NursingRN eJournal最新文献

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Team Formation and Performance: Evidence from Healthcare Referral Networks 团队形成和绩效:来自医疗保健转诊网络的证据
NursingRN eJournal Pub Date : 2018-02-01 DOI: 10.3386/W24338
Leila Agha, K. Ericson, K. Geissler, James B. Rebitzer
{"title":"Team Formation and Performance: Evidence from Healthcare Referral Networks","authors":"Leila Agha, K. Ericson, K. Geissler, James B. Rebitzer","doi":"10.3386/W24338","DOIUrl":"https://doi.org/10.3386/W24338","url":null,"abstract":"How does team-specific capital affect productivity? We examine the teams that primary care physicians (PCPs) assemble when referring patients to specialists. Our theoretical model finds that team-specific capital is greater when PCPs concentrate their referrals within a smaller set of specialists. Empirically, we find patients of PCPs with concentrated referrals have lower healthcare costs, with no discernable reduction in quality. This effect exists for commercially insured and Medicare populations; is statistically and economically significant; and holds under identification strategies that account for unobserved patient and physician characteristics.","PeriodicalId":352576,"journal":{"name":"NursingRN eJournal","volume":"112 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127959355","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 25
Measuring the Potential Health Impact of Personalized Medicine: Evidence from Ms Treatments 测量个性化医疗的潜在健康影响:来自Ms治疗的证据
NursingRN eJournal Pub Date : 2017-10-01 DOI: 10.3386/W23900
Kristopher J. Hult
{"title":"Measuring the Potential Health Impact of Personalized Medicine: Evidence from Ms Treatments","authors":"Kristopher J. Hult","doi":"10.3386/W23900","DOIUrl":"https://doi.org/10.3386/W23900","url":null,"abstract":"Individuals respond to pharmaceutical treatments differently due to the heterogeneity of patient populations. This heterogeneity can make it difficult to determine how efficacious or burdensome a treatment is for an individual patient. Personalized medicine involves using patient characteristics, therapeutics, or diagnostic testing to understand how individual patients respond to a given treatment. Personalized medicine increases the health impact of existing treatments by improving the matching process between patients and treatments and by improving a patient's understanding of the risk of serious side effects. In this paper, I compare the health impact of new treatment innovations with the potential health impact of personalized medicine. I find that the impact of personalized medicine depends on the number of treatments, the correlation between treatment effects, and the amount of noise in a patient's individual treatment effect signal. For multiple sclerosis treatments, I find that personalized medicine has the potential to increase the health impact of existing treatments by roughly 50 percent by informing patients of their individual treatment effect and risk of serious side effects.","PeriodicalId":352576,"journal":{"name":"NursingRN eJournal","volume":"59 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121242207","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
The Gamut and Time Arrow of Automated Nurse Rostering 自动护士名册的色域和时间箭头
NursingRN eJournal Pub Date : 2017-08-20 DOI: 10.2139/ssrn.3022998
M. El-Dosuky
{"title":"The Gamut and Time Arrow of Automated Nurse Rostering","authors":"M. El-Dosuky","doi":"10.2139/ssrn.3022998","DOIUrl":"https://doi.org/10.2139/ssrn.3022998","url":null,"abstract":"There is an undeniable global shortage of skillful nurses. This is a problem of high priority, which is correlated to workforce management issues. These issues can be palliated by increasing nurses' satisfaction based on flexible rosters using automated nurse rostering. This paper in concerned with nurse rostering based on constraint programming by satisfying global constraints, such as REGULAR, which is powerful but requires devising automata of acceptable states. It was proven that REGULAR is reformulatable to SLIDE. En route to reformulate a REGULAR-based into SLIDE-based solution to nurse rostering, and through elaboration