openalex.org/C2986740045","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health services","level":3,"score":0.26490676},{"id":"https://openalex.org/C121955636","wikidata":"https://www.wikidata.org/wiki/Q4116214","display_name":"Accounting","level":1,"score":0.23724791},{"id":"https://openalex.org/C154945302","wikidata":"https://www.wikidata.org/wiki/Q11660","display_name":"Artificial intelligence","level":1,"score":0.19943815},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.18640527},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.09702343},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.08380744},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.08303943},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.0},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0},{"id":"https://openalex.org/C111919701","wikidata":"https://www.wikidata.org/wiki/Q9135","display_name":"Operating system","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000077558","descriptor_name":"Big Data","qualifier_ui":"","qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D019981","descriptor_name":"Health Care Sector","qualifier_ui":"","qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D000465","descriptor_name":"Algorithms","qualifier_ui":"","qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005607","descriptor_name":"Fraud","qualifier_ui":"","qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"is_oa":false,"landing_page_url":"https://doi.org/10.3233/shti200415","pdf_url":null,"source":{"id":"https://openalex.org/S4210179765","display_name":"Studies in health technology and informatics","issn_l":"0926-9630","issn":["0926-9630","1879-8365"],"is_oa":false,"is_in_doaj":false,"is_indexed_in_scopus":true,"is_core":true,"host_organization":"https://openalex.org/P4310318577","host_organization_name":"IOS Press","host_organization_lineage":["https://openalex.org/P4310318577"],"host_organization_lineage_names":["IOS Press"],"type":"book series"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false},{"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/32570632","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_indexed_in_scopus":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":["National Institutes of Health"],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false}],"best_oa_location":null,"sustainable_development_goals":[{"score":0.78,"display_name":"Peace, justice, and strong institutions","id":"https://metadata.un.org/sdg/16"}],"grants":[],"datasets":[],"versions":[],"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W4405901645","https://openalex.org/W4394895745","https://openalex.org/W4390608645","https://openalex.org/W4247566972","https://openalex.org/W3111802945","https://openalex.org/W3107369729","https://openalex.org/W2946096271","https://openalex.org/W2499612753","https://openalex.org/W2295423552","https://openalex.org/W1598471830"],"abstract_inverted_index":{"Big":[0],"Data":[1],"technologies":[2],"can":[3,113],"contribute":[4],"to":[5,15,35,66,93,103],"medical":[6,39],"fraud":[7,46,118],"detection.":[8],"The":[9,59,73],"aim":[10],"of":[11,20,28,50,79,106],"this":[12,107,109],"paper":[13],"is":[14],"present":[16],"the":[17,21,26,43,54,71,104,117,123],"methodological":[18],"approach":[19,112],"Hellenic":[22],"National":[23],"Organization":[24],"for":[25,45],"Provision":[27],"Health":[29],"Services":[30],"(EOPYY)":[31],"in":[32,126],"data":[33,44,52],"analysis":[34],"detect":[36,67],"financial":[37],"or":[38],"fraud.":[40,101],"To":[41],"analyze":[42],"detection,":[47],"a":[48],"selection":[49],"prescription":[51],"from":[53],"year":[55],"2018":[56],"were":[57],"examined.":[58],"Local":[60],"Correlation":[61],"Integral":[62],"algorithm":[63],"was":[64],"applied":[65],"any":[68],"outliers":[69,88],"on":[70],"dataset.":[72],"results":[74,105],"revealed":[75],"that":[76],"7":[77],"out":[78],"879":[80],"cases":[81],"could":[82],"be":[83,90],"characterized":[84],"as":[85],"outliers.":[86],"These":[87],"must":[89],"further":[91],"investigated":[92],"determine":[94],"if":[95],"they":[96],"have":[97],"been":[98],"associated":[99],"with":[100],"According":[102],"study,":[108],"outliers'":[110],"detection":[111,119],"support":[114],"and":[115],"help":[116],"process":[120],"conducted":[121],"by":[122],"auditing":[124],"services":[125],"Healthcare":[127],"sector.":[128]},"abstract_inverted_index_v3":null,"cited_by_api_url":"https://api.openalex.org/works?filter=cites:W3035868017","counts_by_year":[],"updated_date":"2025-02-23T09:26:24.674310","created_date":"2020-06-25"}