of Minizinc implementation, the author of this paper proposes a couple of metaphors namely the gamut and time arrow to model the nurse rostering. A gamut is a whole-subset of objects, such as within a given color-space or by an output device. The time arrow may refer to the direction of time as comprehended in physics. The paper in hand elucidates the new formulation based on these two metaphors, and presents implementation in Minizinc.","PeriodicalId":352576,"journal":{"name":"NursingRN eJournal","volume":"102 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124690709","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Hospital Responses to Medicare Reimbursement Rate Changes: New Evidence from Medicare's Rural Floor 医院对医疗保险报销率变化的反应:来自医疗保险农村基层的新证据
NursingRN eJournal Pub Date : 2017-05-08 DOI: 10.2139/ssrn.3225744
B. Perry
{"title":"Hospital Responses to Medicare Reimbursement Rate Changes: New Evidence from Medicare's Rural Floor","authors":"B. Perry","doi":"10.2139/ssrn.3225744","DOIUrl":"https://doi.org/10.2139/ssrn.3225744","url":null,"abstract":"Hospitals face an environment of declining real per-patient reimbursement from Medicare. Understanding the provider response to changing Medicare prices is critical for balancing the complex incentives of hospitals and patients with the fiscal and social objectives of the public insurance program. In this paper I exploit the Medicare rural floor, a discontinuity in geographic adjustments to Medicare payments to hospitals, in a regression kink design to estimate the impact of Medicare reimbursement rate changes on the level and mix of hospital services provided. I find that hospitals respond to higher Medicare reimbursement by admitting more Medicare patients, but that the average duration of a patient stay declines. I also document a previously unstudied spillover of Medicare reimbursement on the volume of admitted patients with non-Medicare insurance. Contrary to the prediction of existing standard models, both Medicaid and private patient utilization significantly increase in response to Medicare rate hikes. Higher Medicare prices coupled with higher utilization across all patient categories leads to a large increase in hospital revenue. Hospitals deploy the revenue, almost exclusively, in expenses for patient care.","PeriodicalId":352576,"journal":{"name":"NursingRN eJournal","volume":"142 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133236946","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Model to Manage the Intention to Stay in the Nurse Profession of Nurse Students at the Army Nursing College 陆军护理学院护生留医意向管理模式
NursingRN eJournal Pub Date : 2017-01-01 DOI: 10.12778/235108618x15452373185976
Buppachat Urairak, Saisamorn Chaleoykitti
{"title":"A Model to Manage the Intention to Stay in the Nurse Profession of Nurse Students at the Army Nursing College","authors":"Buppachat Urairak, Saisamorn Chaleoykitti","doi":"10.12778/235108618x15452373185976","DOIUrl":"https://doi.org/10.12778/235108618x15452373185976","url":null,"abstract":"The objectives of this research are (1) to study the level of intention to stay in the nurse profession of the nurse students at the Army Nursing College, (2) to compare the intention levels between nurse students in different class years at the Army Nursing College, and (3) to model a scheme to manage the intention to stay in the nurse profession among the nurse students at the Army Nursing College. The sample includes 323 nursing students, who are surveyed with a questionnaire. The obtained data are then analyzed to find means, standard deviations, and further tested, using t-test, F-test, and multiple regressions. The research results find that the level of intention to stay in the nurse profession among the army nurse students is high (x =3.89). The intentional level, however, do not differ among students in class years. In this model, there are two factors that affect the management of the intention level, including the general training factor (Beta = 0.422) and the job satisfaction factor (Beta = 0.229). The model has the power of 32.90 percent (R-squared = 0.329) to explain the level of intention to stay in the nurse profession and exhibits a positive, moderate relationship with the actual intention to stay (R = 0.573), which implies that if general trainings are supported and job satisfaction can be raised, then the level of intention to stay in the nurse profession among the army nurse students should be accordingly higher.","PeriodicalId":352576,"journal":{"name":"NursingRN eJournal","volume":"105 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116656809","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Healthcare Openness and Access Project: Mapping the Frontier for the Next Generation of American Health Care 医疗保健开放和访问项目:绘制下一代美国医疗保健的前沿
NursingRN eJournal Pub Date : 2016-12-01 DOI: 10.2139/ssrn.3211663
Darcy Bryan, J. Rhoads, Robert F. Graboyes
{"title":"Healthcare Openness and Access Project: Mapping the Frontier for the Next Generation of American Health Care","authors":"Darcy Bryan, J. Rhoads, Robert F. Graboyes","doi":"10.2139/ssrn.3211663","DOIUrl":"https://doi.org/10.2139/ssrn.3211663","url":null,"abstract":"The Healthcare Openness and Access Project (HOAP) is a collection of state-by-state comparative data on the flexibility and discretion US patients and providers have in managing health care. HOAP combines these data to produce 38 indicators of openness and accessibility. In turn, these indicators are grouped into 10 broad subindexes (Corporate, Insurance, Occupational Regulation, Pharmaceutical Access, Telemedicine, Direct Primary Care, Medical Liability, Provider Regulation, Public Health, and Taxation), which in combination form the overall HOAP index. The indicators, subindexes, and overall index are all scored on a 1-to-5 Likert scale. The project provides state-by-state rankings over a number of variables. Using the data provided on the project’s website, readers may adjust the weights on the indicators to custom-build subjective measures and rankings that differ from the ones presented in this paper.","PeriodicalId":352576,"journal":{"name":"NursingRN eJournal","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127272761","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Impacting Nursing Student Learning Outcomes Through Use of a Multimedia Elearning Module 通过使用多媒体电子学习模块影响护理学生的学习成果
NursingRN eJournal Pub Date : 2016-09-09 DOI: 10.2139/ssrn.3053203
Ann Marie Helmstedter
{"title":"Impacting Nursing Student Learning Outcomes Through Use of a Multimedia Elearning Module","authors":"Ann Marie Helmstedter","doi":"10.2139/ssrn.3053203","DOIUrl":"https://doi.org/10.2139/ssrn.3053203","url":null,"abstract":"The purpose of this capstone project was to determine if the integration of ATI’s Nurse Logic 2.0 impacted the ATI Fundamentals 2013 proctored exam student learning outcomes of associate degree in nursing (ADN) students taking a Fundamentals course at a community college in Ohio. Mayer’s Cognitive Theory of Multimedia Learning (CTML) was used as a guiding principle to ensure proper implementation of the ATI Nurse Logic 2.0 multimedia eLearning modules. The results of this capstone project indicated that the integration of ATI’s Nurse Logic 2.0 did not impact the ATI Fundamentals 2013 proctored exam scores and the null hypothesis was accepted. The results of this study were likely impacted by the limitations of the study including the varying medical backgrounds of the Fundamentals students and the distractors student’s experiences when completing the ATI Nurse Logic 2.0 modules outside of class time. Also, there was an uneven distribution of students before and after the implementation of the ATI Nurse Logic 2.0 modules during the retrospective data collection period due to inclusion and exclusion criteria and because enrollment at the college declined. Implications of this capstone project support that the integration of a multimedia eLearning module does not impact student knowledge and retention.","PeriodicalId":352576,"journal":{"name":"NursingRN eJournal","volume":"54 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122219794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Globalization and Health Worker Crisis: What Do Wealth-Effects Tell Us? 全球化和卫生工作者危机:财富效应告诉我们什么?
NursingRN eJournal Pub Date : 2012-03-08 DOI: 10.2139/ssrn.2493262
S. Asongu
{"title":"Globalization and Health Worker Crisis: What Do Wealth-Effects Tell Us?","authors":"S. Asongu","doi":"10.2139/ssrn.2493262","DOIUrl":"https://doi.org/10.2139/ssrn.2493262","url":null,"abstract":"Owing to lack of relevant data on health human resource (HHR) migration, the empirical dimension of the health-worker crisis debate has remained void despite abundant theoretical literature. A health worker crisis is overwhelming the world. Shortages in health professionals are reaching staggering levels in many parts of the globe. This paper complements existing literature by empirically investigating the WHO hypothetical determinants of health-worker migration in the context of globalization when income-levels matter. In plainer terms, the work explores how the wealth of exporting countries play-out in the determinants of HHR emigration. We assess the determinants of emigration in the health sector through-out the conditional distribution of health human resource emigration. Findings provide very targeted policy implications based on income-levels and existing emigration levels for both physician and nurse worker crises. Beside specific policy recommendations, we also outlined broad policy measures for source-countries, recipient-states and regional (international) institutions.","PeriodicalId":352576,"journal":{"name":"NursingRN eJournal","volume":"20 5","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"113977938","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 12
Cross-Cultural Perspectives on Personality and Values: A Case Study of Mongolian vs. Taiwanese Doctors and Nurses 人格与价值观的跨文化视角:蒙古与台湾医师护士个案研究
NursingRN eJournal Pub Date : 2011-01-01 DOI: 10.33423/ijba.v2i1.1188
Tain-Fung Wu, Munkhbaatar Batmunkh, Alex S. R. Lai
{"title":"Cross-Cultural Perspectives on Personality and Values: A Case Study of Mongolian vs. Taiwanese Doctors and Nurses","authors":"Tain-Fung Wu, Munkhbaatar Batmunkh, Alex S. R. Lai","doi":"10.33423/ijba.v2i1.1188","DOIUrl":"https://doi.org/10.33423/ijba.v2i1.1188","url":null,"abstract":"Personality and value have been considered significant indicators in predicting personal behavior. The Big Five models and Hofstedes frame are the major tools used to assess personality and values, and they appear in almost all cross-cultural studies of personality and values. The present study also recognizes the anthropological aspects of cultures. The purpose of the study is to examine the differences in the cross-cultural attributes of personality and value aspects in the populations of North and Southeast Asia. An empirical study was conducted using doctors and nurses of Mongolian and Taiwanese healthcare institutions. Doctors and nurses were the subject of this study as it is within hospitals that social behavior in terms of personality and values of individuals presents itself. According to social development and perceptions of values, populations of this study will have both identical and contradictory sides. This study allows us the opportunity to identify personality and value aspects of north and south Asian people. This study uses a structured telephone interview method. The authors believe that the results of the study will contribute to measuring personality and values within the perspective of cross-culture differences.","PeriodicalId":352576,"journal":{"name":"NursingRN eJournal","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125794717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Education, Knowledge and the Evolution of Disparities in Health 教育、知识和健康差异的演变
NursingRN eJournal Pub Date : 2010-03-01 DOI: 10.3386/W15840
A. Aizer, L. Stroud
{"title":"Education, Knowledge and the Evolution of Disparities in Health","authors":"A. Aizer, L. Stroud","doi":"10.3386/W15840","DOIUrl":"https://doi.org/10.3386/W15840","url":null,"abstract":"We study how advances in scientific knowledge affect the evolution of disparities in health. Our focus is the 1964 Surgeon General Report on Smoking and Health - the first widely publicized report of the negative effects of smoking on health. Using an historical dataset that includes the smoking habits of pregnant women 1959-1966, we find that immediately after the 1964 Report, more educated mothers immediately reduced their smoking as measured by both self-reports and serum cotinine levels, while the less educated did not, and that the relative health of their newborns likewise increased. We also find strong peer effects in the response to information: after the 1964 report, educated women surrounded by other educated women were more likely to reduce smoking relative to those surrounded by less educated women. Over time, the education gradient in both smoking and newborn health continued to increase, peaking in the 1980s and then shrinking, eventually returning to initial levels. These results can explain why in an era of great advancements in medical knowledge, health disparities may actually increase, at least initially.","PeriodicalId":352576,"journal":{"name":"NursingRN eJournal","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132944919","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 69
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